NPI

Mark Alan Gellasch

NPI 1902876931

Read from the NPPES registry on October 23, 2026.

Facts

Status
Active
Credential
Physician Assistant
Type
Individual
Enumeration date
2006-01-24
Last updated
2026-07-13

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Specialties

Licenses

License VA
0110000034

Location

Practice location
Branch Medical Clinic Norfolk, 1721 Taussig Blvd
City
Norfolk VA
Postal code
23511
Phone
(757) 314-6377

Medicare

PECOS
No PECOS enrollment row matched this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.

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