Active NPI
Gregory D Marchesiello, PA-C
- Surgical Physician Assistant
- Towson, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- C04796
- Practice address
- 8322 Bellona Ave
Suite 100
Towson, MD 21204-2065 - Phone
- (410) 337-7900
- Fax
- (410) 337-5321
- NPI assigned
- Jul 12, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | C04796 | MD | Primary |
| Physician Assistant | 363A00000X | C04796 | MD |
Addresses
Primary practice location
8322 Bellona Ave
Suite 100
Towson, MD 21204-2065
Mailing address
8322 Bellona Ave
Suite 100
Towson, MD 21204-2065
Phone (410) 337-7900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120822000315 | MD | Practitioner - Physician Assistant | 0547417800 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
12 Newport Dr
Suite a
Forest Hill, MD 21050-1758
201 Plumtree Rd
Suite 301
Bel Air, MD 21015-6044
Phone (410) 569-8587
8322 Bellona Ave
Towson, MD 21204-2065
9110 Philadelphia Rd
Suite 308
Rosedale, MD 21237-4327
Phone (410) 569-8587
Hospital & facility affiliations
- University of MD St Joseph Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C04796 | MD | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Maryland St. Joseph Orthopaedics, LLC | Current | Accepting new patients | |
| Orthopaedic Associates, PA | Past | Accepting new patients |
Locations
201 Plumtree Rd
Ste 301
Bel Air, MD 21015
Phone (410) 569-3326
9110 Philadelphia Rd
Ste 308
Rosedale, MD 21237
Phone (410) 337-7900
8322 Bellona Ave
Rm 100
Towson, MD 21204
Phone (410) 337-7900
8322 Bellona Ave
Towson, MD 21204
Phone (410) 328-3645
Interoperability endpoints
- gregmarchesiello@towsonorth.allscriptsdirect.net
- gmarchesiello106555@direct.umm.edu
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- Towson, MD
- NPI 1982950846
MD
-
- Physical Therapist
- Forest Hill, MD
- NPI 1578900668
-
- Orthopaedic Surgery Physician
- Towson, MD
- NPI 1477667707
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Towson, MD
- NPI 1124374079
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1342051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1384300800000",
"number": "1013272301",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8322 BELLONA AVE",
"address_2": "SUITE 100",
"city": "TOWSON",
"state": "MD",
"postal_code": "212042065",
"telephone_number": "410-337-7900",
"fax_number": "410-337-5321"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8322 BELLONA AVE",
"address_2": "SUITE 100",
"city": "TOWSON",
"state": "MD",
"postal_code": "212042065",
"telephone_number": "410-337-7900",
"fax_number": "410-337-5321"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARCHESIELLO",
"first_name": "GREGORY",
"middle_name": "D",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-07-12",
"last_updated": "2013-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "MD",
"license": "C04796",
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MD",
"license": "C04796",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Towson, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.