Organization Active NPI

John Gull D.O., P.C.

  • Otolaryngic Allergy Physician
  • Elko, NV
National Provider Identifier
1679811749
Registry record updated May 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngic Allergy PhysicianTaxonomy code 207YX0602X
License
DO1475 Issued in NV
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

Updated by the provider on May 31, 2022

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

Authorized official

Name
John D Gull, D.O.NPI 1326281239
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)CodeLicenseStatePrimary
Otolaryngic Allergy PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130401000250 NV Part B Supplier - Clinic/Group Practice 3870738594 Receives reassigned benefits from 2 practitioners
Practice locations: Elko, NV

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.