Individual provider Active NPI

Michele Gunnells, DO

  • Anesthesiology Physician
  • Upper Holland, PA
National Provider Identifier
1730258252
Registry record updated Jun 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
05006203L Issued in PA
Practice address
12 Newburyport Rd
Upper Holland, PA 19053
Phone
(215) 860-4110
Fax
(267) 295-8208
NPI assigned
Nov 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 05006203L PA Primary

Addresses

Primary practice location

12 Newburyport Rd
Upper Holland, PA 19053

Mailing address

12 Newburyport Rd
Upper Holland, PA 19053-1556
Phone (215) 860-4110

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
I20040206000102 PA Practitioner - Anesthesiology 8123911773 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
05006203LPAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
United Anesthesia Services PC Anesthesiology CurrentSince Jun 1, 2024 Accepting new patients
Huntingdon Valley Anesthesia Associates CurrentSince Aug 22, 1990 Accepting new patients
Anesthesia Advantage PC Anesthesiology CurrentSince Oct 1, 2003 Accepting new patients
Anesthesia Advantage of Delaware, P.a. Anesthesiology Past Accepting new patients
Aria Health Physician Services Past Accepting new patients
James F Noone MD PC Past Accepting new patients

Locations

570 Egg Harbor Rd
Ste A2
Sewell, NJ 08080
Phone (215) 860-4110

595 W State St
Doylestown, PA 18901
Phone (215) 345-2200

1650 Huntingdon Pike
Ste 313
Meadowbrook, PA 19046
Phone (215) 938-3413

1648 Huntingdon Pike
Meadowbrook, PA 19046
Phone (215) 938-3413

3998 Red Lion Rd
Philadelphia, PA 19114
Phone (215) 612-4060

319 2nd Street Pike
Southampton, PA 18966
Phone (215) 355-4428

744 Lancaster Ave
Wayne, PA 19087
Phone (215) 244-7400

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529366400000",
    "number": "1730258252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 NEWBURYPORT RD",
            "city": "UPPER HOLLAND",
            "state": "PA",
            "postal_code": "190531556",
            "telephone_number": "215-860-4110",
            "fax_number": "267-295-8208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 NEWBURYPORT RD",
            "city": "UPPER HOLLAND",
            "state": "PA",
            "postal_code": "19053",
            "telephone_number": "215-860-4110",
            "fax_number": "267-295-8208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUNNELLS",
        "first_name": "MICHELE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-07",
        "last_updated": "2018-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "PA",
            "license": "05006203L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Upper Holland, PA

Sources for this page

Verify at the official NPI Registry.