Active NPI
John H. Gullett II, MD FACP FIDSA
- Infectious Disease Physician
- South Yarmouth, MA
National Provider Identifier
1902950843
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- License
- K6858
- Practice address
- 65 Cove View Drive X206
South Yarmouth, MA 22664-0206 - Phone
- (508) 694-7459
- NPI assigned
- Jan 22, 2007
- 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 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Infectious Disease Physician | 207RI0200X | 4301072535 | MI | |
| Infectious Disease Physician | 207RI0200X | 238199 | MA | |
| Infectious Disease Physician | 207RI0200X | A26506 | CA | |
| Infectious Disease Physician | 207RI0200X | ME107634 | FL | |
| Infectious Disease Physician | 207RI0200X | MD43910 | PA | |
| Infectious Disease Physician | 207RI0200X | K6858 | TX | Primary |
Addresses
Primary practice location
65 Cove View Drive X206
South Yarmouth, MA 22664-0206
Mailing address
PO Box 206
South Yarmouth, MA 02664-0206
Phone (508) 694-7459
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 111910901 | Medicaid | TX |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq | Health Information Exchange (HIE) |
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 |
|---|---|---|---|
| A26506 | CA | MD | Infectious Disease Physician |
| ME107634 | FL | MD | Infectious Disease Physician |
| MD43910 | PA | MD | Infectious Disease Physician |
Interoperability endpoints
- john.gullett@direct.myteamcare.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1653955200000",
"number": "1902950843",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 206",
"city": "SOUTH YARMOUTH",
"state": "MA",
"postal_code": "026640206",
"telephone_number": "508-694-7459"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "65 COVE VIEW DRIVE X206",
"city": "SOUTH YARMOUTH",
"state": "MA",
"postal_code": "226640206",
"telephone_number": "508-694-7459"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GULLETT",
"first_name": "JOHN",
"middle_name": "H.",
"name_suffix": "II",
"credential": "MD FACP FIDSA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-22",
"last_updated": "2022-05-31",
"certification_date": "2022-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "MI",
"license": "4301072535",
"primary": false
},
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "MA",
"license": "238199",
"primary": false
},
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "CA",
"license": "A26506",
"primary": false
},
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "FL",
"license": "ME107634",
"primary": false
},
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "PA",
"license": "MD43910",
"primary": false
},
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "TX",
"license": "K6858",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "111910901",
"state": "TX"
}
],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq",
"affiliation": "N",
"endpointDescription": "Carequality",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "C-CDA",
"address_1": "1425 S Main St",
"city": "Walnut Creek",
"state": "CA",
"country_code": "US",
"postal_code": "945965318",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in South Yarmouth, MA
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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.