Individual provider Active NPI

Cloyd B Gatrell, M.D.

  • Emergency Medicine Physician
  • Harrisburg, PA
National Provider Identifier
1427096817
Registry record updated Oct 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
MD067632L Issued in PA
Practice address
49 Prince St
Harrisburg, PA 17109-3113
Phone
(717) 901-3440
Fax
(717) 901-3447
NPI assigned
Jun 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X MD067632L PA Primary

Addresses

Primary practice location

49 Prince St
Harrisburg, PA 17109-3113

Mailing address

161 Old Schoolhouse LN
Ste 3
Mechanicsburg, PA 17055-5684
Phone (717) 691-7100

Other identifiers 4

IdentifierTypeStateIssuer
1053541078OtherASPIRE FAMILY MEDICINE NPI
001894023MedicaidPA
1225278922OtherASPIRE HEALTH CONCEPTS NPI
1467682484OtherASPIRE URGENT CARE NPI

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

Practice roles

OrganizationSpecialtyStatusNew patients
Aspire Health Concepts Inc Past Accepting new patients
Emergency Physician Associates of Pennsylvania, PC Emergency Medicine Past Accepting new patients
Lancaster Hma Physician Management, LLC Past Accepting new patients
Alexander Spring Emergency Physicians Emergency Medicine Past Accepting new patients

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

NPI Registry JSON

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

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317600000000",
    "number": "1427096817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "161 OLD SCHOOLHOUSE LN",
            "address_2": "STE 3",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170555684",
            "telephone_number": "717-691-7100",
            "fax_number": "717-691-6855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 PRINCE ST",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171093113",
            "telephone_number": "717-901-3440",
            "fax_number": "717-901-3447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GATRELL",
        "first_name": "CLOYD",
        "middle_name": "B",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-04",
        "last_updated": "2011-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PA",
            "license": "MD067632L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASPIRE FAMILY MEDICINE NPI",
            "identifier": "1053541078",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001894023",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASPIRE HEALTH CONCEPTS NPI",
            "identifier": "1225278922",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASPIRE URGENT CARE NPI",
            "identifier": "1467682484",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2011; 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.