OLIVER D. GILLIAM M.D. – NPI #1497759765
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.
OLIVER GILLIAM is a physician located in SOUTH BEND, IN. NPPES has assigned the NPI number 1497759765 to OLIVER GILLIAM on June 02, 2005. It is a Type-1 NPI, indicating this NPI number is associated with an individual. 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 15 years ago on Jan 21, 2011. 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 OLIVER GILLIAM below.
NPI Profile for
OLIVER D. GILLIAM
(more than 21 years ago)
SOUTH BEND, IN 46635-1589 Phone: (574) 234-0049 Fax: (574) 251-2861
Identifiers for OLIVER GILLIAM
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
| Description | Issuer | State | Identifier |
|---|---|---|---|
| OTHER | AETNA | IN | 4667992 |
| OTHER | ANTHEM | IN | 000000084427 |
| OTHER | CIGNA | IN | 2738533002 |
| OTHER | RAILROAD MEDICARE | IN | 100010837 |
| MEDICAID | IN | 100090510 |
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) |
IN | 01035882A |
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.
Additional Information
- Refer to Part B
- Order Durable Medical Equipment
- Refer to Home Health Agency
- Order Power Mobility Devices
OLIVER GILLIAM is affiliated with the following medical group(s):
- HOSPITAL
- MEMORIAL HOSPITAL OF SOUTH BEND615 N MICHIGAN ST
SOUTH BEND, IN 46601 - SAINT JOSEPH REGIONAL MEDICAL CENTER5215 HOLY CROSS PKWY
MISHAWAKA, IN 46545 - SAINT JOSEPH REGIONAL MEDICAL CENTER - PLYMOUTH1915 LAKE AVE
PLYMOUTH, IN 46563
- MEMORIAL HOSPITAL OF SOUTH BEND615 N MICHIGAN ST
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