Active NPI
Chad Alexis Gunsolly, DO
- Emergency Medicine Physician
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- OS016347
- Practice address
- Knights and Red Lion Roads
Philadelphia, PA 19114 - Phone
- (215) 612-2691
- NPI assigned
- May 22, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | OS016347 | PA | Primary |
| Internal Medicine Physician | 207R00000X | OS016347 | PA |
Addresses
Primary practice location
Knights and Red Lion Roads
Philadelphia, PA 19114
Mailing address
14 Gladwynne Ter
Moorestown, NJ 08057-3897
Phone (240) 506-1936
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3998 Red Lion Rd
Philadelphia, PA 19114-1436
Phone (215) 671-8900
Hospital & facility affiliations
- Jefferson Health- Northeast
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS016347 | PA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jefferson Acute Care Physicians, PC | Current | Accepting new patients | |
| Aria Health Physicians Services - Emergency Medicine | Emergency Medicine | Current | Accepting new patients |
| Aria Health Physician Services | Current | Accepting new patients | |
| Jefferson Acute Care Physicians, PC | Current | Accepting new patients | |
| Aria Health Physician Services | Current | Accepting new patients | |
| Jefferson Health - Northeast | Past | Accepting new patients |
Locations
2966 Street Rd
Bensalem, PA 19020
Phone (215) 638-0666
380 N Oxford Valley Rd
Langhorne, PA 19047
Phone (215) 949-5000
3998 Red Lion Rd
Philadelphia, PA 19114
Phone (215) 612-4060
2451 Grant Ave
Philadelphia, PA 19114
Phone (215) 464-8050
5000 Frankford Ave
Ste 1B
Philadelphia, PA 19124
Phone (215) 583-2355
10800 Knights Rd
Fl 3
Philadelphia, PA 19114
Phone (215) 890-3030
Organizations & group practices 6
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.
-
- Family Medicine Physician
- Richboro, PA
- NPI 1750949806
-
- Urgent Care Clinic/Center
- Philadelphia, PA
- NPI 1730571324
-
- Family Medicine Physician
- Philadelphia, PA
- NPI 1053181297
-
- Emergency Medicine Physician
- Philadelphia, PA
- NPI 1053456079
-
- Urgent Care Clinic/Center
- Flourtown, PA
- NPI 1245892314
-
- General Acute Care Hospital
- Philadelphia, PA
- NPI 1801963343
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Philadelphia, PA
- NPI 1801963343
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1479254400000",
"number": "1376700781",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14 GLADWYNNE TER",
"city": "MOORESTOWN",
"state": "NJ",
"postal_code": "080573897",
"telephone_number": "240-506-1936"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "KNIGHTS AND RED LION ROADS",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "19114",
"telephone_number": "215-612-2691"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUNSOLLY",
"first_name": "CHAD",
"middle_name": "ALEXIS",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-05-22",
"last_updated": "2016-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "PA",
"license": "OS016347",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PA",
"license": "OS016347",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.