Individual provider Active NPI

Gary Pillow, ED.D., AU.D.

  • Audiologist
  • Covington, VA
National Provider Identifier
1922038397
Registry record updated Aug 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
2201000161 Issued in VA
Practice address
283 W Main St
Covington, VA 24426-1542
Phone
(540) 968-0100
Fax
(540) 862-6749
NPI assigned
Jul 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2020

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X (WVDE) 2173 WV
Speech-Language Pathologist 235Z00000X 2202002014 VA
Audiologist-Hearing Aid Fitter 237600000X A-0204 WV
Hearing Instrument Specialist 237700000X 2101000348 VA
Audiologist 231H00000X 2201000161 VA Primary

Addresses

Primary practice location

283 W Main St
Covington, VA 24426-1542

Mailing address

283 W Main St
Covington, VA 24426-1542
Phone (540) 968-0100

Other practice location 1

271 W Main St
Covington, VA 24426-1542
Phone (540) 968-0100

Other identifiers 1

IdentifierTypeStateIssuer
009450807MedicaidVA

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

State licenses

LicenseStateTypeSpecialty
2201000161VAMDAudiologist
2202002014VAMDSpeech-Language Pathologist
(WVDE) 2173WVMDSpeech-Language Pathologist
A-0204WVMDAudiologist-Hearing Aid Fitter
2101000348VAMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Gary Pillow Auiologist & Co. Audiologist PastSince Jun 23, 1981 Accepting new patients
Alleghany Ear, Nose & Throat PC Past Accepting new patients

Organizations & group practices 2

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": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597795200000",
    "number": "1922038397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "283 W MAIN ST",
            "city": "COVINGTON",
            "state": "VA",
            "postal_code": "244261542",
            "telephone_number": "540-968-0100",
            "fax_number": "540-862-6749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "283 W MAIN ST",
            "city": "COVINGTON",
            "state": "VA",
            "postal_code": "244261542",
            "telephone_number": "540-968-0100",
            "fax_number": "540-862-6749"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "271 W Main St",
            "address_purpose": "LOCATION",
            "city": "Covington",
            "state": "VA",
            "postal_code": "244261542",
            "country_code": "US",
            "telephone_number": "540-968-0100",
            "fax_number": "540-862-6749",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PILLOW",
        "first_name": "GARY",
        "name_prefix": "Dr.",
        "credential": "ED.D., AU.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2020-08-19",
        "certification_date": "2020-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WV",
            "license": "(WVDE) 2173",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2202002014",
            "primary": false
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "WV",
            "license": "A-0204",
            "primary": false
        },
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "VA",
            "license": "2101000348",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "VA",
            "license": "2201000161",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009450807",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2020; 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.