Paul W Gill, DPM PC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

01032 Issued in MD

Legal business name

PAUL W GILL, DPM PC

Practice address

580 Ritchie Hwy Ste K
Severna Park, MD 21146-3926

Phone

(410) 544-8433

Fax

(410) 544-9026

NPI assigned

Jul 26, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Paul Wesley Gill IINPI 1891864005

Title

Office Manager

Phone

(410) 544-8433

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Tax ID family

Paul W Gill DPM PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Paul W Gill DPM PC

  • Non-Pharmacy Dispensing Site
  • Severna Park, MD
  • NPI 1215464003
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Paul Wesley Gill, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Severna Park, MD
  • NPI 1891864005
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1469491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469491200000",
    "number": "1912450933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "580 RITCHIE HWY STE K",
            "city": "SEVERNA PARK",
            "state": "MD",
            "postal_code": "211463926",
            "telephone_number": "410-544-8433",
            "fax_number": "410-544-9026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "580 RITCHIE HWY STE K",
            "city": "SEVERNA PARK",
            "state": "MD",
            "postal_code": "211463926",
            "telephone_number": "410-544-8433",
            "fax_number": "410-544-9026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL W GILL, DPM PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-26",
        "last_updated": "2016-07-26",
        "status": "A",
        "authorized_official_last_name": "GILL",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "WESLEY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "410-544-8433",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "II"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MD",
            "license": "01032",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529888100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patterson Physical Therapy Inc
• Elizabeth A Patterson, PT
• Michael Wilson Patterson, P.T.
• Paige Theresa Patti
• Paul W Gill DPM PC
• Peak Balance Physical Therapy, LLC
• Peak Potential Chiropractic and Physical Therapy
• Pearson Primary Care, LLC
• Ellegant S Pearson, MD
• Meredith Jane Peck

• Foot & Ankle Surgery Podiatrist in Severna Park, MD
• Providers in Severna Park, MD by specialty
• Foot & Ankle Surgery Podiatrist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.