THADDEUS B. GAILLARD, JR. MD – NPI #1558413807
Obstetrics & Gynecology
A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions.
THADDEUS GAILLARD, JR. is a physician located in SOUTHAVEN, MS. NPPES has assigned the NPI number 1558413807 to THADDEUS GAILLARD, JR. on January 17, 2007. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207VG0400X from the Health Care Provider Taxonomy code set, which is classified as Obstetrics & Gynecology, specializing in Gynecology
The NPI profile was previously updated about 14 years ago on Feb 15, 2012. 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 THADDEUS GAILLARD, JR. below.
NPI Profile for
THADDEUS B. GAILLARD, JR.
(more than 19 years ago)
SUITE 102
SOUTHAVEN, MS 38671 Phone: (662) 349-4377 Fax: (662) 349-4378
GERMANTOWN, TN 38183-1257 Phone: (662) 349-4377 Fax: (662) 349-4378
Identifiers for THADDEUS GAILLARD, JR.
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.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| MEDICAID | TN | 3018336 |
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 |
|---|---|---|
| 207VG0400X - Obstetrics & Gynecology / Gynecology (Primary) |
TN | 15990 |
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.