Active NPI
Walter David Gianelle, MD
- Emergency Medicine Physician
- Salisbury, MD
National Provider Identifier
1124007232
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- D0044413
- Practice address
- 2425 N Salisbury Blvd
Salisbury, MD 21801-2138 - Phone
- (410) 334-6351
- Fax
- (410) 334-6352
- NPI assigned
- Jan 17, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | D0044413 | MD | Primary |
Addresses
Primary practice location
2425 N Salisbury Blvd
Salisbury, MD 21801-2138
Mailing address
2425 N Salisbury Blvd
Salisbury, MD 21801-2138
Phone (410) 334-6351
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 653941600 | Medicaid | MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0044413 | MD | MD | Emergency Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137456000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1391990400000",
"number": "1124007232",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2425 N SALISBURY BLVD",
"city": "SALISBURY",
"state": "MD",
"postal_code": "218012138",
"telephone_number": "410-334-6351",
"fax_number": "410-334-6352"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2425 N SALISBURY BLVD",
"city": "SALISBURY",
"state": "MD",
"postal_code": "218012138",
"telephone_number": "410-334-6351",
"fax_number": "410-334-6352"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIANELLE",
"first_name": "WALTER",
"middle_name": "DAVID",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-17",
"last_updated": "2014-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MD",
"license": "D0044413",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "653941600",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Salisbury, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.