Active NPI
Michael Clark Gillespie, MD
- Anesthesiology Physician
- Morgantown, WV
National Provider Identifier
1124588330
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 34095
- Practice address
- 1 Medical Center Dr
Morgantown, WV 26506-1200 - Phone
- (304) 598-4122
- Fax
- (304) 598-4930
- NPI assigned
- Mar 22, 2019
- 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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 34095 | WV | Primary |
Addresses
Primary practice location
1 Medical Center Dr
Morgantown, WV 26506-1200
Mailing address
924 Bent Creek Dr
Lititz, PA 17543-6636
Phone (717) 989-8968
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Medical Ctr Dr
Morgantown, WV 26506-1200
Phone (304) 293-4500
Hospital & facility affiliations
- West Virginia University Hospitals, Inc
- Uniontown Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Virginia University Medical Corporation | Current | Accepting new patients | |
| West Virginia University Medical Corporation | Anesthesiology | Current | Accepting new patients |
Locations
1 Medical Center Dr
Morgantown, WV 26506
Phone (304) 293-4500
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 and National Provider Directory roles.
-
- Family Medicine Physician
- Morgantown, WV
- NPI 1275504508
Anesthesiology
-
- Community/Behavioral Health Agency
- Martinsburg, WV
- NPI 1174233530
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Morgantown, WV
- NPI 1841271459
-
- General Acute Care Hospital
- Uniontown, PA
- NPI 1861409773
-
- General Acute Care Hospital
- Uniontown, PA
- NPI 1871594127
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723161600000",
"number": "1124588330",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "924 BENT CREEK DR",
"city": "LITITZ",
"state": "PA",
"postal_code": "175436636",
"telephone_number": "717-989-8968"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 MEDICAL CENTER DR",
"city": "MORGANTOWN",
"state": "WV",
"postal_code": "265061200",
"telephone_number": "304-598-4122",
"fax_number": "304-598-4930"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILLESPIE",
"first_name": "MICHAEL",
"middle_name": "CLARK",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-03-22",
"last_updated": "2024-08-09",
"certification_date": "2024-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "WV",
"license": "34095",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Morgantown, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2024; 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.