John Rizzari Gandionco, MD
Individual provider Active NPI Internal Medicine Physician · Dover, PA
NPI 1770515405 · NPPES record last updated Feb 26, 2019
Key facts
- NPI
- 1770515405
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- MD425873 (PA)
- Practice address
- 4020 Carlisle Rd
Dover, PA 17315-3508 - Phone
- (717) 851-6400
- Fax
- (717) 851-6410
- NPI assigned
- Jul 6, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 11
Hospital & facility affiliations 10
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- State University of New York Downstate Medical Center, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Wellspan Medical Group
Practice addresses (Care Compare)
25 Monument Rd
York, PA 17403-5073
2618 E Market St
Autumn House
York, PA 17403
Phone (717) 845-7214
4020 Carlisle Rd
Dover, PA 17315-3508
914 W Market St
Autumn House West
York, PA 17403
Phone (717) 845-7214
Hospital & facility affiliations
- Wellspan Vna Home Care
- Bayada Home Health Care, Inc.
- Wellspan York Hospital
- 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 |
|---|---|---|---|---|
| I20050607000016 | PA | Practitioner - Internal Medicine | 5890738231 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 199304 | NY | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellspan Medical Group | Current |
Accepting new patients | |
| Wellspan Medical Group | Current |
Accepting new patients | |
| Wellspan Medical Group | Current | Accepting new patients |
Locations
2900 Carlisle Pike
New Oxford, PA 17350
Phone (717) 624-5260
1803 Mount Rose Ave
Ste B3
York, PA 17403
Phone (717) 851-6816
4020 Carlisle Rd
York, PA 17315
Phone (717) 812-4240
1600 S George St
York, PA 17403
Phone (717) 848-3615
3421 Concord Rd
York, PA 17402
Phone (717) 851-2441
25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250
Interoperability endpoints
- jgandionco13809@wellspan.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 199304 | NY | |
| Internal Medicine Physician | 207R00000X | MD425873 | PA | Yes |
Addresses
Primary practice location
4020 Carlisle Rd
Dover, PA 17315-3508
Mailing address
3421 Concord Rd
York, PA 17402-9001
Phone (717) 851-6400
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 101246966 | Medicaid | PA | |
| 600732 | Other | PA | HIGHMARK BLUE SHIELD |
| 109460 | Other | PA | JOHNS HOPKINS |
| 645776 | Other | MD | CAREFIRST MD BCBS |
| 5946096 | Other | PA | AETNA |
| 100448 | Other | PA | GEISINGER |
| 50058820 | Other | PA | CAPITAL BLUE CROSS DIM |
| P006800 | Other | PA | GATEWAY-WMG |
| 20055941 | Other | PA | AMERIHEALTH MERCY |
| 2136978 | Other | PA | MAMSI-WMG |
| 219494 | Other | PA | UNISON SCIM |
| 50071951 | Other | PA | CAPITAL BLUE CROSS SCIM |
| 183153 | Other | PA | UNISON-WMG DIM |
Other providers in Dover, PA
- Fitzpatrick Counseling Services LLC
- Margaret Fitzpatrick
- Susan Flohr
- Tammy Flower
- Kylie Foust
- George L Hamm III
- Amy Goodman
- Christina Green
- John Grigas
- Tammy S Gross
All providers in Dover, PA · Internal 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 Feb 26, 2019. 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.