Individual provider Active NPI

Steven F Gulla, D.C.

  • Chiropractor
  • Marysville, OH
National Provider Identifier
1245376359
Registry record updated Nov 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC-04859 Issued in OH
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

Updated by the provider on Nov 18, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
364468240OtherILTAX ID

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 LLCGroup PAC ID 2466718499, 3 clinicians

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

LicenseStateTypeSpecialty
DC-04859OHMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Cowgill Chiropractic Inc. Chiropractor CurrentSince Nov 20, 2022 Accepting new patients
Guy Phillips LLC Chiropractor CurrentSince Oct 25, 2022 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.

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.

Verify at the official NPI Registry.