Individual provider Active NPI

Gretchen Guzek White, MD

  • Internal Medicine Physician
  • Collegeville, PA
National Provider Identifier
1194014282
Registry record updated May 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD480671 Issued in PA
Practice address
1250 S Collegeville Rd BLDG 5
Collegeville, PA 19426-2990
Phone
(610) 917-5426
NPI assigned
Mar 30, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 24, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 53489 CT
Internal Medicine Physician 207R00000X 283954 NY
Internal Medicine Physician 207R00000X MD480671 PA Primary

Addresses

Primary practice location

1250 S Collegeville Rd BLDG 5
Collegeville, PA 19426-2990

Mailing address

1250 S Collegeville Rd BLDG 5
Collegeville, PA 19426-2990
Phone (610) 917-5426

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20160205002133 CT Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 7012211386

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
53489CTMDInternal Medicine Physician
283954NYMDInternal Medicine Physician
MD480671PAMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1301443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684886400000",
    "number": "1194014282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 S COLLEGEVILLE RD BLDG 5",
            "city": "COLLEGEVILLE",
            "state": "PA",
            "postal_code": "194262990",
            "telephone_number": "610-917-5426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 S COLLEGEVILLE RD BLDG 5",
            "city": "COLLEGEVILLE",
            "state": "PA",
            "postal_code": "194262990",
            "telephone_number": "610-917-5426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "GRETCHEN",
        "middle_name": "GUZEK",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-30",
        "last_updated": "2023-05-24",
        "certification_date": "2023-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "53489",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "283954",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD480671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Collegeville, PA

Sources for this page

Verify at the official NPI Registry.