DRS Morres Gianelle Goertzen & Assoc PA

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

20235706 Issued in MD

Legal business name

DRS MORRES GIANELLE GOERTZEN & ASSOC PA

Practice address

103 120TH Street
Ocean City, MD 21842

Phone

(410) 520-0582

NPI assigned

Dec 28, 2005

Organization subpart

No

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

Authorized official

Name

Walter D Gianelle, MD

Title

President

Phone

(410) 334-6351

Specialties & licenses 1

Addresses

Other identifiers 7

Other names 1

• Chesapeake Medical Solutions TA Your Doc's In Doing business as

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Geraldine F Goertzen, MD

  • Emergency Medicine Physician
  • Easton, MD
  • NPI 1114905551

  Emergency Medicine

  NPD (past)
• John P. Visioli, D.O.

  • Internal Medicine Physician
  • Salisbury, MD
  • NPI 1629177498
  NPD (past)
• Catherine Ruth Horner, MD

  • Family Medicine Physician
  • Lady Lake, FL
  • NPI 1144200569
  NPD (past)

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

{
    "created_epoch": "1135728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192406400000",
    "number": "1467439752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 CALLOWAY ST",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218043200",
            "telephone_number": "410-334-6351",
            "fax_number": "410-334-6352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 120TH STREET",
            "city": "OCEAN CITY",
            "state": "MD",
            "postal_code": "21842",
            "telephone_number": "410-520-0582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRS MORRES GIANELLE GOERTZEN & ASSOC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-28",
        "last_updated": "2007-10-15",
        "status": "A",
        "authorized_official_last_name": "GIANELLE",
        "authorized_official_first_name": "WALTER",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-334-6351",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": "MD",
            "license": "20235706",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000038586",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DD9023",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "11ZMYO",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "3780",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7603709",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "408316400",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALLIANCE ONENET",
            "identifier": "2145659",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chesapeake Medical Solutions TA Your Doc's In",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jennifer Marie Daisey
• Steven Donnelly
• John Terrence Dornbusch, C.R.N.P.
• Edward T Dougherty Jr., D.D.S
• Dr. Suzanne M. Sampson LLC
• DRS. Michnick & Takacs, D.D.S., PA
• Adam Dudley, PHARMD
• Marissa Dugan, ATC
• Dynamic Therapy Services LLC
• Edward T Dougherty Jr DDS PC

• All providers in Ocean City, MD
• Emergency Medicine Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2007; 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.