DR. GREGORY C. FANELLI (NPI# 1487621611) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487621611 |
| Entity Type | Individual |
| Full Name | DR. GREGORY C. FANELLI |
| Credential | M.D. |
| Practice Address |
16 Woodbine Lane Danville PA 17822-2130 |
| Mailing Address |
100 N Academy Ave Danville PA 17822-4903 |
| Practice Telephone | 5702716700 |
| Practice Fax Number | 5702146700 |
| Mailing Telephone | 5702716144 |
| Mailing Fax Number | 5702716578 |
| Enumeration Date | 2006-03-07 |
| Last Update Date | 2020-08-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | MD033928E | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 001204598 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306839642 | Gregory L Fanelli | Optometrist | 151 Fries Mill Rd, University Executive Campus, Suite 306, Turnersville, NJ 08012-2016 | 2005-08-23 |
| Street Address |
16 WOODBINE LANE |
| City | DANVILLE |
| State | PA |
| Zip Code | 17822-2130 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164417184 | Jared W Schneider | Optometrist | 16 Woodbine Lane, Danville, PA 17822-8029 | 2005-09-15 |
| 1083277834 | Kayla Jean Riswold | Student in an Organized Health Care Education/Training Program | 16 Woodbine Lane, Danville, PA 17822-1554 | 2019-04-17 |
| 1437636354 | Jill Susan Sweigard | Nurse Practitioner | 16 Woodbine Lane, Danville, PA 17822-1154 | 2018-07-24 |
| 1164921631 | Liberty Woodruff Deegan | Physician Assistant | 16 Woodbine Lane, Danville, PA 17822-9800 | 2018-02-09 |
| 1316462864 | Matthew James Delong | Optometrist | 16 Woodbine Lane, Danville, PA 17822-9118 | 2017-08-06 |
| 1396270096 | Oksana Bailiff | Student in an Organized Health Care Education/Training Program | 16 Woodbine Lane, Danville, PA 17822 | 2017-05-01 |
| 1821521733 | Radhika Rani Trivedi | Dermatology | 16 Woodbine Lane, Danville, PA 17822 | 2017-04-07 |
| 1235660952 | Frank Zurfley Jr. | Dermatology | 16 Woodbine Lane, Geisinger/dermatology, Danville, PA 17821 | 2017-03-23 |
| 1932642949 | Rachael Jane Palazzo | Physician Assistant | 16 Woodbine Lane, Danville, PA 17822-2910 | 2016-11-22 |
| 1902256274 | Gisland Montour | Physical Medicine & Rehabilitation | 16 Woodbine Lane, Danville, PA 17822-3323 | 2016-06-17 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366062895 | Staci Lee Benoit | Student in an Organized Health Care Education/Training Program | 100 North Academy Avenue Geisinger Medical Center, Danville, PA 17822 | 2020-04-24 |
| 1275162018 | Kristena Yossef | Student in an Organized Health Care Education/Training Program | Geisinger Medical Center, 100 North Academy Avenue, Da, Danville, PA 17822 | 2020-04-03 |
| 1003470444 | Intekhab Askari Syed Ahmad Raza | Student in an Organized Health Care Education/Training Program | 100 North Academy Avenue, Geisinger Medical Center, Danville, PA 17822 | 2019-04-30 |
| 1841766334 | Sarah Louise Dearment | Counselor | Geisinger Medical Center: Department of Psychiatry, 100 N. Academy Avenue, Danville, PA 17822 | 2018-10-23 |
| 1548753908 | Josie Pervola | Genetic Counselor, MS | 100 N Academy Ave Mc-26-20, Danville, PA 17822 | 2018-06-11 |
| 1477059350 | Martha Niemiec | Counselor | Geisinger Medical Center Department of Psychiatry, 100 North Academy Avenue, Danville, PA 17822 | 2018-04-01 |
| 1730625450 | Nir Shimony | Neurological Surgery | 100 N. Academy Ave., Geisinger Medical Center, Neurosurgery Department, Danville, PA 17822 | 2017-01-19 |
| 1164877197 | Britta Hunter | Speech-Language Pathologist | 100 N. Academy Ave., Danville, PA 17822 | 2016-04-27 |
| 1891180725 | Zach Rottmann | Internal Medicine | Geisinger Medical Center, 100 North Academy Avenue, Danville, PA 17822 | 2015-03-30 |
| 1891063251 | John D Chakan | Pharmacist | 1000 S Second St, Sunbury, PA 17822 | 2011-12-13 |
| Find all providers in zip 17822 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710008297 | Tyler Joel Beckley | Orthopaedic Surgery | 100 Hospital Ln Ste 300, Danville, IN 46122-2000 | 2007-04-03 |
| 1972695237 | Orthopaedic Indianapolis PC | Orthopaedic Surgery | 252 Meadow Dr, Danville, IN 46122-1416 | 2006-09-28 |
| 1245298678 | Lawrence F Cohen | Orthopaedic Surgery | 150 W Main St, Danville, VA 24541-2823 | 2006-05-03 |
| 1578544912 | John S Mahoney | Orthopaedic Surgery | 109 Bridge Street Suite 300, Danville, VA 24541-1222 | 2005-11-11 |
| 1093718041 | Joseph L Lukins | Orthopaedic Surgery | 333 S 3rd St, Ste B, Danville, KY 40422-2016 | 2005-05-23 |
| 1033614649 | Matthew Rae | Orthopaedic Surgery | 100 N Academy Ave, Danville, PA 17822 | 2018-03-26 |
| 1508392093 | Cassandra Anne Ricketts | Orthopaedic Surgery | Geisinger Medical Ctr, 100 North Academy Avenue, Danville, PA 17822-0001 | 2017-05-03 |
| 1689106270 | Jordan Nester | Orthopaedic Surgery | Geisinger Medical Center 100 North Academy Ave, Danville, PA 17822-0001 | 2017-04-01 |
| 1134581200 | Hui Zhang | Orthopaedic Surgery | Geisinger Medical Center 100 North Academy Ave, Danville, PA 17822-0001 | 2016-03-28 |
| 1518329739 | Matthew Gregory Fanelli | Orthopaedic Surgery | Geisinger Medical Ctr, 100 North Academy Avenue, Danville, PA 17822-0001 | 2016-03-26 |
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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.