Individual provider Active NPI

Stephen Gaskill

  • Driver
  • Woodbridge, VA
National Provider Identifier
1740673367
Registry record updated Mar 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DriverTaxonomy code 172A00000X
License
172A00000X Issued in VA
Practice address
4413 George Frye Cir
Woodbridge, VA 22193-5777
Phone
(571) 238-7448
Fax
(571) 318-5677
NPI assigned
Mar 5, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Driver 172A00000X 172A00000X VA Primary

Addresses

Primary practice location

4413 George Frye Cir
Woodbridge, VA 22193-5777

Mailing address

4413 George Frye Cir
Woodbridge, VA 22193-5777
Phone (571) 238-7448

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
172A00000XVAMDDriver

Practice roles

OrganizationSpecialtyStatusNew patients
Wheel N Ride, LLC Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1425513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425513600000",
    "number": "1740673367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4413 GEORGE FRYE CIR",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221935777",
            "telephone_number": "571-238-7448",
            "fax_number": "571-318-5677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4413 GEORGE FRYE CIR",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221935777",
            "telephone_number": "571-238-7448",
            "fax_number": "571-318-5677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GASKILL",
        "first_name": "STEPHEN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-03-05",
        "last_updated": "2015-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "VA",
            "license": "172A00000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbridge, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2015; 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.