Individual provider Active NPI

Gregory P Fazio, MD

  • Clinical Cardiac Electrophysiology Physician
  • Chambersburg, PA
National Provider Identifier
1457399669
Registry record updated Jul 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
MD049453L Issued in PA
Practice address
12 St Paul Dr Ste 204
Chambersburg, PA 17201-1035
Phone
(717) 217-6886
NPI assigned
Jun 2, 2006
Last updated
Jul 27, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X MD049453L PA
Clinical Cardiac Electrophysiology Physician 207RC0001X MD049453L PA Primary

Addresses

Primary practice location

12 St Paul Dr Ste 204
Chambersburg, PA 17201-1035

Mailing address

601 Memory LN
York, PA 17402-2231
Phone (717) 851-1405

Other practice location 1

30 Monument Rd
Suite 1100
York, PA 17403-5024
Phone (717) 851-2441

Other practice location 2

338 Alexander Spring Rd
Carlisle, PA 17015-9129
Phone (717) 218-5103

Other practice location 3

450 S Washington St Ste A
Gettysburg, PA 17325-2500
Phone (717) 339-3105

Other practice location 4

775 Norman Dr
Lebanon, PA 17042-7497
Phone (717) 274-5500

Other identifiers 10

IdentifierTypeStateIssuer
38407OtherPAGEISINGER CDA
060034887OtherPARAILROAD MEDICARE
001414497MedicaidPA
090501OtherPAUNISON
1521509OtherPAGATEWAY CDA
20007082OtherPAAMERIHEALTH MERCY CDA
01332201OtherPACBC
00803OtherPAHIGHMARK BLUE SHIELD
413897OtherPAUPMC- YH ONLY
529895OtherPAMARYLAND BLUE CROSS BLUE SHIELD

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
I20050524000711 PA Practitioner - Cardiac ElectrophysiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 5799764403 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiac ElectrophysiologyAlso: Cardiovascular Disease (Cardiology), Internal Medicine
Education
George Washington University School of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellspan Medical GroupGroup PAC ID 1951213115, 2,438 clinicians

Practice addresses (Care Compare)

1001 S George St
York, PA 17403-3676

1001 S George St 2ND Floor
Wellspan Pulmonary and Sleep Medicine
York, PA 17403-3676
Phone (717) 851-2465

12 St Paul Dr
Chambersburg, PA 17201-1035

2250 E Market St
York, PA 17402-2857

25 Monument Rd
York, PA 17403-5073

2618 E Market St
Autumn House
York, PA 17403
Phone (717) 845-7214

30 Monument Rd
Suite 1100
York, PA 17403-5024
Phone (717) 812-2480

914 W Market St
Autumn House West
York, PA 17403
Phone (717) 845-7214

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair52

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD049453LPAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wellspan Medical Group CurrentSince Dec 1, 2014 Accepting new patients
Wellspan Medical Group Current Accepting new patients
Wellspan Medical Group CurrentSince Dec 1, 2014 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients

Locations

338 Alexander Spring Rd
Carlisle, PA 17015
Phone (717) 218-5103

12 St Paul Dr
Chambersburg, PA 17201
Phone (717) 217-6026

12 St Paul Dr
Ste 204
Chambersburg, PA 17201
Phone (717) 217-6886

22 St Paul Dr
Chambersburg, PA 17201
Phone (717) 217-6020

40 V Twin Dr
Ste 205
Gettysburg, PA 17325
Phone (717) 339-2790

423 S Washington St
Gettysburg, PA 17325
Phone (717) 334-9259

455 S Washington St
Ste 23
Gettysburg, PA 17325
Phone (717) 334-2914

501 E Main St
Waynesboro, PA 17268
Phone (717) 765-3400

1575 Bannister St
Ste 7
York, PA 17404
Phone (717) 741-8170

1600 S George St
York, PA 17403
Phone (717) 848-3615

25 Monument Rd
Ste 200
York, PA 17403
Phone (717) 741-4690

25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250

30 Monument Rd
Ste 1100
York, PA 17403
Phone (717) 851-2441

3421 Concord Rd
York, PA 17402
Phone (717) 851-2441

601 Memory Ln
York, PA 17402
Phone (717) 851-6670

605 S George St
Ste 200
York, PA 17401
Phone (717) 851-2334

Interoperability endpoints

  • Direct secure messaging: gfazio12759@wellspan.direct-ci.com

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.

Hospital & facility affiliations 6

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": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785110400000",
    "number": "1457399669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 MEMORY LN",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174022231",
            "telephone_number": "717-851-1405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 ST PAUL DR STE 204",
            "city": "CHAMBERSBURG",
            "state": "PA",
            "postal_code": "172011035",
            "telephone_number": "717-217-6886"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30 Monument Rd",
            "address_2": "Suite 1100",
            "address_purpose": "LOCATION",
            "city": "York",
            "state": "PA",
            "postal_code": "174035024",
            "country_code": "US",
            "telephone_number": "717-851-2441",
            "fax_number": "717-851-3521",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "338 Alexander Spring Rd",
            "address_purpose": "LOCATION",
            "city": "Carlisle",
            "state": "PA",
            "postal_code": "170159129",
            "country_code": "US",
            "telephone_number": "717-218-5103",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "450 S Washington St Ste A",
            "address_purpose": "LOCATION",
            "city": "Gettysburg",
            "state": "PA",
            "postal_code": "173252500",
            "country_code": "US",
            "telephone_number": "717-339-3105",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "775 Norman Dr",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "PA",
            "postal_code": "170427497",
            "country_code": "US",
            "telephone_number": "717-274-5500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FAZIO",
        "first_name": "GREGORY",
        "middle_name": "P",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-02",
        "last_updated": "2026-07-27",
        "certification_date": "2026-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PA",
            "license": "MD049453L",
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "PA",
            "license": "MD049453L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEISINGER CDA",
            "identifier": "38407",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "060034887",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001414497",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNISON",
            "identifier": "090501",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GATEWAY CDA",
            "identifier": "1521509",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH MERCY CDA",
            "identifier": "20007082",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CBC",
            "identifier": "01332201",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "00803",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPMC- YH ONLY",
            "identifier": "413897",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MARYLAND BLUE CROSS BLUE SHIELD",
            "identifier": "529895",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chambersburg, PA

Sources for this page

Verify at the official NPI Registry.