Active NPI
Gregory Scott Dew, D.C., PA-C
- Medical Physician Assistant
- Boardman, OH
National Provider Identifier
1447277215
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(2) exclusion effective Dec 20, 2009.
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 2255
- Practice address
- 914 Trailwood Dr
Boardman, OH 44512-5007 - Phone
- (330) 758-6440
- Fax
- (330) 758-6990
- NPI assigned
- Jul 16, 2006
- 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 | 2533 | OH | |
| Medical Physician Assistant | 363AM0700X | 2255 | OH | Primary |
Addresses
Primary practice location
914 Trailwood Dr
Boardman, OH 44512-5007
Mailing address
914 Trailwood Dr
Boardman, OH 44512-5007
Phone (330) 758-6440
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000353868 | Other | OH | ANTHEM |
| 2541968 | Medicaid | OH | |
| P00261050 | Other | OH | RAIL ROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2255 | OH | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153008000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1447277215",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "914 TRAILWOOD DR",
"city": "BOARDMAN",
"state": "OH",
"postal_code": "445125007",
"telephone_number": "330-758-6440",
"fax_number": "330-758-6990"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "914 TRAILWOOD DR",
"city": "BOARDMAN",
"state": "OH",
"postal_code": "445125007",
"telephone_number": "330-758-6440",
"fax_number": "330-758-6990"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEW",
"first_name": "GREGORY",
"middle_name": "SCOTT",
"name_prefix": "Dr.",
"credential": "D.C., PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-16",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OH",
"license": "2533",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "OH",
"license": "2255",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000353868",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2541968",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAIL ROAD MEDICARE",
"identifier": "P00261050",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Boardman, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.