Active NPI
Steven F Gulla, D.C.
- Chiropractor
- Marysville, OH
National Provider Identifier
1245376359
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC-04859
- Practice address
- 110 Scott Farms Blvd
Marysville, OH 43040-7069 - Phone
- (937) 642-2333
- NPI assigned
- Jan 29, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 038005808 | IL | |
| Chiropractor | 111N00000X | DC-04859 | OH | Primary |
Addresses
Primary practice location
110 Scott Farms Blvd
Marysville, OH 43040-7069
Mailing address
4330 Cambry LN
Dublin, OH 43016-3539
Phone (847) 971-4113
Other practice location 1
111 W Prospect Ave
MT Prospect, IL 60056-3135
Phone (847) 255-0606
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 364468240 | Other | IL | TAX ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20221107002635 | OH | Practitioner - Chiropractic | 1557250925 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- National College of Chiropractic, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Guy Phillips LLC
Practice addresses (Care Compare)
156 Scott Farms Blvd
Marysville, OH 43040-7069
Phone (937) 642-2333
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC-04859 | OH | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cowgill Chiropractic Inc. | Chiropractor | Current | Accepting new patients |
| Guy Phillips LLC | Chiropractor | Current | 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 and National Provider Directory roles.
-
- Chiropractor
- Marysville, OH
- NPI 1083130454
-
- Chiropractor
- Marysville, OH
- NPI 1952582934
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170028800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1668729600000",
"number": "1245376359",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4330 CAMBRY LN",
"city": "DUBLIN",
"state": "OH",
"postal_code": "430163539",
"telephone_number": "847-971-4113"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 SCOTT FARMS BLVD",
"city": "MARYSVILLE",
"state": "OH",
"postal_code": "430407069",
"telephone_number": "937-642-2333"
}
],
"practiceLocations": [
{
"address_1": "111 W Prospect Ave",
"address_purpose": "LOCATION",
"city": "MT Prospect",
"state": "IL",
"postal_code": "600563135",
"country_code": "US",
"telephone_number": "847-255-0606",
"fax_number": "847-255-0749",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GULLA",
"first_name": "STEVEN",
"middle_name": "F",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-29",
"last_updated": "2022-11-18",
"certification_date": "2022-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IL",
"license": "038005808",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OH",
"license": "DC-04859",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "364468240",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Marysville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2022; 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.