Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACOB R GILLEN, MD
ActiveJACOB R GILLEN, MD is a Surgical Critical Care healthcare provider located in ROANOKE, Virginia. NPI 1952625576 is currently active in the NPPES registry. Verify at CMS.
Surgical Critical Care · ROANOKE, VA
Registration Details
- NPI Number
- 1952625576
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 25, 2010 (16.373366338607 yrs)
- Last Updated
- Aug 11, 2021
- Licenses
-
4301109915 (MI)0101264407 (VA)
Practice Information
- Address
-
1906 BELLEVIEW AVE SEROANOKE, VA, 24014Browse VA providers · Browse ZIP 24014
- Phone
- 5409817000
- Fax
- 5409818429
- Primary Specialty
-
Surgical Critical Care
2086S0102X
- Additional Specialty
- Surgical Critical Care
Other Surgical Critical Care Providers in ROANOKE, VA
| Name | Credential | NPI |
|---|---|---|
| BRYAN COLLIER | DO | 1902993041 |
| MARK EDWARD HAMILL | MD | 1033292974 |
| DR. KATIE LOVE BOWER | M.D. | 1457551707 |
| DR. DANIEL LOLLAR | M.D. | 1184857344 |
| DR. EMILY RENEE FAULKS | M.D. | 1285927855 |
| DR. BENJAMIN NEWEL CRAGUN | M.D. | 1487066866 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.