Individual provider Active NPI

Scott Gill, D.C.

  • Chiropractor
  • Painesville, OH
National Provider Identifier
1184081382
Registry record updated Jan 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4600 Issued in OH
Practice address
1640 Mentor Ave
Painesville, OH 44077-1707
Phone
(440) 639-9171
NPI assigned
Jan 20, 2016
Last updated
Jan 20, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4600 OH Primary

Addresses

Primary practice location

1640 Mentor Ave
Painesville, OH 44077-1707

Mailing address

1640 Mentor Ave
Painesville, OH 44077-1707
Phone (440) 639-9171

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170601000746 OH Practitioner - Chiropractic 7113294836 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellness Lake County ChiropracticGroup PAC ID 4486954047, 3 clinicians

Practice addresses (Care Compare)

1545 Mentor Ave
Painesville, OH 44077-1706
Phone (440) 639-9171

1640 Mentor Ave
Painesville, OH 44077-5300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4600OHMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Painesville Family Chiropractic Inc. PastSince Jul 1, 2013 Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1453248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453248000000",
    "number": "1184081382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1640 MENTOR AVE",
            "city": "PAINESVILLE",
            "state": "OH",
            "postal_code": "440771707",
            "telephone_number": "440-639-9171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1640 MENTOR AVE",
            "city": "PAINESVILLE",
            "state": "OH",
            "postal_code": "440771707",
            "telephone_number": "440-639-9171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILL",
        "first_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-01-20",
        "last_updated": "2016-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "4600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Painesville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.