JON R. GILDEA DO – NPI #1548243439
Emergency Medicine

An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.

JON GILDEA is a physician located in MISSOULA, MT. NPPES has assigned the NPI number 1548243439 to JON GILDEA on November 23, 2005. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207PE0004X from the Health Care Provider Taxonomy code set, which is classified as Emergency Medicine, specializing in Emergency Medical Services

The NPI profile was previously updated about 5 years ago on Mar 08, 2021. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JON GILDEA below.

NPI Profile for
JON R. GILDEA

NPI Number
1548243439
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
JON R. GILDEA
Credentials
DO
Primary location
2946 STARLIGHT DRIVE
MISSOULA, MT 59803
Phone: (406) 240-2148 Fax:
1 Other location(s):
1 Genesys Pkwy
Grand Blanc, MI 48439-8065
Phone: (810) 606-6137
Mailing address
DEPT CH 17767
PALATINE, IL 60055-0001
Phone: (800) 968-6866 Fax:
Sole Proprietor
No
Updated
Certification Date
Feb 25, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for JON GILDEA

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

See identifiers
DescriptionIssuerStateIdentifier
OTHERBLUE CROSS BLUE SHIELDJG014660
OTHERRAILROAD MEDICAREP00158334
MEDICAIDMI4614956
MEDICAIDMI4617359
MEDICAIDMI4615292
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207PE0004X
- Emergency Medicine / Emergency Medical Services (Primary)
MT 10620
207P00000X
- Emergency Medicine
MI 5101014660

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.