Active NPI
Gilg Prosthetics, Inc.
- Prosthetic/Orthotic Supplier
- Pensacola, FL
National Provider Identifier
1831157684
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- License
- PRO26
- Legal business name
- GILG PROSTHETICS, INC.
- Practice address
- 87 W Hood Dr
Pensacola, FL 32534-3019 - Phone
- (850) 474-0414
- Fax
- (850) 474-0409
- NPI assigned
- May 2, 2006
- 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
- Mr. Kevin John Gilg, C.P.
- Title
- President/Certified Prosthetist
- Phone
- (850) 474-0414
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetic/Orthotic Supplier | 335E00000X | PRO26 | FL | Primary |
Addresses
Primary practice location
87 W Hood Dr
Pensacola, FL 32534-3019
Mailing address
87 W Hood Dr
Pensacola, FL 32534-3019
Phone (850) 474-0414
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A567 | Other | FL | HEALTHEASE - MEDICAID HMO |
| A712 | Other | FL | WELLCARE - MEDICARE HMO |
| 015967 | Other | FL | VISTA |
| 021575900 | Medicaid | FL | |
| 009202760 | Other | AL | MEDICAID |
| M2475 | Other | FL | BLUE CROSS BLUE SHIELD |
National Provider Directory
National Provider DirectoryLocations
87 W Hood Dr
Pensacola, FL 32534
Phone (850) 474-0414
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146528000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1534464000000",
"number": "1831157684",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "87 W HOOD DR",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325343019",
"telephone_number": "850-474-0414",
"fax_number": "850-474-0409"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "87 W HOOD DR",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325343019",
"telephone_number": "850-474-0414",
"fax_number": "850-474-0409"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GILG PROSTHETICS, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-02",
"last_updated": "2018-08-17",
"status": "A",
"authorized_official_last_name": "GILG",
"authorized_official_first_name": "KEVIN",
"authorized_official_middle_name": "JOHN",
"authorized_official_title_or_position": "PRESIDENT/CERTIFIED PROSTHETIST",
"authorized_official_telephone_number": "850-474-0414",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "C.P."
},
"taxonomies": [
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": "FL",
"license": "PRO26",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHEASE - MEDICAID HMO",
"identifier": "A567",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLCARE - MEDICARE HMO",
"identifier": "A712",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VISTA",
"identifier": "015967",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "021575900",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID",
"identifier": "009202760",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "M2475",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pensacola, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.