Active NPI
Gretchen Guzek White, MD
- Internal Medicine Physician
- Collegeville, PA
National Provider Identifier
1194014282
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD480671
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160205002133 | CT | Order and Referring Only - Internal Medicine | 7012211386 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 53489 | CT | MD | Internal Medicine Physician |
| 283954 | NY | MD | Internal Medicine Physician |
| MD480671 | PA | MD | Internal 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.