Philip a Gelacek MD & Associates PC

Primary specialty

Non-Pharmacy Dispensing SiteTaxonomy code 332900000X

License

MD020788E Issued in PA

Legal business name

PHILIP A GELACEK MD & ASSOCIATES PC

Doing business as

Philip A Gelacek MD & Associates

Practice address

313 Ford St
2A
Ford City, PA 16226-1268

Phone

(724) 763-7144

NPI assigned

Jul 3, 2008

Organization subpart

Yes

Parent organization

MEDVANTX INCAs reported in NPPES

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

Authorized official

Name

Kenny Heine

Title

Director of Operations

Phone

(858) 625-2990

Specialties & licenses 1

Addresses

Other names 1

• Philip A Gelacek MD & Associates Doing business as

Part of

Tri - State Medical Group Inc

Practitioners 1

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

• Philip A Gelacek, M.D.

  • Geriatric Medicine (Family Medicine) Physician
  • Ford City, PA
  • NPI 1871588087
  NPD (past)

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

{
    "created_epoch": "1215043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215043200000",
    "number": "1477716181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5810 NANCY RIDGE DR",
            "address_2": "100",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921212834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 FORD ST",
            "address_2": "2A",
            "city": "FORD CITY",
            "state": "PA",
            "postal_code": "162261268",
            "telephone_number": "724-763-7144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILIP A GELACEK MD & ASSOCIATES PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MEDVANTX INC",
        "enumeration_date": "2008-07-03",
        "last_updated": "2008-07-03",
        "status": "A",
        "authorized_official_last_name": "HEINE",
        "authorized_official_first_name": "KENNY",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "858-625-2990"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "PA",
            "license": "MD020788E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Philip A Gelacek MD & Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• O G Bowser DMD LTD
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• Jodie Ann Peter, D.C.
• Kimberly Pfeil, PTA
• Philip a Gelacek MD PC
• Mykenzie Lee Riggle, PA-C
• Rite Aid of Pennsylvania LLC
• Scott Roble, R.D.
• Stacy Scherer

• Non-Pharmacy Dispensing Site in Ford City, PA
• Providers in Ford City, PA by specialty
• Non-Pharmacy Dispensing Site in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2008; 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.