Erich L Gottwald (NPI# 1811155047, PAC ID# 8022272442) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL MEDICINE AND REHABILITATION.
| Nation Provider ID (NPI) | 1811155047 |
| PAC ID by PECOS | 8022272442 |
| Professional Enrollment ID | I20170410001774 |
| Full Name | Erich L Gottwald |
| Organization Legal Name | ADVANCEXING PAIN AND REHABILITATION CLINIC PA |
| Address |
620 Stanton Christiana Rd Suite 202 Newark DE 19713-2130 |
| Phone Number | 3023847439 |
| Gender | M |
| Medical School | UNIV OF MED & DENTISTRY OF NJ, NJ DENTAL SCHOOL |
| Graduation Year | 2008 |
| Primary Specialty | PHYSICAL MEDICINE AND REHABILITATION |
| Group Practice PAC ID | 0648237537 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 080001 | CHRISTIANA HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 620 Stanton Christiana Rd, Suite 202, Newark, DE 19713-2130 | 3023847439 | ADVANCEXING PAIN AND REHABILITATION CLINIC PA |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Organization Legal Name | ADVANCEXING PAIN AND REHABILITATION CLINIC PA |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kristen E Dopf | Physician Assistant | Advancexing Pain and Rehabilitation Clinic Pa | 620 Stanton Christiana Rd, Suite 202, Newark, DE 19713-2130 |
| Selina Y Xing | Physical Medicine and Rehabilitation | Advancexing Pain and Rehabilitation Clinic Pa | 620 Stanton Christiana Rd, Suite 202, Newark, DE 19713-2130 |
| Lori Leigh Kleiman | Physician Assistant | Advancexing Pain and Rehabilitation Clinic Pa | 620 Stanton Christiana Rd, Suite 202, Newark, DE 19713-2130 |
| Street Address |
620 STANTON CHRISTIANA RD SUITE 202 |
| City | NEWARK |
| State | DE |
| Zip | 19713-2130 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michelle E Papa | Family Medicine | Seth L Ivins Md LLC | 620 Stanton Christiana Rd, Suite 305, Newark, DE 19713-2135 |
| Kimberly A Boehmler | Certified Nurse Midwife (cnm) | St Francis Hospital Inc | 620 Stanton Christiana Rd, Suite 304, Newark, DE 19713-2135 |
| Lauren Zastrow | Physician Assistant | The Heart and Vascular Clinic, Pa | 620 Stanton Christiana Rd, Suite 203, Newark, DE 19713-2130 |
| Antony L Innasimuthu | Cardiovascular Disease (cardiology) | The Heart and Vascular Clinic, Pa | 620 Stanton Christiana Rd, Suite 203, Newark, DE 19713-2130 |
| Benjamin R Denenberg | Podiatry | New Castle Associates In Podiatry | 620 Stanton Christiana Rd, Suite 303, Newark, DE 19713-2135 |
| Nicholas Biasotto | Family Medicine | 620 Stanton Christiana Rd, Suite 205, Newark, DE 19713-2130 | |
| Seth L Ivins | Internal Medicine | Seth L Ivins Md LLC | 620 Stanton Christiana Rd, Suite 305, Newark, DE 19713-2135 |
| Kristen E Dopf | Physician Assistant | Advancexing Pain and Rehabilitation Clinic Pa | 620 Stanton Christiana Rd, Suite 202, Newark, DE 19713-2130 |
| Heydi I Gutierrez | Family Medicine | St Francis Hospital Inc | 620 Stanton Christiana Rd, Suite 302, Newark, DE 19713-2135 |
| Nancy Fan | Obstetrics/gynecology | St Francis Hospital Inc | 620 Stanton Christiana Rd, Suite 304, Newark, DE 19713-2135 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David Schuler Grubbs | Cardiovascular Disease (cardiology) | G36 Omega Dr, Newark, DE 19713 | |
| Ronald M. Goodman | Family Medicine | Total Care Physicians, P.a. | Omega Dr B, Newark, DE 19713 |
| Todd Miller | Physician Assistant | First State Orthopaedics Pa | 4051 Ogletown Stanton Rd, Suite 103, Newark, DE 19713 |
| Cyril Milunsky | Diagnostic Radiology | Delaware Open Mri Radiology Associates LLC | H-42 Omega Dr, Newark, DE 19713 |
| Dai O Moon | Orthopedic Surgery | C-83 Omega Dr, Newark, DE 19713 | |
| Myung Soo Lee | Diagnostic Radiology | Omega Nuclear LLC | L-6 Omega Dr, Newark, DE 19713 |
| James Moran | Interventional Pain Management | First State Orthopaedics Pa | 4102 Stanton Ogletown Rd, Suite B, Newark, DE 19713 |
| Bonnie O O Connor | Physician Assistant | First State Orthopaedics Pa | 4051 Ogletown Stanton Rd, Suite 103, Newark, DE 19713 |
| Joseph Straight | Family Medicine | First State Orthopaedics Pa | 4051 Ogletown Stanton Rd, Suite 103, Newark, DE 19713 |
| Jeremie Axe | Orthopedic Surgery | First State Orthopaedics Pa | 4051 Ogletown Stanton Rd, Suite 103, Newark, DE 19713 |
| Find all physicians in zip 19713 | |||
| City | NEWARK |
| Zip Code | 19713 |
| Specialty | PHYSICAL MEDICINE AND REHABILITATION |
| City + Specialty | NEWARK + PHYSICAL MEDICINE AND REHABILITATION |
Please comment or provide details below to improve the information on Erich L Gottwald.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.