Active NPI
Mary Anne Gazdick, M.D.
- Pediatrics Physician
- Plymouth Meeting, PA
National Provider Identifier
1902884398
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- MD028813E
- Practice address
- 3031 Walton Rd
C101
Plymouth Meeting, PA 19462-2369 - Phone
- (610) 825-3500
- Fax
- (610) 828-0173
- NPI assigned
- Jan 5, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | MD028813E | PA | Primary |
Addresses
Primary practice location
3031 Walton Rd
C101
Plymouth Meeting, PA 19462-2369
Mailing address
3031 Walton Rd
C101
Plymouth Meeting, PA 19462-2369
Phone (610) 825-3500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD028813E | PA | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136419200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1902884398",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3031 WALTON RD",
"address_2": "C101",
"city": "PLYMOUTH MEETING",
"state": "PA",
"postal_code": "194622369",
"telephone_number": "610-825-3500",
"fax_number": "610-828-0173"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3031 WALTON RD",
"address_2": "C101",
"city": "PLYMOUTH MEETING",
"state": "PA",
"postal_code": "194622369",
"telephone_number": "610-825-3500",
"fax_number": "610-828-0173"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAZDICK",
"first_name": "MARY ANNE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-05",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "PA",
"license": "MD028813E",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Plymouth Meeting, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.