Provider Demographics
NPI:1427058635
Name:GILMOUR, CAROL HUNTRESS (MD, MPH)
Entity type:Individual
Prefix:DR
First Name:CAROL
Middle Name:HUNTRESS
Last Name:GILMOUR
Suffix:
Gender:F
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:1710 STURBRIDGE DR
Mailing Address - Street 2:
Mailing Address - City:SEWICKLEY
Mailing Address - State:PA
Mailing Address - Zip Code:15143-8515
Mailing Address - Country:US
Mailing Address - Phone:412-359-3164
Mailing Address - Fax:412-359-3663
Practice Address - Street 1:320 E NORTH AVE
Practice Address - Street 2:AGH NEONATOLOGY
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15212-4756
Practice Address - Country:US
Practice Address - Phone:412-359-3164
Practice Address - Fax:412-359-3663
Is Sole Proprietor?:No
Enumeration Date:2005-07-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD039675E2080N0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080N0001XAllopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0012983980005Medicaid
PA104368Medicare ID - Type Unspecified
PAF37608Medicare UPIN