Active NPI
Philip a Gelacek MD PC
- Geriatric Medicine (Family Medicine) Physician
- Ford City, PA
National Provider Identifier
1205986296
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Family Medicine) Physician
- License
- MD020788E
- Legal business name
- PHILIP A GELACEK MD PC
- Practice address
- 904 4TH Ave
Ford City, PA 16226-1212 - Phone
- (724) 763-7144
- Fax
- (724) 763-7161
- NPI assigned
- Jan 11, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Philip A Gelacek, MD
- Title
- President
- Phone
- (724) 763-7144
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Family Medicine) Physician | 207QG0300X | MD020788E | PA | Primary |
Addresses
Primary practice location
904 4TH Ave
Ford City, PA 16226-1212
Mailing address
904 4TH Ave
Ford City, PA 16226-1212
Phone (724) 763-7144
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
904 Fourth Ave
Ford City, PA 16226
Phone 72476371443
904 4TH Ave
Ford City, PA 16226
Phone (724) 763-7144
Practitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Geriatric Medicine (Family Medicine) Physician
- Ford City, PA
- NPI 1871588087
-
- Family Medicine Physician
- Elderton, PA
- NPI 1639361975
-
- Internal Medicine Physician
- Ford City, PA
- NPI 1023131307
-
- Medical Physician Assistant
- Ford City, PA
- NPI 1154661452
-
- Physician Assistant
- Ford City, PA
- NPI 1770326191
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168473600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1205986296",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "904 4TH AVE",
"city": "FORD CITY",
"state": "PA",
"postal_code": "162261212",
"telephone_number": "724-763-7144",
"fax_number": "724-763-7161"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "904 4TH AVE",
"city": "FORD CITY",
"state": "PA",
"postal_code": "162261212",
"telephone_number": "724-763-7144",
"fax_number": "724-763-7161"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PHILIP A GELACEK MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-11",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "GELACEK",
"authorized_official_first_name": "PHILIP",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "724-763-7144",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207QG0300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine, Geriatric Medicine",
"state": "PA",
"license": "MD020788E",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ford City, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.