GARY E PASQUALICCHIO (NPI# 1558366971) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558366971 |
| Entity Type | Individual |
| Full Name | GARY E PASQUALICCHIO |
| Credential | DO |
| Practice Address |
765 Liberty St Ste 307 Meadville PA 16335-2566 |
| Mailing Address |
1034 Grove St Meadville PA 16335-2945 |
| Practice Telephone | 8143734294 |
| Practice Fax Number | 8147242196 |
| Mailing Telephone | 8143734296 |
| Mailing Fax Number | 8147242196 |
| Enumeration Date | 2005-06-14 |
| Last Update Date | 2016-10-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | OS003597L | PA | Allopathic & Osteopathic Physicians |
| Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
OS003597L | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | NY MEDICAL ASSISTANCE | 01267270 | 01 |
| PA | AETNA | 828383 | 01 |
| PA | GATEWAY | P000010 | 01 |
| PA | RR MEDICARE | 110211322 | 01 |
| PA | UNISON | 151367 | 01 |
| NY | UNIVERA | 00051085003 | 01 |
| PA | BLUE SHIELD | 049521 | 01 |
| PA | UPMC | 214426 | 01 |
| OH | OH MEDICAL ASSISTANCE | 0567211 | 01 |
| PA | 1011024470003 | 05 |
| Street Address |
765 LIBERTY ST STE 307 |
| City | MEADVILLE |
| State | PA |
| Zip Code | 16335-2566 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578566113 | Sharon Palotas | Nurse Practitioner | 765 Liberty St, Suite 309, Meadville, PA 16335-2566 | 2005-05-27 |
| 1124408604 | Meadville Physician Services | Internal Medicine | 765 Liberty St, Ste 309, Meadville, PA 16335-2566 | 2015-06-01 |
| 1225432545 | Emily Prenatt | Physician Assistant | 765 Liberty St, Meadville, PA 16335-2566 | 2014-10-15 |
| 1962804955 | French Creek Internal Medicine | Internal Medicine | 765 Liberty St, 307, Meadville, PA 16335-2566 | 2014-09-22 |
| 1801296470 | Oyler Internal Medicine, LLC | Internal Medicine | 765 Liberty St, Suite 307, Meadville, PA 16335-2566 | 2014-09-02 |
| 1255773784 | Dipesh Maan | Internal Medicine | 765 Liberty St, Meadville, PA 16335-2566 | 2013-07-25 |
| 1093154924 | Meadville Physician Services | Family Medicine | 765 Liberty St, Suite 310, Meadville, PA 16335-2566 | 2013-06-25 |
| 1831534189 | Anthony Randolph | Internal Medicine | 765 Liberty St, Suite 307, Meadville, PA 16335-2566 | 2013-04-30 |
| 1538420658 | Meadville Medical Center | Psychiatry & Neurology | 765 Liberty St, Suite 303, Meadville, PA 16335-2566 | 2012-06-05 |
| 1114287414 | Meadville Physician Services | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 765 Liberty St, Suite 105, Meadville, PA 16335-2566 | 2012-05-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811533508 | Stacey Lynette Lantz | Physical Therapy Assistant | 11277 Vernon Place Road, Meadville, PA 16335 | 2019-11-18 |
| 1952874794 | Amy Lynn Weaver | Social Worker | Parkside Psychological Associates, 435 Chestnut Street, Meadville, PA 16335 | 2019-01-04 |
| 1013437789 | Raymond Walter Keller Jr. | Family Medicine | 735 Liberty St, Meadville, PA 16335 | 2017-06-23 |
| 1750735742 | Nicole Fies | Counselor | 201 Chestnut Street, Floor 2, Meadville, PA 16335 | 2016-04-16 |
| 1760894422 | Amie S Coffman | Psychiatry & Neurology | 765 Liberty St Ste 303, Meadville, PA 16335 | 2014-05-28 |
| 1649609710 | Gina Marie Michalak | Pharmacist | 379 North Street, Meadville, PA 16335 | 2013-11-08 |
| 1518396704 | Cassandra Lynn Ketler | Physician Assistant | 847 North Main Street, Meadville, PA 16335 | 2013-11-07 |
| 1194159913 | Judy Mcelwain | Speech-Language Pathologist | 31 N Park Ave, Meadville, PA 16335 | 2013-08-28 |
| 1649604463 | Jonelle Elizabeth Taylor | Occupational Therapist | 31 North Park Ave, Meadville, PA 16335 | 2013-08-28 |
| 1699046961 | James Richard Mclamb | Orthopaedic Surgery | 6060 Ehrgott Rd, Meadville, PA 16335 | 2012-01-19 |
| Find all providers in zip 16335 | ||||
| Taxonomy Code | 207RG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Geriatric Medicine |
| An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962804955 | French Creek Internal Medicine | Internal Medicine | 765 Liberty St, 307, Meadville, PA 16335-2566 | 2014-09-22 |
| 1558453357 | Bailey Medical Associates, PC | Internal Medicine | 600 Wesley Way, Meadville, PA 16335-9413 | 2006-09-29 |
| 1699714733 | John H Bailey IIi | Internal Medicine | 600 Wesley Way, Meadville, PA 16335-9413 | 2006-06-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730795931 | Medical Associates of Erie | Internal Medicine | 5401 Peach St Ste 3100, Erie, PA 16509-2601 | 2020-09-22 |
| 1578192514 | Telemed Solutions of Nj PC | Internal Medicine | 2100 Wharton St Ste 510, Pittsburgh, PA 15203-1691 | 2020-04-02 |
| 1316453558 | Arva Medical Specialties, PC | Internal Medicine | 7790 Easton Rd, Ottsville, PA 18942-1765 | 2017-12-26 |
| 1174953210 | Humberto Guerra-garcia | Internal Medicine | 2055 White Horse Rd, Berwyn, PA 19312-2127 | 2013-11-26 |
| 1912249061 | Christopher Hwang | Internal Medicine | 100 W Sproul Rd Ste 221, Springfield, PA 19064-2033 | 2013-03-26 |
| 1801160544 | Rhonda Lea Lahue-mordy | Internal Medicine | 901 Parkes Run Ln, Villanova, PA 19085-1126 | 2012-02-27 |
| 1437421088 | Internal Medicine and Geriatric of Lancaster County LLC | Internal Medicine | 1222 Cameron Dr, Manheim, PA 17545-8688 | 2012-01-29 |
| 1013225903 | Langhorne Physician Services | Internal Medicine | 1205 Langhrn Nwtwn Rd Ste 102, Langhorne, PA 19047-1220 | 2010-09-14 |
| 1386973592 | Richard Huskey Md Dmn Pak LLC | Internal Medicine | 1214 Line St, Ste B, Sunbury, PA 17801-1677 | 2009-12-17 |
| 1669709390 | Angelo John Lucco | Internal Medicine | 210 Mount Nebo Rd, East Stroudsburg, PA 18301-9237 | 2009-11-18 |
| Find all providers with the same taxonomy | ||||
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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.