Gary Czulada, DO
Individual provider Active NPI Family Medicine Physician · Dover, PA
NPI 1477578573 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1477578573
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- OS005842L (PA)
- Practice address
- 3740 Carlisle Rd
Dover, PA 17315-4416 - Phone
- (717) 292-3168
- Fax
- (717) 292-3479
- NPI assigned
- Jul 12, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Hospital & facility affiliations 23
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Philadelphia College of Osteopathic Medicine, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Davenshire Medical Center Partnership
Practice addresses (Care Compare)
3740 Carlisle Rd
Dover, PA 17315-4416
Phone (717) 292-3168
Hospital & facility affiliations
- Wellspan Vna Home Care
- Bayada Home Health Care, Inc.
- Amedisys Home Health
- Enhabit Home Health
- Wellspan York Hospital
- Upmc Memorial
- Upmc Hanover
- Upmc Pinnacle Hospitals
- Gettysburg Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040505001303 | PA | Practitioner - Family Practice | 9133117252 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS005842L | PA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Davenshire Medical Center Partnership | Family Medicine | Current |
Accepting new patients |
Locations
3740 Carlisle Rd
Dover, PA 17315
Phone (717) 292-3168
Interoperability endpoints
- gczulada@davenshiremc.medentdirect.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | OS005842L | PA | Yes |
Addresses
Primary practice location
3740 Carlisle Rd
Dover, PA 17315-4416
Mailing address
3740 Carlisle Rd
Dover, PA 17315-4416
Phone (717) 292-3168
Other providers in Dover, PA
- Paul Thomas Ciechoski
- Merrill Alan Cohen
- Diane Colvin
- CPS Counseling Services Inc.
- Holly Hope Cruz
- Kimberly Dacheux
- Marian Demarinis Damewood
- Rebecca Danz
- Davenshire Medical Center
- Davenshire Medical Center Partnership
All providers in Dover, PA · Family Medicine Physician in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.