DAVID JAMES GASPERACK DO
Complete NPI Record 1508837550
Family Medicine in Leola, PA

Active since January 29, 2006PECOS EnrolledAccepts Medicare Assignment

368 W MAIN ST, SUITE 100, LEOLA, PA 17540(717) 656-6122(717) 656-0142 Get Directions

NPPES record last updated: May 22, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 22, 2026, Mar 6, 2025, Mar 6, 2024 and 2 more (5 updates tracked since 2018).

Complete NPI Dataset

This page contains the complete raw NPPES record for David James Gasperack, DO (NPI 1508837550), an individual family medicine provider in Leola, PA. All 36 fields on file are listed with their current values and official NPPES definitions, exactly as recorded in the National Plan and Provider Enumeration System. Only fields that contain data are included, so the number of fields shown varies from one NPI record to another.

Use the tools below to filter fields by category, search within the record, or jump straight to a specific field. You can download the full record as a CSV, JSON, or text file, or filter first and export only the fields you need. The Print Clean Summary button produces a printer-friendly copy of the record.

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Registry File Document Utilities

NPI: 1508837550: The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
Entity Type Code: 1: Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Provider Last Name Legal Name: GASPERACK: The last name of the provider. If the provider is an individual, this is the legal name.
Provider First Name: DAVID: The first name of the provider, if the provider is an individual.
Provider Middle Name: JAMES: The middle name of the provider, if the provider is an individual.
Provider Credential Text: DO: The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.
Provider First Line Business Mailing Address: 601 MEMORY LN: The first line mailing address of the provider being identified. This data element may contain the same information as "Provider first line location address".
Provider Business Mailing Address City Name: YORK: The city name in the mailing address of the provider being identified.
Provider Business Mailing Address State Name: PA: The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address State name".
Provider Business Mailing Address Postal Code: 174022231: The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as "Provider location address postal code".
Provider Business Mailing Address Country Code If outside U S : US: The country code in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address country code".
Provider Business Mailing Address Telephone Number: 7178511405: The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
Provider Business Mailing Address Fax Number: 7178516969: The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as "Provider location address fax number".
Provider First Line Business Practice Location Address: 368 W MAIN ST: The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Second Line Business Practice Location Address: SUITE 100: The second line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Business Practice Location Address City Name: LEOLA: The city name in the location address of the provider being identified.
Provider Business Practice Location Address State Name: PA: The State code in the location of the provider being identified.
Provider Business Practice Location Address Postal Code: 175401761: The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
Provider Business Practice Location Address Country Code If outside U S : US: The country code in the location address of the provider being identified.
Provider Business Practice Location Address Telephone Number: 7176566122: The telephone number associated with the location address of the provider being identified.
Provider Business Practice Location Address Fax Number: 7176560142: The fax number associated with the location address of the provider being identified.
Provider Enumeration Date: 1/29/2006: The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date: 5/22/2026: The date that a record was last updated or changed.
Provider Gender Code: M: The code designating the provider's gender if the provider is a person.
Healthcare Provider Taxonomy Code 1: 207Q00000X: This field represents the provider's taxonomy code, which classifies their type, classification, and area of specialization. This code comes from the Healthcare Provider Taxonomy Code Set maintained by the National Uniform Claim Committee (NUCC). The NPS will associate these data with the license data for providers with Entity type code = 1.
Provider License Number 1: OS013187: The license number issued to the provider being identified. The NPS can accommodate multiple license numbers for multiple specialties and for multiple States. The NPS will associate this data element with "provider taxonomy code".
Provider License Number State Code 1: PA: The two-letter state code representing the U.S. state or territory that issued the provider's license. This field is linked to the Provider License Number field and identifies the jurisdiction where that license is valid. A provider may have multiple state codes if they hold licenses in more than one state.
Healthcare Provider Primary Taxonomy Switch 1: Y: This field shows whether the related taxonomy code is the provider's primary specialty. It is a single-character value: "Y" indicates the taxonomy is the primary one, while "N" indicates it is not. Each provider record can have only one taxonomy code marked as primary.
Other Provider Identifier 1: 50059819: An additional identifier number for the provider, either current or previously used. This may include IDs issued by health plans, state agencies, or other organizations. The value is collected from the NPI application or update form.
Other Provider Identifier Type Code 1: 01: A code that specifies the type of additional identifier associated with the provider, either current or past. Examples include UPIN (Universal Provider Identification Number), NSC (National Supplier Clearinghouse), OSCAR (CMS Certification Number), DEA (Drug Enforcement Administration number), state Medicaid ID, or a plan-specific PIN. The value is collected from the NPI application or update form.
Other Provider Identifier Issuer 1: BLUE CROSS: The name of the organization, agency, or health plan that assigned the additional provider identifier. This identifies who issued the number linked to Other Provider Identifier 1 (for example, a state Medicaid agency, Medicare, or a private insurance company).
Other Provider Identifier 2: 001871953: An additional identifier number for the provider, either current or previously used. This may include IDs issued by health plans, state agencies, or other organizations. The value is collected from the NPI application or update form.
Other Provider Identifier Type Code 2: 01: A code that specifies the type of additional identifier associated with the provider, either current or past. Examples include UPIN (Universal Provider Identification Number), NSC (National Supplier Clearinghouse), OSCAR (CMS Certification Number), DEA (Drug Enforcement Administration number), state Medicaid ID, or a plan-specific PIN. The value is collected from the NPI application or update form.
Other Provider Identifier Issuer 2: BLUE SHIELD: The name of the organization, agency, or health plan that assigned the additional provider identifier. This identifies who issued the number linked to Other Provider Identifier 1 (for example, a state Medicaid agency, Medicare, or a private insurance company).
Is Sole Proprietor: N: Indicates whether the provider is registered as a sole proprietor. This is a single-character code: "Y" means the provider operates as a sole proprietor, and "N" means they do not.
NPI Certification Date: 5/22/2026: The date on which the National Provider Identifier (NPI) was officially assigned and certified to the provider. This reflects when the provider's NPI record first became active in the NPPES system.

