Benjamin C Gillen, MD
Benjamin C Gillen, MD is a Diagnostic Radiology in Waukesha, Wisconsin. Graduated from State University of New York at Buffalo School of Medicine in 2007, 19 years ago. Practices with Lakeshore Medical Clinic LLC, a 379-clinician group and accepts Medicare assignment. Licensed in Indiana, Minnesota and Wisconsin.
- Years since qualifying
- 19
- Trained at
- State University of New York at Buffalo School of Medicine
- Licensed in
- IN, MN, WI
- In the registry since
- 2008
- Specialties on file
- 4
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
W231N1440 Corporate CtWaukesha, WI 53186-1303
Phone: (262) 896-6000
Fax: (920) 288-4956
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Diagnostic Radiology Physician (primary) | Taxonomy 2085R0202X · Licence 63398 (WI) |
|---|---|
| Diagnostic Radiology Physician | Taxonomy 2085R0202X · Licence 51114 (MN) |
| Vascular & Interventional Radiology Physician | Taxonomy 2085R0204X · Licence 01072278A (IN) |
| Vascular & Interventional Radiology Physician | Taxonomy 2085R0204X · Licence 63398 (WI) |
Record details
| NPI number | 1316108343 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | June 23, 2008 |
| Last updated in NPPES | June 20, 2024 |
| Certification date | June 20, 2024 |
Medicare enrollment
| Medicare specialty | DIAGNOSTIC RADIOLOGY |
|---|---|
| Medical school | STATE UNIVERSITY OF NEW YORK AT BUFFALO SCHOOL OF MEDICINE |
| Graduated | 2007 (19 years in practice) |
| Group practice | Lakeshore Medical Clinic Llc — 379 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 3 on file with Medicare |
Other providers in Waukesha
-
Dr. Luke A Falesch, MD
W231N1440 Corporate Ct, Waukesha, WI 53186-1303 · (262) 896-6000
-
Dr. Jeffrey Matthew Fete, MD
725 American Ave, Waukesha, WI 53188-5031 · (262) 928-2400
-
Dr. Gregory Allen Francken, MD
725 American Ave, Waukesha, WI 53188-5031 · (262) 928-2400
-
Julian Franko, DO
W231N1440 Corporate Ct, Waukesha, WI 53186-1503 · (262) 896-6000
-
Dr. Stephen Goth, MD
W231N1440 Corporate Ct, Waukesha, WI 53186-1503 · (262) 896-6000
-
Dr. Mark Clifford Hollister, MD
725 American Ave, Waukesha, WI 53188-5031 · (262) 928-2400
-
Syed Faisal Hussaini
W231N1440 Corporate Ct, Waukesha, WI 53186-1503 · (262) 896-6000
-
Richard H. Jenkins, MD
W231N1440 Corporate Ct, Waukesha, WI 53186-1503 · (262) 896-6000