Active NPI
Gary Lee Gasowski, M.D.
- Specialist
- Hanover, PA
National Provider Identifier
1366486151
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- MD035143L
- Practice address
- 25 Charles St
Suite 7
Hanover, PA 17331-2267 - Phone
- (717) 632-7714
- Fax
- (717) 632-2839
- NPI assigned
- Jun 15, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | MD035143L | PA | Primary |
Addresses
Primary practice location
25 Charles St
Suite 7
Hanover, PA 17331-2267
Mailing address
25 Charles St
Suite 7
Hanover, PA 17331-2267
Phone (717) 632-7714
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3068 | Other | MD | CAREFIRST |
| 990481 | Other | PA | KHP CENTRAL |
| 0915423 | Medicaid | PA | |
| 4459903 | Other | PA | AETNA |
| 8270499 | Other | PA | CIGNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1366486151",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 CHARLES ST",
"address_2": "SUITE 7",
"city": "HANOVER",
"state": "PA",
"postal_code": "173312267",
"telephone_number": "717-632-7714",
"fax_number": "717-632-2839"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 CHARLES ST",
"address_2": "SUITE 7",
"city": "HANOVER",
"state": "PA",
"postal_code": "173312267",
"telephone_number": "717-632-7714",
"fax_number": "717-632-2839"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GASOWSKI",
"first_name": "GARY",
"middle_name": "LEE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "PA",
"license": "MD035143L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST",
"identifier": "3068",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KHP CENTRAL",
"identifier": "990481",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0915423",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4459903",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "8270499",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hanover, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.