Anette G Gawelko, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

3147 Issued in AZ

Practice address

6206 W Bell Rd
Suite 5
Glendale, AZ 85308-3750

Phone

(602) 375-5440

Fax

(602) 375-5510

NPI assigned

Jun 7, 2006

Last updated

Oct 13, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Honorhealth Medical Group, LLC

  • Primary Care Clinic/Center
  • Peoria, AZ
  • NPI 1043851793
  Medicare reassignment NPD
• Honorhealth Medical Group, LLC

  dba John C. Lincoln LLC dba Arcadia Family Clinic

  • Family Medicine Physician
  • Phoenix, AZ
  • NPI 1033104716
  NPD
• Honorhealth Medical Group, LLC

  • Family Medicine Physician
  • Scottsdale, AZ
  • NPI 1285338343
  NPD
• John C. Lincoln, LLC

  dba dba John C. Lincoln Health Quest Family Medicine

  • Family Medicine Physician
  • Anthem, AZ
  • NPI 1639426422
  NPD
• Squaw Peak Family Physicians PC

  • Family Medicine Physician
  • Phoenix, AZ
  • NPI 1578590303
  NPD

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413158400000",
    "number": "1922048198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 W UTOPIA RD",
            "address_2": "SUITE 100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850274171",
            "telephone_number": "623-434-6200",
            "fax_number": "623-434-6164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6206 W BELL RD",
            "address_2": "SUITE 5",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853083750",
            "telephone_number": "602-375-5440",
            "fax_number": "602-375-5510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAWELKO",
        "first_name": "ANETTE",
        "middle_name": "G",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-07",
        "last_updated": "2014-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "3147",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "548604",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gateway Behavioral Health LLC
• Kayce Gatewood
• Gathered Connections Counseling Professional Limited Liability Com
• Shelby Marie Gattis, NNP
• Maren Gavia, FNP
• Gary E Gawelko Sr., PA-C
• Andrea Kay Gearing
• Eileen M Gebhart, CRNA
• Marlee Geer, RBT
• Carol Ann Gegenheimer, PH.D., LISAC, LMFT

• Family Medicine Physician in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Family Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.