Provider Demographics
NPI:1932396249
Name:GASKILL, TRAVIS F (PA-C)
Entity type:Individual
Prefix:
First Name:TRAVIS
Middle Name:F
Last Name:GASKILL
Suffix:
Gender:M
Credentials:PA-C
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Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:12251 S 80TH AVE STE 1520
Mailing Address - Street 2:
Mailing Address - City:PALOS HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60463-1290
Mailing Address - Country:US
Mailing Address - Phone:708-923-4200
Mailing Address - Fax:708-923-4201
Practice Address - Street 1:929 SW MULVANE ST
Practice Address - Street 2:
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66606-1677
Practice Address - Country:US
Practice Address - Phone:785-270-8625
Practice Address - Fax:785-270-8624
Is Sole Proprietor?:No
Enumeration Date:2007-10-01
Last Update Date:2025-12-22
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IL085011266363A00000X
KS15-03208363A00000X
MDC06794363A00000X
PAMA053875363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical