Dr. Gavin Smiley Gullickson, DO
Dr. Gavin Smiley Gullickson is a Diagnostic Radiology Physician provider (Radiology) practicing in Syracuse, NY, registered in the NPPES registry with NPI 1508493545 since 2020. The credential DO stands for Doctor of Osteopathic Medicine.
✓ Active NPI ✓ Valid NPI checksum Sole proprietor
| NPI | 1508493545 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Dr. Gavin Smiley Gullickson |
| Credential | DO |
| Sex | Male |
| Practice address | Syracuse, NY, 13210 |
| Phone | 3154645189 |
| Fax | 3154647494 |
| Enumeration date | 2020-03-26 |
| Last updated in NPPES | 2025-06-17 |
Street address withheld — NPPES sole-proprietor addresses can be home addresses. See our data policy.
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | Secondary | — | — |
| 2085R0202X | Diagnostic Radiology Physician | Primary | 337231 | NY |
DO — Doctor of Osteopathic Medicine: A fully licensed physician trained in osteopathic medical schools, with the same practice rights as an MD. About the DO credential
Copy-ready billing details
Provider: Gavin Gullickson, DO NPI: 1508493545 Taxonomy: 2085R0202X (Diagnostic Radiology Physician) Address: Syracuse, NY, 13210
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1851217194 | Krishna Athmakuri | Individual | Student in an Organized Health Care Education/Training Program | Syracuse, NY |
| 1720905508 | Bryain Maradiaga | Individual | Student in an Organized Health Care Education/Training Program | Syracuse, NY |
| 1144227414 | Monika Zirath | Individual | Family Nurse Practitioner | Syracuse, NY |
| 1205833530 | Christine Feliu | Individual | Family Nurse Practitioner | Syracuse, NY |
| 1760482053 | Nancy Nussmeier | Individual | Anesthesiology Physician | Syracuse, NY |
| 1245222876 | Leonard Hojnowski | Individual | Diagnostic Radiology Physician | Syracuse, NY |
| 1275525891 | David Feiglin | Individual | Nuclear Medicine Physician | Syracuse, NY |
| 1952393589 | Michele Lisi | Individual | Diagnostic Radiology Physician | Syracuse, NY |
Verify this record
Cross-check NPI 1508493545 against the authoritative CMS record: view Dr. Gavin Smiley Gullickson on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2025-06-17.