Active NPI
Paul S Gill, MD
- Plastic and Reconstructive Surgery Physician
- Shenandoah, TX
National Provider Identifier
1730356940
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic and Reconstructive Surgery Physician
- License
- M8675
- Practice address
- 9200 Pinecroft Dr
Suite 460
Shenandoah, TX 77380-3279 - Phone
- (281) 853-5308
- Fax
- (281) 377-0946
- NPI assigned
- May 15, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic and Reconstructive Surgery Physician | 2086S0122X | M8675 | TX | Primary |
Addresses
Primary practice location
9200 Pinecroft Dr
Suite 460
Shenandoah, TX 77380-3279
Mailing address
9200 Pinecroft Dr
Suite 460
Shenandoah, TX 77380-3279
Phone (281) 853-5308
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00J21A | Other | TX | GROUP MEDICARE NUMBER |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M8675 | TX | MD | Plastic and Reconstructive Surgery Physician |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Gill Plastic Surgery
- Medical Specialty Clinic/Center
- Shenandoah, TX
- NPI 1063739142
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1324339200000",
"number": "1730356940",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9200 PINECROFT DR",
"address_2": "SUITE 460",
"city": "SHENANDOAH",
"state": "TX",
"postal_code": "773803279",
"telephone_number": "281-853-5308",
"fax_number": "281-377-0946"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9200 PINECROFT DR",
"address_2": "SUITE 460",
"city": "SHENANDOAH",
"state": "TX",
"postal_code": "773803279",
"telephone_number": "281-853-5308",
"fax_number": "281-377-0946"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILL",
"first_name": "PAUL",
"middle_name": "S",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-05-15",
"last_updated": "2011-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0122X",
"taxonomy_group": "",
"desc": "Surgery, Plastic and Reconstructive Surgery",
"state": "TX",
"license": "M8675",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP MEDICARE NUMBER",
"identifier": "00J21A",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Shenandoah, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.