Individual provider Active NPI

Adele Marie Guernica, D.O.

  • Allergy & Immunology Physician
  • Collegeville, PA
National Provider Identifier
1073547048
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
OS010605L Issued in PA
Practice address
555 2ND Ave
Suite 750, Building C
Collegeville, PA 19426-3600
Phone
(610) 409-9440
Fax
(610) 409-9164
NPI assigned
Jul 10, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X OS010605L PA Primary

Addresses

Primary practice location

555 2ND Ave
Suite 750, Building C
Collegeville, PA 19426-3600

Mailing address

555 2ND Ave
Suite 750, Building C
Collegeville, PA 19426-3600
Phone (610) 409-9440

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20120717000477 PA Practitioner - Allergy/Immunology 9931365012 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
Ohio Medical University, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
PA Allergy and Asthma ConsultantsGroup PAC ID 4789845041, 2 clinicians

Practice addresses (Care Compare)

409 2ND Ave
Suite 301
Collegeville, PA 19426-3625
Phone (610) 409-9440

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OS010605LPAMDAllergy & Immunology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
PA Allergy & Asthma Consultants Allergy & Immunology CurrentSince May 1, 2012 Accepting new patients
Allergy & Asthma Care, PC Allergy & Immunology Past Accepting new patients

Locations

409 Second Ave
Ste 301
Collegeville, PA 19426
Phone (610) 296-7055

555 Second Ave
Ste C-750
Collegeville, PA 19426
Phone (215) 423-9708

21 Industrial Blvd
Ste 103
Paoli, PA 19301
Phone (610) 526-8390

255 W Lancaster Ave
Ste 209
Paoli, PA 19301
Phone (215) 296-7055

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1073547048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 2ND AVE",
            "address_2": "SUITE 750, BUILDING C",
            "city": "COLLEGEVILLE",
            "state": "PA",
            "postal_code": "194263600",
            "telephone_number": "610-409-9440",
            "fax_number": "610-409-9164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 2ND AVE",
            "address_2": "SUITE 750, BUILDING C",
            "city": "COLLEGEVILLE",
            "state": "PA",
            "postal_code": "194263600",
            "telephone_number": "610-409-9440",
            "fax_number": "610-409-9164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUERNICA",
        "first_name": "ADELE",
        "middle_name": "MARIE",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "PA",
            "license": "OS010605L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Collegeville, PA

Sources for this page

Verify at the official NPI Registry.