Gerald R Medwick, D.O.

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

License

OS004695L Issued in PA

Practice address

1000 Dutch Ridge Rd
Beaver, PA 15009-9727

Phone

(724) 773-7616

Fax

(724) 773-4673

NPI assigned

Jan 30, 2006

Last updated

Sep 18, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Upmc and the Washington Hospital Cancer Center

  • Radiation Oncology Physician
  • Washington, PA
  • NPI 1053417527
  Medicare reassignment NPD
• Upmc/HVHS Cancer Center

  • Radiation Oncology Physician
  • Moon Township, PA
  • NPI 1609843861
  Medicare reassignment NPD
• Upmc and the Washington Hospital Cancer Center

  • Radiology Clinic/Center
  • Washington, PA
  • NPI 1851476717
  NPD
• Upmc/HVHS Cancer Center

  • Mobile Radiology Clinic/Center
  • Ellwood City, PA
  • NPI 1184210437
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190073600000",
    "number": "1053382747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 DUTCH RIDGE RD",
            "city": "BEAVER",
            "state": "PA",
            "postal_code": "150099727",
            "telephone_number": "724-773-7616",
            "fax_number": "724-773-4673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 DUTCH RIDGE RD",
            "city": "BEAVER",
            "state": "PA",
            "postal_code": "150099727",
            "telephone_number": "724-773-7616",
            "fax_number": "724-773-4673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDWICK",
        "first_name": "GERALD",
        "middle_name": "R",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-30",
        "last_updated": "2007-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "PA",
            "license": "OS004695L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001090657",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paige McLain
• Diane J McQuillen, MSW
• Renee McRae McRae
• MDS RX LLC
• Medical Staffing Associates, Inc (Heart 2 Heart Home Health Agency/Heart 2 Heart Home Care)
• Pamela Meerdo, RN
• Saumil Falgun Mehta, DPM
• Peter Mendez, MSPED, L.B.S.
• David J Merulli, CRNA
• Wendy S Merulli, CRNP

• Hematology & Oncology Physician in Beaver, PA
• Providers in Beaver, PA by specialty
• Hematology & Oncology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.