Organization Active NPI

Gilg Prosthetics, Inc.

  • Prosthetic/Orthotic Supplier
  • Pensacola, FL
National Provider Identifier
1831157684
Registry record updated Aug 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
License
PRO26 Issued in FL
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

Updated by the provider on Aug 17, 2018

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
A567OtherFLHEALTHEASE - MEDICAID HMO
A712OtherFLWELLCARE - MEDICARE HMO
015967OtherFLVISTA
021575900MedicaidFL
009202760OtherALMEDICAID
M2475OtherFLBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.