Ravi S Gill MD

Primary specialty

Non-Pharmacy Dispensing SiteTaxonomy code 332900000X

License

31527 Issued in KY

Legal business name

RAVI S GILL MD

Doing business as

EAST END PRIMARY CARE PLLC

Practice address

907 Lyndon LN
Louisville, KY 40222-3815

Phone

(502) 412-1904

Fax

(502) 412-1905

NPI assigned

Jan 3, 2007

Organization subpart

No

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

Authorized official

Name

Ravi GillNPI 1285633586

Title

Owner

Phone

(502) 412-1904

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• EAST END PRIMARY CARE PLLC Doing business as

Locations

Practitioners 1

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

• Ravi Gill, MD

  • Internal Medicine Physician
  • Louisville, KY
  • NPI 1285633586
  NPD Authorized official

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1457418832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "907 LYNDON LN",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402223815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "907 LYNDON LN",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402223815",
            "telephone_number": "502-412-1904",
            "fax_number": "502-412-1905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAVI S GILL MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-03",
        "last_updated": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "GILL",
        "authorized_official_first_name": "RAVI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "502-412-1904"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "KY",
            "license": "31527",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "1829196",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64315278",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EAST END PRIMARY CARE PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Katherine Julia Ratterman, M.S. CCC-SLP
• Rachel Pierce Ratterman, NP-C
• Deborah Rattle
• Stefan Rauch, MD
• Ravi Chary MD PLLC
• Nidhi Ravishankar, MD
• Malika V Rawal, M.D.
• Kristin Conrad Rawley, APRN
• Karen Rawlings, MFTA
• Rachel Louise Rawson, PT, DPT

• Non-Pharmacy Dispensing Site in Louisville, KY
• Providers in Louisville, KY by specialty
• Non-Pharmacy Dispensing Site in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2008; 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.