DG Medical P L L C

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

DG MEDICAL P L L C

Practice address

8080 Old York Rd Ste 207
Elkins Park, PA 19027-1426

Phone

(215) 779-0187

Fax

(833) 300-9393

NPI assigned

Nov 8, 2018

Last updated

Jan 6, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

David GaryNPI 1104235076

Title

Physician/Owner

Phone

(215) 779-0187

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/18390/brand/1/csg/1/fhir/r4

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• David Gary, MD

  • Internal Medicine Physician
  • Elkins Park, PA
  • NPI 1104235076
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1541635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578268800000",
    "number": "1811465727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 LORIMER DR",
            "city": "WYNCOTE",
            "state": "PA",
            "postal_code": "190952113",
            "telephone_number": "215-779-0187",
            "fax_number": "833-300-9393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8080 OLD YORK RD STE 207",
            "city": "ELKINS PARK",
            "state": "PA",
            "postal_code": "190271426",
            "telephone_number": "215-779-0187",
            "fax_number": "833-300-9393"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2 Bala Plz Ste Pl8",
            "address_purpose": "LOCATION",
            "city": "Bala Cynwyd",
            "state": "PA",
            "postal_code": "190041505",
            "country_code": "US",
            "telephone_number": "215-758-2481",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DG MEDICAL P L L C",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-08",
        "last_updated": "2020-01-06",
        "certification_date": "2020-01-06",
        "status": "A",
        "authorized_official_last_name": "GARY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "215-779-0187"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Deikman, MS, BCBA, LBS
• Shifra Deitsch, LSW
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• Demiurge Counseling Group and Behavioral Health Consulants LLC
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• Nicholas P Diamond, DO
• Dignity Care Services, LLC (Self)
• Dignity Health LLC
• Bernard Paul Dishler, DDS

• Internal Medicine Physician in Elkins Park, PA
• Providers in Elkins Park, PA by specialty
• Internal Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.