Sam Gaines, M.D.

Internal Medicine Physician · Normal, IL

Individual Active NPI

NPI number 1730115643

Practice location

Virginia & Franklin Streets
Normal, IL 61761
Phone
(309) 827-4321

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NPI record

NPI
1730115643
Entity type
Individual (Type 1)
Enumeration date
June 23, 2006
Last updated
December 28, 2021
Certified
December 28, 2021
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Internal Medicine Physician Primary 207R00000X 036057022 IL
Emergency Medicine Physician 207P00000X 036-057022 IL
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X 036-057022 IL

Mailing address

509 Colbrook Dr
Springfield, IL 62702-3384
Phone
(217) 782-9318
Fax
(217) 793-5267

About Dr. Gaines

Sam Gaines, M.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Internal Medicine Physician (code 207R00000X). The practice location is Virginia & Franklin Streets, Normal, IL 61761. The NPI number 1730115643 was assigned on June 23, 2006 and the record was last updated on December 28, 2021.

Dr. Gaines lists 3 licenses in the registry: #036057022 (IL) for Internal Medicine Physician; #036-057022 (IL) for Emergency Medicine Physician; #036-057022 (IL) for Emergency Medical Services (Emergency Medicine) Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Sam Gaines, M.D.?

The NPI number is 1730115643.

What is the phone number of Dr. Gaines?

The phone number listed for the practice location is (309) 827-4321.

Where is Dr. Gaines located?

Virginia & Franklin Streets, Normal, IL 61761.

What is the taxonomy code for Dr. Gaines?

The primary taxonomy code is 207R00000X – Internal Medicine Physician; 2 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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