Individual provider Active NPI

David Donald Gill Jr., D.O.

  • Neurology Physician
  • Saginaw, MI
National Provider Identifier
1447562236
Registry record updated Mar 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
5101018966 Issued in MI
Practice address
800 Cooper Ave
Suite 11
Saginaw, MI 48602-5394
Phone
(989) 583-7090
Fax
(989) 583-7091
NPI assigned
Jul 8, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 5101018966 MI Primary

Addresses

Primary practice location

800 Cooper Ave
Suite 11
Saginaw, MI 48602-5394

Mailing address

1447 N Harrison St
Saginaw, MI 48602-4727
Phone (989) 583-7090

Other identifiers 1

IdentifierTypeStateIssuer
1447562236MedicaidMI

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dgill36833@direct.covenanthealthcare.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140711001217 MI Practitioner - Neurology 1254556061 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Michigan State University College of Osteopathic Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Covenant Medical Center, Inc.Group PAC ID 2769387778, 488 clinicians
Powerback Rehabilitation LLCGroup PAC ID 2365359932, shared by 106 NPIs, 600 clinicians

Practice addresses (Care Compare)

1447 N Harrison St
Saginaw, MI 48602-4727
Phone (989) 583-4220

1941 Gates St
Reese, MI 48757-9555
Phone (989) 583-5550

255 Mayer Rd
Frankenmuth, MI 48734-1358
Phone (989) 349-0016

4701 Towne Centre Rd
Suite 202
Saginaw, MI 48604-2800
Phone (989) 790-2600

700 Cooper Ave
Saginaw, MI 48602-5383
Phone (989) 583-4220

900 Cooper Ave
Saginaw, MI 48602-5182

Hospital & facility affiliations

  • Covenant Medical Center Hospital, Saginaw, MI, CCN 230070
  • Scheurer Hospital Hospital, Pigeon, MI, CCN 231310
  • Hills & Dales General Hospital Hospital, Cass City, MI, CCN 231316
  • Mymichigan Medical Center Saginaw Hospital, Saginaw, MI, CCN 230077
  • Tawas St Joseph Hospital Hospital, Tawas City, MI, CCN 230100

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5101018966MIMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Covenant Medical Center, Inc Neurology CurrentSince Jul 1, 2014 Accepting new patients
Covenant Medical Center, Inc. Current Accepting new patients
Covenant Medical Center, Inc. CurrentSince Jul 1, 2014 Accepting new patients

Locations

600 N Main St
Ste 110
Frankenmuth, MI 48734
Phone (989) 652-1320

800 Cooper Ave
Ste 11
Saginaw, MI 48602
Phone (989) 583-7090

1320 N Michigan Ave
Ste 7
Saginaw, MI 48602
Phone (989) 583-2720

1447 N Harrison St
Saginaw, MI 48602
Phone (989) 583-4220

Organizations & group practices 3

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 21

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

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1278547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616716800000",
    "number": "1447562236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1447 N HARRISON ST",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486024727",
            "telephone_number": "989-583-7090",
            "fax_number": "989-583-7091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 COOPER AVE",
            "address_2": "SUITE 11",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486025394",
            "telephone_number": "989-583-7090",
            "fax_number": "989-583-7091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILL",
        "first_name": "DAVID",
        "middle_name": "DONALD",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-08",
        "last_updated": "2021-03-26",
        "certification_date": "2021-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MI",
            "license": "5101018966",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1447562236",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dgill36833@direct.covenanthealthcare.com",
            "affiliation": "N",
            "address_1": "800 Cooper Ave",
            "address_2": "Suite 11",
            "city": "Saginaw",
            "state": "MI",
            "country_code": "US",
            "postal_code": "486025394",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Saginaw, MI

Sources for this page

Verify at the official NPI Registry.