Individual provider Active NPI

Gee-Sue Elizabeth Park, PA-C

  • Physician Assistant
  • Langhorne, PA
National Provider Identifier
1467078121
Registry record updated Jul 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA061596 Issued in PA
Practice address
840 Town Center Dr
Langhorne, PA 19047-1748
Phone
(215) 702-7090
NPI assigned
Jun 18, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X OA005252 PA
Physician Assistant 363A00000X MA061596 PA Primary

Addresses

Primary practice location

840 Town Center Dr
Langhorne, PA 19047-1748

Mailing address

1960 West Ave
Conshohocken, PA 19428-3708
Phone (267) 269-4831

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200707002022 PA Practitioner - Physician Assistant 5698198810 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Regional Gastroenterology Associates of Lancaster, LTD.Group PAC ID 4688575434, 248 clinicians

Practice addresses (Care Compare)

2112 Harrisburg Pike
Suite 202
Lancaster, PA 17601-2644
Phone (717) 869-4600

840 Town Ctr Dr
Langhorne, PA 19047-1748
Phone (215) 321-7221

Hospital & facility affiliations

  • St Mary Medical Center Hospital, Langhorne, PA, CCN 390258

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
MA061596PAMDPhysician Assistant
OA005252PAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Gastroenterology Associates of Lancaster, LTD. CurrentSince Mar 29, 2024 Accepting new patients
Pai Participant 5 PC CurrentSince Jan 18, 2021 Accepting new patients
Suburban Geriatrics, Inc. CurrentSince Jul 13, 2020 Accepting new patients
Regional Gastroenterology Associates of Lancaster, LTD. CurrentSince Mar 29, 2024 Accepting new patients
Main Line Gastroenterology Associates, PC Past Accepting new patients

Locations

2112 Harrisburg Pike
Ste 202
Lancaster, PA 17601
Phone (717) 544-3500

840 Town Center Dr
Langhorne, PA 19047
Phone (215) 321-7221

325 Central Ave
Fl 2
Malvern, PA 19355

1526 Lombard St
Philadelphia, PA 19146
Phone (215) 546-5960

2901 Jolly Rd
Plymouth Mtng, PA 19462
Phone (610) 272-3222

100 E Lancaster Ave
Ste 252
Wynnewood, PA 19096
Phone (610) 896-7360

Interoperability endpoints

  • Direct secure messaging: gee.sue.park.2@29786.direct.athenahealth.com

Organizations & group practices 5

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.

Hospital & facility affiliations 1

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": "1592438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752451200000",
    "number": "1467078121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1960 WEST AVE",
            "city": "CONSHOHOCKEN",
            "state": "PA",
            "postal_code": "194283708",
            "telephone_number": "267-269-4831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 TOWN CENTER DR",
            "city": "LANGHORNE",
            "state": "PA",
            "postal_code": "190471748",
            "telephone_number": "215-702-7090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "GEE-SUE",
        "middle_name": "ELIZABETH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-18",
        "last_updated": "2025-07-14",
        "certification_date": "2025-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "OA005252",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA061596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Langhorne, PA

Sources for this page

Verify at the official NPI Registry.