MR. GREG GLENN GILL JR. (NPI# 1811200108) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811200108 |
| Entity Type | Individual |
| Full Name | MR. GREG GLENN GILL JR. |
| Practice Address |
25915 S Fallsview Rd Beavercreek OR 97004-9638 |
| Mailing Address |
Po Box 323 Beavercreek OR 97004-0323 |
| Practice Telephone | 5035500321 |
| Enumeration Date | 2010-07-15 |
| Last Update Date | 2010-07-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| Street Address |
25915 S FALLSVIEW RD |
| City | BEAVERCREEK |
| State | OR |
| Zip Code | 97004-9638 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003234253 | At Your Door Dental | Dental Hygienist | 25150 S. Larkin Rd., Beavercreek, OR 97004 | 2014-04-04 |
| 1538516331 | Deanna Lea Way | Registered Nurse | 22062 S Ferguson Rd, Beavercreek, OR 97004-7625 | 2016-05-21 |
| 1528171923 | Graham Douglas Shea | Dentist | 21072 S Mountain Meadow Rd, Beavercreek, OR 97004-7699 | 2006-08-17 |
| 1962540310 | Laura Ann Shattuck | Nurse Practitioner | 21440 S Upper Highland Rd, Beavercreek, OR 97004-8814 | 2007-02-01 |
| 1376701888 | Vicki Lynn Miracle | Registered Nurse | 19824 S Butte Rd, Beavercreek, OR 97004-8847 | 2008-05-30 |
| 1003420407 | Discovery Practice Management, Inc. | Psychiatric Residential Treatment Facility | 19824 S Butte Rd, Beavercreek, OR 97004-8847 | 2020-09-02 |
| 1033345038 | Laura Bartko | Advanced Practice Midwife | 23841 S Fellows Rd, Beavercreek, OR 97004-9726 | 2009-06-03 |
| 1902043748 | Deborah Frances | Naturopath | 25884 S Beeson Rd, Beavercreek, OR 97004-9748 | 2009-01-15 |
| 1710181425 | Karen Zondervan | Counselor | 25003 S Beeson Rd, Beavercreek, OR 97004-9783 | 2007-06-14 |
| 1619532884 | Taylor Alysa Pottratz | Student in an Organized Health Care Education/Training Program | 21410 S Levi Rd, Beavercreek, OR 97004-9792 | 2019-05-03 |
| Find all providers in zip 97004 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942845599 | Steven Motter | Counselor | 3789 Echo Hill Ln, Beavercreek, OH 45430-1742 | 2019-11-07 |
| 1952950651 | D. Scott Coffman | Counselor | 3183 Beaver Vu Dr Ste C, Beavercreek, OH 45434-6385 | 2019-09-05 |
| 1326237066 | Linda M. Rauch | Counselor | 3095 Dayton-xenia Rd., Suite 600, Beavercreek, OH 45434 | 2007-10-18 |
| 1306852231 | Jeffrey Scott Zipes | Counselor | 42 Woodcroft Trl, Suite C, Beavercreek, OH 45430-1995 | 2006-07-31 |
| 1073827390 | Lynn Oliver | Counselor | 1321 Research Park Dr, Beavercreek, OH 45432-2851 | 2010-07-28 |
| 1407954506 | William Carl Lavanche | Counselor | 3121 Evelyn Dr, Suite 110, Beavercreek, OH 45434-6382 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689275950 | Amy Bailey | Counselor | 401 Marion Ln, Grants Pass, OR 97527-5570 | 2020-11-03 |
| 1134736168 | Melissa Thi Lu | Counselor | 2045 Silverton Rd Ne Ste 2100, Salem, OR 97301-0100 | 2020-09-24 |
| 1841805959 | Korben J Chesnut-petry | Counselor | 1325 Commercial St Se, Salem, OR 97302-4205 | 2020-09-15 |
| 1013522663 | Red Is The Road To Wellness (rrw) | Counselor | 3206 Onyx Ave, Klamath Falls, OR 97603-7279 | 2020-09-10 |
| 1477163657 | Kevin Charles Reiser | Counselor | 2318 Ne Martin Luther King Blvd, Portland, OR 97212-3715 | 2020-08-03 |
| 1881203628 | Beau Curtiss | Counselor | 7916 Se Foster Rd Ste 203, Portland, OR 97206-4289 | 2020-07-28 |
| 1598383846 | Jorge Montejano | Counselor | 223 Commercial St Ne, Salem, OR 97301-3411 | 2020-07-13 |
| 1821615832 | Cynthia Machelle Gonzalez | Counselor | 925 Avenue S Unit 1, Seaside, OR 97138-7780 | 2020-06-25 |
| 1720603335 | Benetta Vincent | Counselor | 3194 Se Tumblestone Dr, Hillsboro, OR 97123-7966 | 2020-06-09 |
| 1669092201 | Exodus Recovery Services LLC. | Counselor | 230 N 3rd St Ste 105, Harrisburg, OR 97446-9679 | 2020-04-23 |
| Find all providers with the same taxonomy | ||||
| City | BEAVERCREEK |
| Zip Code | 97004 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.