NPIMap

Individual provider Active NPI

Mianna Marie Armstrong Gilmore

  • Obstetrics & Gynecology Physician
  • Reynoldsburg, OH
National Provider Identifier
1417416520
Registry record updated May 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
34.016334 Issued in OH
Practice address
6482 E Main St Ste B
Reynoldsburg, OH 43068-7312
Phone
(614) 839-5555
Fax
(614) 839-5100
NPI assigned
Mar 18, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics Physician 207VX0000X 34.016334 OH
Obstetrics & Gynecology Physician 207V00000X 34.016334 OH Primary

Addresses

Primary practice location

6482 E Main St Ste B
Reynoldsburg, OH 43068-7312

Mailing address

6482 E Main St Ste B
Reynoldsburg, OH 43068-7312
Phone (614) 839-5555

Other practice location 1

575 Westar Xing Ste 102
Westerville, OH 43082-7815
Phone (614) 839-5555

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mgilmore349546@direct.ohiohealth.com OhioHealth Physician Group, Inc.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230724001875 OH Practitioner - Obstetrics/Gynecology 3870836315 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Kansas City University of Physicians and Surgeons, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oh Independent Medical Group LLCGroup PAC ID 0648646034, 136 clinicians

Practice addresses (Care Compare)

6482 E Main St
Suite B
Reynoldsburg, OH 43068-7312
Phone (614) 856-0327

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Ohiohealth Corporation CurrentSince Oct 1, 2023 Accepting new patients
Pediatrix Medical Group of Ohio Corp Obstetrics & Gynecology CurrentSince May 1, 2025 Accepting new patients
Ohiohealth Corporation Obstetrics & Gynecology Current Accepting new patients
Ohiohealth Corporation CurrentSince Oct 1, 2023 Accepting new patients
Ohiohealth Corporation Past Accepting new patients
Mount Carmel Health System Past Accepting new patients

Locations

Dept L3652
Columbus, OH 43260

393 E Town St
Ste 116
Columbus, OH 43215
Phone (614) 566-9108

3535 Olentangy River Rd
Columbus, OH 43214
Phone (614) 566-1997

7450 Hospital Dr
Ste 4500
Dublin, OH 43016
Phone (614) 566-0166

1111 Hayes Ave
Sandusky, OH 44870
Phone (419) 557-7455

Interoperability endpoints

  • Direct secure messaging: mianna.gilmore.p3@direct.acoog.nextgenshare.com
  • Direct secure messaging: mianna.gilmore.1@26020.direct.athenahealth.com

Organizations & group practices 7

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1552867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746144000000",
    "number": "1417416520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6482 E MAIN ST STE B",
            "city": "REYNOLDSBURG",
            "state": "OH",
            "postal_code": "430687312",
            "telephone_number": "614-839-5555",
            "fax_number": "614-839-5100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6482 E MAIN ST STE B",
            "city": "REYNOLDSBURG",
            "state": "OH",
            "postal_code": "430687312",
            "telephone_number": "614-839-5555",
            "fax_number": "614-839-5100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "575 Westar Xing Ste 102",
            "address_purpose": "LOCATION",
            "city": "Westerville",
            "state": "OH",
            "postal_code": "430827815",
            "country_code": "US",
            "telephone_number": "614-839-5555",
            "fax_number": "614-839-5100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ARMSTRONG GILMORE",
        "first_name": "MIANNA",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-18",
        "last_updated": "2025-05-02",
        "certification_date": "2025-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "OH",
            "license": "34.016334",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OH",
            "license": "34.016334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mgilmore349546@direct.ohiohealth.com",
            "affiliation": "Y",
            "affiliationName": "OhioHealth Physician Group, Inc.",
            "address_1": "3535 Olentangy River Road - Ground/Yellow",
            "city": "Columbus",
            "state": "OH",
            "country_code": "US",
            "postal_code": "43214",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Reynoldsburg, OH

Sources for this page

Verify at the official NPI Registry.