NPIMap

Organization Active NPI

Stacey Gill DO

  • Family Medicine Physician
  • North Port, FL
National Provider Identifier
1306147962
Registry record updated Nov 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS8937 Issued in FL
Legal business name
STACEY GILL DO
Practice address
3084 Tropicaire Blvd
North Port, FL 34286-7117
Phone
(941) 484-1600
NPI assigned
Nov 12, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2010

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

Authorized official

Name
Dr. Stacey Bushnell Gill, D.O.NPI 1538109673
Title
Owner
Phone
(941) 484-1600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X OS8937 FL Primary

Addresses

Primary practice location

3084 Tropicaire Blvd
North Port, FL 34286-7117

Mailing address

3084 Tropicaire Blvd
North Port, FL 34286-7117
Phone (941) 484-1600

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1289520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289520000000",
    "number": "1306147962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3084 TROPICAIRE BLVD",
            "city": "NORTH PORT",
            "state": "FL",
            "postal_code": "342867117",
            "telephone_number": "941-484-1600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3084 TROPICAIRE BLVD",
            "city": "NORTH PORT",
            "state": "FL",
            "postal_code": "342867117",
            "telephone_number": "941-484-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STACEY GILL DO",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-12",
        "last_updated": "2010-11-12",
        "status": "A",
        "authorized_official_last_name": "GILL",
        "authorized_official_first_name": "STACEY",
        "authorized_official_middle_name": "BUSHNELL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "941-484-1600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS8937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Port, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.