NPIMap

Organization Active NPI

Glenn a Kline

  • Surgery Physician
  • Lancaster, PA
National Provider Identifier
1023439072
Registry record updated Dec 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
OS006448L Issued in PA
Legal business name
GLENN A KLINE
Practice address
90 Good Dr
Suite 301
Lancaster, PA 17603-4360
Phone
(717) 394-5401
Fax
(717) 394-6890
NPI assigned
Dec 18, 2013
Last updated
Dec 18, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Glenn A Kline, DONPI 1477596948
Title
Owner
Phone
(717) 394-5401

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X OS006448L PA Primary

Addresses

Primary practice location

90 Good Dr
Suite 301
Lancaster, PA 17603-4360

Mailing address

90 Good Dr
Suite 301
Lancaster, PA 17603-4360
Phone (717) 394-5401

National Provider Directory

National Provider Directory

Locations

90 Good Dr
Ste 301
Lancaster, PA 17603
Phone (717) 394-5401

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1387324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1387324800000",
    "number": "1023439072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 GOOD DR",
            "address_2": "SUITE 301",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176034360",
            "telephone_number": "717-394-5401",
            "fax_number": "717-394-6890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 GOOD DR",
            "address_2": "SUITE 301",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176034360",
            "telephone_number": "717-394-5401",
            "fax_number": "717-394-6890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLENN A KLINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-18",
        "last_updated": "2013-12-18",
        "status": "A",
        "authorized_official_last_name": "KLINE",
        "authorized_official_first_name": "GLENN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "717-394-5401",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "PA",
            "license": "OS006448L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2013; 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.