Individual provider Active NPI

David Shepard Gilmore, PA-C

  • Medical Physician Assistant
  • Lancaster, PA
National Provider Identifier
1265954309
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
MA059103 Issued in PA
Practice address
734 N Franklin St
Lancaster, PA 17602-2176
Phone
(717) 295-2323
Fax
(717) 295-1349
NPI assigned
Jul 11, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X MA059103 PA Primary

Addresses

Primary practice location

734 N Franklin St
Lancaster, PA 17602-2176

Mailing address

823 Reserve Way
Temple, PA 19560-9214
Phone (860) 944-9434

Other practice location 1

440 W Chestnut St
Lancaster, PA 17603-3479
Phone (717) 295-3317

Other practice location 2

218C W Main St
Leola, PA 17540-2223
Phone (717) 656-2331

Other practice location 3

2112 Harrisburg Pike Ste 3
Lancaster, PA 17601-2644
Phone (717) 431-3000

Other practice location 4

203 Commerce Dr Ste G
Quarryville, PA 17566-9723
Phone (717) 786-1202

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170808002567 PA Practitioner - Physician Assistant 5193096287 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Lukes Physician Group IncGroup PAC ID 6709798333, 2,161 clinicians

Practice addresses (Care Compare)

1021 Park Ave
Quakertown, PA 18951-0130

801 Ostrm St
Bethlehem, PA 18015-1000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.13 of 100Reported as apm
Quality
82.27
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke's Physician Group Inc CurrentSince Oct 1, 2020 Accepting new patients
St. Luke's Physician Group Inc CurrentSince Oct 1, 2020 Accepting new patients
St. Luke's Physician Group, Inc Past Accepting new patients

Locations

1736 Hamilton St
Allentown, PA 18104
Phone (610) 770-8300

421 Chew St
Allentown, PA 18102
Phone (610) 776-4500

451 Chew St
Ste 306
Allentown, PA 18102
Phone (215) 821-2850

250 S 21st St
Easton, PA 18042
Phone (610) 250-4300

1872 St Lukes Blvd
Easton, PA 18045
Phone (484) 503-1200

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

500 St Lukes Dr
Lehighton, PA 18235
Phone (484) 464-4340

211 N 12th St
Lehighton, PA 18235
Phone (610) 377-1300

100 Paramount Blvd
Orwigsburg, PA 17961
Phone (272) 639-1000

3000 St Lukes Dr
Quakertown, PA 18951
Phone (215) 538-4500

100 St Lukes Ln
Stroudsburg, PA 18360
Phone (272) 212-1000

Interoperability endpoints

  • Direct secure messaging: david.gilmore@slpg.direct-sluhn.org

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1499731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1265954309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "823 RESERVE WAY",
            "city": "TEMPLE",
            "state": "PA",
            "postal_code": "195609214",
            "telephone_number": "860-944-9434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "734 N FRANKLIN ST",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176022176",
            "telephone_number": "717-295-2323",
            "fax_number": "717-295-1349"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "440 W Chestnut St",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "PA",
            "postal_code": "176033479",
            "country_code": "US",
            "telephone_number": "717-295-3317",
            "fax_number": "717-295-3318",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "218C W Main St",
            "address_purpose": "LOCATION",
            "city": "Leola",
            "state": "PA",
            "postal_code": "175402223",
            "country_code": "US",
            "telephone_number": "717-656-2331",
            "fax_number": "717-656-4669",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2112 Harrisburg Pike Ste 3",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "PA",
            "postal_code": "176012644",
            "country_code": "US",
            "telephone_number": "717-431-3000",
            "fax_number": "717-431-3010",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "203 Commerce Dr Ste G",
            "address_purpose": "LOCATION",
            "city": "Quarryville",
            "state": "PA",
            "postal_code": "175669723",
            "country_code": "US",
            "telephone_number": "717-786-1202",
            "fax_number": "717-786-7758",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GILMORE",
        "first_name": "DAVID",
        "middle_name": "SHEPARD",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-11",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA059103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, PA

Sources for this page

Verify at the official NPI Registry.