MAINOR R. ANTILLON-GALDAMEZ M.D. – NPI #1215962873
Internal Medicine

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

Health Care Provider Taxonomy Code for Internal Medicine

MAINOR ANTILLON-GALDAMEZ is a physician located in EAU CLAIRE, WI. NPPES has assigned the NPI number 1215962873 to MAINOR ANTILLON-GALDAMEZ on July 12, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. He is also known by his other name MAINOR R ANTILLON. The primary taxonomy selected by this provider is 207RG0100X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Gastroenterology

The NPI profile was previously updated about 3 years ago on Feb 03, 2023. 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 MAINOR ANTILLON-GALDAMEZ below.

NPI Profile for
MAINOR R. ANTILLON-GALDAMEZ

NPI Number
1215962873
Enumeration Date

(about 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
MAINOR R. ANTILLON-GALDAMEZ
Other Name: MAINOR R ANTILLON
Credentials
M.D.
Primary location
1400 BELLINGER ST
EAU CLAIRE, WI 54703
Phone: (715) 838-5222 Fax:
1 Other location(s):
4100 Lake Dr SE
Suite 205
Grand Rapids, MI 49546
Phone: (616) 267-7414
Fax: (616) 267-7137
Mailing address
PO BOX 1510
EAU CLAIRE, WI 54702-1510
Phone: (715) 838-5222 Fax:
Sole Proprietor
No
Updated
Certification Date
Feb 03, 2023

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.

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
207RG0100X
- Internal Medicine / Gastroenterology (Primary)		 MI 4301106568

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.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
[email protected]
Endpoint type
Direct Messaging Address
Endpoint Description
Content Type
Affiliation
N
Endpoint Location
1400 BELLINGER ST,
EAU CLAIRE, WI 77025-1669

Additional Information

Medicare Ordering & Referring
Provider can:
  • Order Durable Medical Equipment
  • Order Power Mobility Devices
Affiliations
MAINOR ANTILLON-GALDAMEZ is affiliated with the following medical group(s):
  • HOSPITAL
    • ALHAMBRA HOSPITAL MEDICAL CENTER
      100 S RAYMOND AVE
      ALHAMBRA, CA 91801
    • UPHS MARQUETTE DLP HOSPITAL
      850 W BARAGA AVE
      MARQUETTE, MI 49855

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How do I correct or change the NPI data displayed here?
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Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.