Individual provider Active NPI

Gregory D Marchesiello, PA-C

  • Surgical Physician Assistant
  • Towson, MD
National Provider Identifier
1013272301
Registry record updated Nov 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
C04796 Issued in MD
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

Updated by the provider on Nov 13, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
Agape Physical Therapy and Sports Rehabilitation LPGroup PAC ID 3870741390, 684 clinicians
University of Maryland St. Joseph Orthopaedics, LLCGroup PAC ID 0941455794, 36 clinicians

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 Hospital, Towson, MD, CCN 210063

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
C04796MDMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
University of Maryland St. Joseph Orthopaedics, LLC CurrentSince Feb 1, 2013 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

  • Direct secure messaging: gregmarchesiello@towsonorth.allscriptsdirect.net
  • Direct secure messaging: 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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.