DR. EDWARD ANTHONY GUSICK III


Address: 1201 Grampian Blvd, Suite 2f, Williamsport, PA 17701-1965
Phone: 5703212020

DR. EDWARD ANTHONY GUSICK III (NPI# 1992974679) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1992974679
Entity Type Individual
Full Name DR. EDWARD ANTHONY GUSICK III
Credential D.O.
Practice Address 1201 Grampian Blvd
Suite 2f
Williamsport
PA 17701-1965
Mailing Address 1201 Grampian Blvd
Williamsport
PA 17701-1900
Practice Telephone 5703212020
Practice Fax Number 5703207455
Enumeration Date 2008-02-26
Last Update Date 2016-08-20
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RS0010X Internal Medicine
Specialization: Sports Medicine
OS016038 PA Allopathic & Osteopathic Physicians

Office Location

Street Address 1201 GRAMPIAN BLVD
SUITE 2F
City WILLIAMSPORT
State PA
Zip Code 17701-1965

Providers in the same location

NPI Name Taxonomy Address Enumeration
1942293287 Joanne Marie Lalli Internal Medicine 1201 Grampian Blvd, Ste 2d, Williamsport, PA 17701 2005-08-23
1205436987 Nicholas Anthony Inverso II Pharmacist 1201 Grampian Blvd, Williamsport, PA 17701-1900 2020-10-30
1881193217 Amanda Shadle Specialist/Technologist 1201 Grampian Blvd, Williamsport, PA 17701-1900 2018-02-12
1629528385 Brian Kramer Jr. Physician Assistant 1201 Grampian Blvd, Suite 1a, Williamsport, PA 17701-1900 2016-10-06
1326498726 Morgan Rogers Family Medicine 1201 Grampian Blvd, Suite 3c, Williamsport, PA 17701-1970 2016-06-16
1528424975 Ncpdc Kidney Center LLC Clinic/Center 1201 Grampian Blvd, Williamsport, PA 17701-1900 2016-01-14
1710369467 North Central Pennsylvania Dialysis Clincs LLC Clinic/Center 1201 Grampian Blvd, Williamsport, PA 17701-1900 2015-06-18
1124315320 Christine Kara Nolan Podiatrist 1201 Grampian Blvd, Suite 2f, Williamsport, PA 17701-1965 2011-07-08
1013228857 Steven Michael Hawley Podiatrist 1201 Grampian Blvd, Suite 2f, Williamsport, PA 17701-1965 2010-06-26
1578791497 Zachary Thomas Ritter Podiatrist 1201 Grampian Blvd, Suite 2f, Williamsport, PA 17701-1965 2009-06-30
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1184267809 Charlene Angella Pitter Nurse Practitioner 170 Warren Ave, Williamsport, PA 17701 2019-10-25
1396395299 Susan E Fetzer Occupational Therapy Assistant Upmc Susquehanna,625 West Edwin Street, Williamsport, PA 17701 2019-09-13
1184280984 Craig Andrew Tuller Student in an Organized Health Care Education/Training Program Williamsport Family Medicine Residency, 740 High Street, Suite 4001, Williamsport, PA 17701 2019-05-16
1760048045 Michael Harvey Student in an Organized Health Care Education/Training Program 740 High St. Suite 4001, Williamsport, PA 17701 2019-05-13
1275196008 Olivia Fladmark Student in an Organized Health Care Education/Training Program Williamsport Family Medicine Residency 740 High St, Suite 4001, Williamsport, PA 17701 2019-04-17
1528551231 Mark Hampton Chiropractic Inc. Durable Medical Equipment & Medical Supplies 1111 East 3rd Street, Williamsport, PA 17701 2018-06-08
1548710882 Central Pennsylvania Rehabilitation Medicine, Inc Physical Medicine & Rehabilitation 460 River Ave Ste 1, Williamsport, PA 17701 2016-10-11
1376096784 Christine Kessler Physician Assistant One College Ave, Penna. College of Tech, Pa Program Dif 123, Williamsport, PA 17701 2016-08-02
1629440276 Matthew Ray Rebuck Specialist/Technologist 220 N Reach Rd, Williamsport, PA 17701 2015-10-22
1508237223 Neihl Williamson Physician Assistant 1205 Grampian Blvd Ste 3c, Williamsport, PA 17701 2015-10-08
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Taxonomy Information

Taxonomy Code 207RS0010X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Sports Medicine

Taxonomy Definition

An internist trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the healthcare of the individual.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1174551642 Brian Jeffrey Sennett Internal Medicine 235 S 33rd St, Weightman Hall, 1st Floor, Philadelphia, PA 19104-6322 2006-06-30
1043674971 Justin Luhovey Internal Medicine 2027 Lebanon Church Rd, West Mifflin, PA 15122-2461 2016-04-06
1821473570 Drmc - Penn Highlands Internal Med Clearfield 93390 Internal Medicine 531c Hannah St, Clearfield, PA 16830-1209 2015-07-23
1285022202 University of Penn-medical Group Internal Medicine 3737 Market St, 9th Floor, Philadelphia, PA 19104-5545 2014-12-29
1073956397 Ravi Kiran Ved Internal Medicine 1307 Federal St Ste 2, Pittsburgh, PA 15212-4769 2013-04-17
1891036166 Tower Health Medical Group Internal Medicine 1350 Broadcasting Rd Ste 201, Wyomissing, PA 19610-3229 2013-03-11
1417219361 Orthopaedic Surgery and Sports Medicine Group, PC Internal Medicine 254 Lancaster Ave, Malvern, PA 19355-3087 2012-06-15
1679873970 Maenpaa Sports Medicine LLC Internal Medicine 829 Spruce St, Suite308, Philadelphia, PA 19107-5752 2010-11-02
1184944167 Premier Orthopaedic and Sports Medicine Associates, Ltd Internal Medicine 1 Bartol Ave, Ste 100, Ridley Park, PA 19078-2214 2010-06-02
1225278963 Tara Lyn Cuda, D.o., P.C. Internal Medicine 2230 S Broad St, Philadelphia, PA 19145-3950 2009-02-20
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Competitor

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City WILLIAMSPORT
Zip Code 17701

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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