Individual provider Active NPI

Mary Lisa Gunning, MD

  • Family Medicine Physician
  • West Chester, PA
National Provider Identifier
1457351587
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD041605-E Issued in PA
Practice address
21 Turner LN
Embassy Court
West Chester, PA 19380-4805
Phone
(610) 696-6655
Fax
(610) 696-8475
NPI assigned
Jul 29, 2005
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD041605-E PA Primary

Addresses

Primary practice location

21 Turner LN
Embassy Court
West Chester, PA 19380-4805

Mailing address

21 Turner LN
Embassy Court
West Chester, PA 19380-4805
Phone (610) 696-6655

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100925000022 PA Practitioner - Family Practice 3577689710 Practice locations: West Chester, PA

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Jefferson Medical College of Thomas Jefferson University, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

19 Turner Lane
Embassy Court
West Chester, PA 19380-4805

19 Turner LN
West Chester, PA 19380-4805
Phone (610) 696-6655

21 Turner LN
Embassy Court
West Chester, PA 19380-4805

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD041605-EPAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mary Lisa Gunning, MD Family Medicine PastSince Aug 16, 1988 Accepting new patients

Organizations & group practices 1

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 5

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": "1122595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1457351587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 TURNER LN",
            "address_2": "EMBASSY COURT",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193804805",
            "telephone_number": "610-696-6655",
            "fax_number": "610-696-8475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 TURNER LN",
            "address_2": "EMBASSY COURT",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193804805",
            "telephone_number": "610-696-6655",
            "fax_number": "610-696-8475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUNNING",
        "first_name": "MARY LISA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-29",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD041605-E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Chester, PA

Sources for this page

Verify at the official NPI Registry.