Active NPI
John Gull D.O., P.C.
- Otolaryngic Allergy Physician
- Elko, NV
National Provider Identifier
1679811749
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngic Allergy Physician
- License
- DO1475
- Legal business name
- JOHN GULL D.O., P.C.
- Practice address
- 1784 Browning Way Ste 120
Elko, NV 89801-8331 - Phone
- (775) 738-2555
- Fax
- (775) 738-2585
- NPI assigned
- Jan 24, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- John D Gull, D.O.
- Title
- Doctor
- Phone
- (775) 340-0756
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngic Allergy Physician | 207YX0602X | DO1475 | NV | Primary |
Addresses
Primary practice location
1784 Browning Way Ste 120
Elko, NV 89801-8331
Mailing address
1784 Browning Way Ste 120
Elko, NV 89801-8331
Phone (775) 738-2555
Other names 1
- Ruby Valley ENT
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1784 Browning Way
Ste 120
Elko, NV 89801
Phone (775) 738-2555
1995 Errecart Blvd
Ste 109
Elko, NV 89801
Phone (775) 738-2555
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Otolaryngology Physician
- Elko, NV
- NPI 1326281239
-
- Physician Assistant
- Elko, NV
- NPI 1508247461
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1358985600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1653955200000",
"number": "1679811749",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1784 BROWNING WAY STE 120",
"city": "ELKO",
"state": "NV",
"postal_code": "898018331",
"telephone_number": "775-738-2555",
"fax_number": "775-738-2585"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1784 BROWNING WAY STE 120",
"city": "ELKO",
"state": "NV",
"postal_code": "898018331",
"telephone_number": "775-738-2555",
"fax_number": "775-738-2585"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOHN GULL D.O., P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2013-01-24",
"last_updated": "2022-05-31",
"certification_date": "2022-05-31",
"status": "A",
"authorized_official_last_name": "GULL",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "DOCTOR",
"authorized_official_telephone_number": "775-340-0756",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "207YX0602X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Otolaryngology, Otolaryngic Allergy",
"state": "NV",
"license": "DO1475",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Ruby Valley ENT",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Ruby Valley ENT",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Elko, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.