Daniel R Gandy, DO

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

OS 003541L Issued in PA

Practice address

1660 Sycamore Rd
Suit C
Montoursville, PA 17754-9314

Phone

(570) 326-8080

Fax

(570) 326-2733

NPI assigned

Dec 14, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

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.

• North Central Pennsylvania Dialysis Clinics LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Montoursville, PA
  • NPI 1114922416
  NPD (past)

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

{
    "created_epoch": "1134518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284940800000",
    "number": "1366427205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1660 SYCAMORE RD",
            "address_2": "SUIT C",
            "city": "MONTOURSVILLE",
            "state": "PA",
            "postal_code": "177549314",
            "telephone_number": "570-326-8080",
            "fax_number": "570-326-2733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1660 SYCAMORE RD",
            "address_2": "SUIT C",
            "city": "MONTOURSVILLE",
            "state": "PA",
            "postal_code": "177549314",
            "telephone_number": "570-326-8080",
            "fax_number": "570-326-2733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANDY",
        "first_name": "DANIEL",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-14",
        "last_updated": "2010-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "PA",
            "license": "OS 003541L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00998293",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Martha B Finn, M.D.
• Gregg J Fisher, D.C.
• Eric Jeffrey Foley
• Michelle E Fonseca, LSW
• Melissa Ann Foster, DPT
• Zachary Paul Garvey, DPT
• Geisinger-HM Joint Venture, LLC
• Geisinger-HM Joint Venture, LLC
• Geisinger-HM Joint Venture, LLC
• Gerald D Rhodes DC PC

• Nephrology Physician in Montoursville, PA
• Providers in Montoursville, PA by specialty
• Nephrology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2010; 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.