NPIMap

Robert Patrick Gill, M.D.

Individual provider Active NPI Family Medicine Physician · Minster, OH

NPI 1174574255 · NPPES record last updated May 29, 2015

Key facts

NPI
1174574255
Entity type
Individual (NPI type 1)
Primary specialty
Family Medicine Physician 207Q00000X
License
35040370 (OH)
Practice address
4463 State Route 66
Minster, OH 45865-8727
Phone
(419) 394-3387
Fax
(419) 628-9501
NPI assigned
May 13, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Lima Memorial Joint Operating Company Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: robertgill@glhs.allscriptsdirect.net

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35040370 OH Yes

Addresses

Primary practice location

4463 State Route 66
Minster, OH 45865-8727

Mailing address

200 Saint Clair Ave
Grand Lake Physician Practices
Saint Marys, OH 45885-2400
Phone (419) 394-3387

Other identifiers

IdentifierTypeStateIssuer
0385337MedicaidOH
2821576OtherOHMEDICAID LEGACY
1942630348OtherOHGROUP PTAN
9934723OtherOHMEDICARE ORGANIZATIONAL PTAN

Other providers in Minster, OH

All providers in Minster, OH · Family Medicine Physician in Ohio

Sources for this page

Verify at the official NPI Registry.