NPIMap

Individual provider Active NPI

Edward J. Mackle, M.D.

  • Anesthesiology Physician
  • Gettysburg, PA
National Provider Identifier
1306889423
Registry record updated Oct 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
MD052341L Issued in PA
Practice address
147 Gettys St
Gettysburg, PA 17325-2534
Phone
(717) 337-4168
Fax
(717) 337-4318
NPI assigned
Jun 14, 2006
Last updated
Oct 30, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X MD052341L PA Primary
Pain Medicine (Anesthesiology) Physician 207LP2900X MD052341L PA

Addresses

Primary practice location

147 Gettys St
Gettysburg, PA 17325-2534

Mailing address

1803 Mount Rose Ave
Ste B3
York, PA 17403-3026
Phone (717) 851-1405

Other identifiers 8

IdentifierTypeStateIssuer
50067114OtherPACAPITAL BLUE CROSS GH
0710598000OtherPAAMERIHEALTH 65 PA-GH
766549OtherPAHIGHMARK GH
20021398OtherPAAMERIHEALTH MERCY-GH
P00010335OtherPARAILROAD MEDICARE GH
141059OtherPAUNISON GH
1531317OtherPAGATEWAY GH
34349OtherPAGEISINGER-GH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060616000117 PA Practitioner - Anesthesiology 2365454147 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Jefferson Medical College of Thomas Jefferson University, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Gettysburg HospitalGroup PAC ID 2769373331, 66 clinicians

Practice addresses (Care Compare)

1227 Baltimore St
Hanover, PA 17331-4406
Phone (717) 851-1405

147 Gettys St
Gettysburg, PA 17325-2534
Phone (717) 851-1405

236 W St
Gettysburg, PA 17325-2509
Phone (717) 851-1405

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
The Gettysburg Hospital CurrentSince Jun 20, 1994 Accepting new patients
The Gettysburg Hospital Anesthesiology CurrentSince Jun 20, 1994 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

147 Gettys St
Gettysburg, PA 17325
Phone (717) 334-2121

147 Gettys St
#3786
Gettysburg, PA 17325
Phone (717) 334-4216

1803 Mount Rose Ave
Ste B3
York, PA 17403
Phone (717) 851-6816

Interoperability endpoints

  • Direct secure messaging: emackle11670@wellspan.direct-ci.com

Ownership & related parties

All facility ownership & control disclosures 6

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Wellspan Waynesboro HospitalWaynesboro, PA, CCN 390138 Hospital Corporate Director Jan 1, 2021
The Chambersburg HospitalChambersburg, PA, CCN 390151 Hospital Corporate Director Apr 23, 2009
The Gettysburg HospitalGettysburg, PA, CCN 390065 Hospital Corporate Director Nov 28, 2012
Wellspan Waynesboro HospitalWaynesboro, PA, CCN 39U138 Hospital Corporate Director Jan 1, 2021
The Chambersburg HospitalChambersburg, PA, CCN 39S151 Hospital Corporate Director Apr 23, 2009
The Chambersburg HospitalChambersburg, PA, CCN 39T151 Hospital Corporate Director Apr 23, 2009

Owned or controlled facilities with NPI records 12

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 9

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": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193702400000",
    "number": "1306889423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1803 MOUNT ROSE AVE",
            "address_2": "STE B3",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174033026",
            "telephone_number": "717-851-1405",
            "fax_number": "717-851-6969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "147 GETTYS ST",
            "city": "GETTYSBURG",
            "state": "PA",
            "postal_code": "173252534",
            "telephone_number": "717-337-4168",
            "fax_number": "717-337-4318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACKLE",
        "first_name": "EDWARD",
        "middle_name": "J.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2007-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "PA",
            "license": "MD052341L",
            "primary": true
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "PA",
            "license": "MD052341L",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS GH",
            "identifier": "50067114",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH 65 PA-GH",
            "identifier": "0710598000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK GH",
            "identifier": "766549",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH MERCY-GH",
            "identifier": "20021398",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE GH",
            "identifier": "P00010335",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNISON GH",
            "identifier": "141059",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GATEWAY GH",
            "identifier": "1531317",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEISINGER-GH",
            "identifier": "34349",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gettysburg, PA

Sources for this page

Verify at the official NPI Registry.