Codey Gillum, PA-C
Codey Gillum, PA-C is a Physician Assistant in Roxbury Crossing, Massachusetts. Qualified in 2014, 12 years ago. Practices with Eric J. Woodard MD PC, a 2-clinician group and accepts Medicare assignment. Licensed in Massachusetts.
- Years since qualifying
- 12
- Licensed in
- MA
- In the registry since
- 2014
What do these letters mean?
- PA-C — Physician Assistant, Certified
- A physician assistant who holds current national certification.
Practice location Address checks out
125 Parker Hill AveRoxbury Crossing, MA 02120-2847
Phone: (617) 754-5000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Surgical Physician Assistant (primary) | Taxonomy 363AS0400X · Licence PA5223 (MA) |
|---|
Record details
| NPI number | 1023416781 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PA-C |
| Sole proprietor | Yes |
| NPI enumerated | December 11, 2014 |
| Last updated in NPPES | December 11, 2014 |
| Mailing address | 125 Parker Hill Ave, Roxbury Crossing, MA 02120-2847 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2014 (12 years in practice) |
| Group practice | Eric J. Woodard Md Pc — 2 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |