Paoli Family Medicine

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

PAOLI FAMILY MEDICINE

Practice address

250 Lancaster Ave
Suite 120
Paoli, PA 19301

Phone

(610) 644-8069

Fax

(610) 644-6736

NPI assigned

May 17, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ernest F Gillan, MDNPI 1730103029

Title

Partner Owner

Phone

(610) 644-8069

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/AFEDBA

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ernest F Gillan, MD

  • Family Medicine Physician
  • Paoli, PA
  • NPI 1730103029
  Medicare reassignment Care Compare group NPD Authorized official
• Deborah L Brown, CRNP

  • Family Nurse Practitioner
  • Paoli, PA
  • NPI 1609537570
  Medicare reassignment Care Compare group NPD
• Lawrence S Buckland, MD

  • Family Medicine Physician
  • Paoli, PA
  • NPI 1447273370
  Medicare reassignment Care Compare group NPD
• Emily Katherine Fellin, M.D.

  • Family Medicine Physician
  • Latrobe, PA
  • NPI 1083906473
  Medicare reassignment Care Compare group NPD
• Mackenzie Foster, CRNP

  • Family Medicine Physician
  • Paoli, PA
  • NPI 1528555703
  Medicare reassignment Care Compare group NPD
• Natasha I Garrett, DO

  • Family Medicine Physician
  • Paoli, PA
  • NPI 1386667392
  Medicare reassignment Care Compare group NPD
• James C Krull, MD

  • Family Medicine Physician
  • Paoli, PA
  • NPI 1902829385
  Medicare reassignment Care Compare group NPD
• George T Taylor IV, MD

  • Family Medicine Physician
  • Paoli, PA
  • NPI 1083855514
  Medicare reassignment Care Compare group NPD
• Amy S Walker, MD

  • Family Medicine Physician
  • Paoli, PA
  • NPI 1700890860
  Medicare reassignment Care Compare group NPD
• Chelsea Larson

  • Nurse Practitioner
  • Wilmington, DE
  • NPI 1770087595

  PA

  Medicare reassignment Care Compare group NPD
• Vera Davis, CRNP

  • Family Nurse Practitioner
  • Paoli, PA
  • NPI 1215744321
  Medicare reassignment NPD
• Emily Harris, FNP-BC

  • Nurse Practitioner
  • Glen Mills, PA
  • NPI 1801345244
  NPD (past)

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1245282235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 LANCASTER AVE",
            "address_2": "SUITE 120",
            "city": "PAOLI",
            "state": "PA",
            "postal_code": "19301",
            "telephone_number": "610-644-8069",
            "fax_number": "610-644-6736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 LANCASTER AVE",
            "address_2": "SUITE 120",
            "city": "PAOLI",
            "state": "PA",
            "postal_code": "19301",
            "telephone_number": "610-644-8069",
            "fax_number": "610-644-6736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAOLI FAMILY MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GILLAN",
        "authorized_official_first_name": "ERNEST",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PARTNER OWNER",
        "authorized_official_telephone_number": "610-644-8069",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jon Panucci, D.C
• Paoli Apothecary LLC (Strarr Pharmacy Services Inc d/b/a Paoli Apothecary)
• Paoli Chiropractic Group, LLC
• Paoli Dental Arts, LLC
• Paoli Family Dentistry LLC
• Paoli Fire Co
• Paoli Hematology-Oncology Associates PC
• Paoli Internal Medicine Associates PC
• Paoli Medical Consultants LLC
• Paoli Pediatrics PC

• Family Medicine Physician in Paoli, PA
• Providers in Paoli, PA by specialty
• Family Medicine Physician in Pennsylvania

• 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.