Individual provider Active NPI

Sean Ono Gill, RN

  • Family Nurse Practitioner
  • Dublin, OH
National Provider Identifier
1427791367
Registry record updated Aug 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.0031590 Issued in OH
Practice address
5689 Grantham LN
Dublin, OH 43016-3260
Phone
(614) 578-6017
NPI assigned
Apr 19, 2022
Last updated
Aug 22, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN.CNP.0031590 OH Primary
General Practice Registered Nurse 163WG0000X RN.485518 OH

Addresses

Primary practice location

5689 Grantham LN
Dublin, OH 43016-3260

Mailing address

5689 Grantham LN
Dublin, OH 43016-3260
Phone (614) 578-6017

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220921000979 OH Practitioner - Nurse Practitioner 4587049937 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN.485518OHMDGeneral Practice Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Union County Physician Corporation CurrentSince Sep 28, 2022 Accepting new patients
Union County Physician Corporation Current Accepting new patients

Locations

388 Damascus Rd
Marysville, OH 43040
Phone (937) 578-2626

500 London Ave
Marysville, OH 43040
Phone (740) 420-8451

480 S Jefferson Ave
Ste 300
Plain City, OH 43064
Phone (937) 578-2417

Interoperability endpoints

  • Direct secure messaging: sgill1067921@direct.osumc.edu

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": "1650326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661126400000",
    "number": "1427791367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5689 GRANTHAM LN",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430163260",
            "telephone_number": "614-578-6017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5689 GRANTHAM LN",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430163260",
            "telephone_number": "614-578-6017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILL",
        "first_name": "SEAN",
        "middle_name": "ONO",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-04-19",
        "last_updated": "2022-08-22",
        "certification_date": "2022-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.0031590",
            "primary": true
        },
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "OH",
            "license": "RN.485518",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dublin, OH

Sources for this page

Verify at the official NPI Registry.