Individual provider Active NPI

Nancy David

  • Physical Medicine & Rehabilitation Physician
  • Gettysburg, PA
National Provider Identifier
1205974532
Registry record updated Jun 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
17912 Issued in MD
Practice address
16C Deatrick Drive
Gettysburg, PA 17325-3401
Phone
(717) 337-3300
Fax
(717) 337-2977
NPI assigned
Feb 1, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 17912 MD Primary

Addresses

Primary practice location

16C Deatrick Drive
Gettysburg, PA 17325-3401

Mailing address

5411 W Cedar LN
Suite 105a
Bethesda, MD 20814-1516
Phone (301) 564-4040

Other identifiers 5

IdentifierTypeStateIssuer
77090009OtherCAREFIRST NATIONAL
50074336OtherCAPITAL BLUE CROSS
566819OtherPAHIGHMARK BLUE SHIELD
1020572750002MedicaidPA
54515439OtherCAREFIRST

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
17912MDMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Gettysburg Hospital Past Accepting new patients
Go Sport Physical Therapy Inc Past Accepting new patients
Michelle Zygielbaum, Inc. Physical Medicine & Rehabilitation PastSince Jun 22, 2015 Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213315200000",
    "number": "1205974532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5411 W CEDAR LN",
            "address_2": "SUITE 105A",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208141516",
            "telephone_number": "301-564-4040",
            "fax_number": "301-564-3604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16C DEATRICK DRIVE",
            "city": "GETTYSBURG",
            "state": "PA",
            "postal_code": "173253401",
            "telephone_number": "717-337-3300",
            "fax_number": "717-337-2977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVID",
        "first_name": "NANCY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-01",
        "last_updated": "2008-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MD",
            "license": "17912",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST NATIONAL",
            "identifier": "77090009",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS",
            "identifier": "50074336",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "566819",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1020572750002",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST",
            "identifier": "54515439",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gettysburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.