Individual provider Active NPI

Gail Gagnon, D.O.

  • Family Medicine Physician
  • Barrington, IL
National Provider Identifier
1922273572
Registry record updated Oct 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036.117205 Issued in IL
Practice address
1250 S Grove Ave
Suite 200
Barrington, IL 60010-5091
Phone
(312) 919-1878
Fax
(312) 264-0532
NPI assigned
Apr 24, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 16, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036.117205 IL Primary

Addresses

Primary practice location

1250 S Grove Ave
Suite 200
Barrington, IL 60010-5091

Mailing address

1250 S Grove Ave
Suite 200
Barrington, IL 60010-5091
Phone (312) 919-1878

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Nov 1, 2009 through Nov 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
036.117205ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Snyder-Mark Roselle Drugs Inc Past Accepting new patients
Snyder-Mark Roselle Drugs Inc 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": "1208995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350345600000",
    "number": "1922273572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 S GROVE AVE",
            "address_2": "SUITE 200",
            "city": "BARRINGTON",
            "state": "IL",
            "postal_code": "600105091",
            "telephone_number": "312-919-1878",
            "fax_number": "312-264-0532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 S GROVE AVE",
            "address_2": "SUITE 200",
            "city": "BARRINGTON",
            "state": "IL",
            "postal_code": "600105091",
            "telephone_number": "312-919-1878",
            "fax_number": "312-264-0532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAGNON",
        "first_name": "GAIL",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-24",
        "last_updated": "2012-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036.117205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Barrington, IL

Sources for this page

Verify at the official NPI Registry.