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NPI 1013159839ActiveOrganization· Preferred Provider Organization· Highland Hts, OH

Preferred Provider Organization in Highland Hts, Ohio, registered in NPPES in March 2009. The authorized official on file is Gary Gillenwater, President.

Overview

NPI1013159839
StatusActive
Entity typeOrganization
NPI issuedMar 25, 2009
Last updated in NPPESMar 25, 2009

Specialties and licenses

TaxonomyCodeLicenseState
Preferred Provider Organization Primary305R00000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years