Gerald R Phelan, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD018700E Issued in PA

Practice address

39 E Chestnut Hill Ave
Philadelphia, PA 19118-2728

Phone

(215) 248-5600

Fax

(215) 242-0160

NPI assigned

Jun 5, 2006

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297987200000",
    "number": "1992744197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6005 CRICKET RD",
            "city": "FLOURTOWN",
            "state": "PA",
            "postal_code": "190311202",
            "telephone_number": "215-248-5600",
            "fax_number": "215-242-0160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 E CHESTNUT HILL AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191182728",
            "telephone_number": "215-248-5600",
            "fax_number": "215-242-0160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHELAN",
        "first_name": "GERALD",
        "middle_name": "R",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-05",
        "last_updated": "2011-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD018700E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0007826030001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pharmblue LLC
• Pharmdirect RX
• Pharmop Associates
• Pharo Pain Management Asociates, P.C.
• Gregory H. Pharo, M.D.
• Julie Pauline Phelan, PMHNP-BC
• Dianna Phelps, LAPC
• Katelyn Phelps, D.O.
• Phenix Mental Wealth
• Phenomenal Minds Daycare Center LLC

• Internal Medicine Physician in Philadelphia, PA
• Providers in Philadelphia, 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 Feb 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.