Secondary Practice Locations 30

The first line of the secondary practice location address of the provider being identified. For providers with more than one physical location, this is a secondary practice location address. This address cannot include a Post Office box.

2320 Rothsville Rd Ste 200

1/30

Lititz, PA 17543-8217 · Phone (717) 721-4800

46 Walnut Bottom Rd Ste 100

2/30

Shippensburg, PA 17257-8219 · Phone (717) 477-2764

4050 N George Street Ext

3/30

Manchester, PA 17345-9347 · Phone (717) 356-4370

1000 Norland Ave

4/30

Chambersburg, PA 17201-4229 · Phone (717) 267-6363

24 Antrim Commons Dr

5/30

Greencastle, PA 17225-1623 · Phone (717) 593-0512

40 V Twin Dr Ste 204

6/30

Gettysburg, PA 17325-7878 · Phone (717) 339-2424 · Fax (717) 334-6659

435 S Kinzer Ave Ste 10

7/30

New Holland, PA 17557-8706 · Phone (717) 733-6546

4222 Lincoln Hwy

8/30

York, PA 17406-8083 · Phone (717) 812-2050

1401 Roosevelt Ave

9/30

York, PA 17404-2244 · Phone (717) 812-7000

6 Perri Ave

10/30

Myerstown, PA 17067-3200 · Phone (717) 949-6581

30 N 4th St Fl 2

11/30

Lebanon, PA 17046-5606 · Phone (717) 274-0474

446 N Reading Rd Ste 301

12/30

Ephrata, PA 17522-9802 · Phone (717) 733-6546

808 Pleasantview Dr

13/30

Ephrata, PA 17522-1644 · Phone (717) 733-9090

770 Broad St

14/30

East Earl, PA 17519-9752 · Phone (717) 445-4576

136 Lake St, Brossman Center for Health

15/30

Ephrata, PA 17522-2415 · Phone (717) 721-7718

264 Granite Run Dr

16/30

Lancaster, PA 17601-6804 · Phone (717) 721-8205

4131A Oregon Pike

17/30

Ephrata, PA 17522-9550 · Phone (717) 859-1123

1135 Georgetown Rd Unit 201

18/30

Christiana, PA 17509-9543 · Phone (717) 466-2462

30 W Swartzville Rd

19/30

Reinholds, PA 17569-9641 · Phone (717) 484-4347

9 Nathan Ln

20/30

Annville, PA 17003-6500 · Phone (717) 639-3350

717 Town Center Dr

21/30

York, PA 17408-4824 · Phone (717) 356-4240

1790 Old Trail Rd

22/30

Etters, PA 17319-9652 · Phone (717) 938-6588 · Fax (717) 938-9601

446 N Reading Rd

23/30

Ephrata, PA 17522-9802 · Phone (717) 738-5275

720 Norman Dr

24/30

Lebanon, PA 17042-7481 · Phone (717) 639-3230

96 Sofia Dr Ste 208

25/30

Shrewsbury, PA 17361-5201 · Phone (717) 812-2400

101 W Airport Rd

26/30

Lititz, PA 17543-9274 · Phone (717) 466-2445

455 S Washington St Ste 12

27/30

Gettysburg, PA 17325-2516 · Phone (717) 339-2875

100 Eisenhower Dr

28/30

Hanover, PA 17331-5241 · Phone (717) 646-4201

601 E Main St

29/30

Waynesboro, PA 17268-2332 · Phone (717) 765-5088

40 V Twin Dr

30/30

Gettysburg, PA 17325-7875 · Phone (717) 339-2424 · Fax (717) 334-6659

Other Provider Identifiers 2

Legacy and payer-issued identifiers reported to the NPPES registry for this provider.

50059819 Other

1/2

Issuer: Blue Cross
Other: An additional provider identifier that does not correspond to any of the other defined identifier type categories.

001871953 Other

2/2

Issuer: Blue Shield
Other: An additional provider identifier that does not correspond to any of the other defined identifier type categories.

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