Gregory Gullo, MD

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

MD26192 Issued in OR

Practice address

2020 8TH Ave
Suite 200
West Linn, OR 97068-4657

Phone

(503) 512-1212

Fax

(503) 512-1220

NPI assigned

May 28, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/CACHAA

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Pain Care Specialists of Oregon, LLC

  • Pain Medicine (Anesthesiology) Physician
  • Salem, OR
  • NPI 1942675467
  Medicare reassignment NPD
• Gregory Gullo MD PC

  • Pain Medicine (Anesthesiology) Physician
  • Gresham, OR
  • NPI 1124105044
  NPD (past) Authorized official
• Desert Pain Care Medicine Group Inc

  • Specialist
  • Palm Springs, CA
  • NPI 1659322071
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347926400000",
    "number": "1124075791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 8TH AVE",
            "address_2": "SUITE 200",
            "city": "WEST LINN",
            "state": "OR",
            "postal_code": "970684657",
            "telephone_number": "503-512-1212",
            "fax_number": "503-512-1220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 8TH AVE",
            "address_2": "SUITE 200",
            "city": "WEST LINN",
            "state": "OR",
            "postal_code": "970684657",
            "telephone_number": "503-512-1212",
            "fax_number": "503-512-1220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GULLO",
        "first_name": "GREGORY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-28",
        "last_updated": "2012-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "OR",
            "license": "MD26192",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "OR",
            "license": "MD26192",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "027890",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gregory L. Combs, M.D., P.C.
• John Howard Gregory, CERTIFIED ORTHOTIST
• Gresham Family Care Inc
• Corey Gene Griggs
• Frank M Gruner, FRANK GRUNER
• Addie Teller Hahn, L.M.T., C.C.L.S.
• Emily Hansen, LMT
• Kelly Moore Harman, PTA
• Jill Harsch
• Elza R Hart, DUOLA

• Interventional Pain Medicine Physician in West Linn, OR
• Providers in West Linn, OR by specialty
• Interventional Pain Medicine Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.