Active NPI
Gordon W. Webster, MD
- Internal Medicine Physician
- Newtown Square, PA
National Provider Identifier
1164653903
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD006475E
- Practice address
- 841 Galer Dr
Newtown Square, PA 19073-3518 - Phone
- (610) 353-1181
- NPI assigned
- Jul 28, 2009
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD006475E | PA | Primary |
Addresses
Primary practice location
841 Galer Dr
Newtown Square, PA 19073-3518
Mailing address
841 Galer Dr
Newtown Square, PA 19073-3518
Phone (610) 353-1181
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MD006719 | Other | PA | MEDICAL LICENSE - PA |
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD006475E | PA | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1248739200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1248825600000",
"number": "1164653903",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "841 GALER DR",
"city": "NEWTOWN SQUARE",
"state": "PA",
"postal_code": "190733518",
"telephone_number": "610-353-1181"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "841 GALER DR",
"city": "NEWTOWN SQUARE",
"state": "PA",
"postal_code": "190733518",
"telephone_number": "610-353-1181"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEBSTER",
"first_name": "GORDON",
"middle_name": "W.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-07-28",
"last_updated": "2009-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PA",
"license": "MD006475E",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE - PA",
"identifier": "MD006719",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Newtown Square, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.