Glasgow Internal Medicine Associates PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

C20003134 Issued in DE

Legal business name

GLASGOW INTERNAL MEDICINE ASSOCIATES PA

Practice address

2600 Glasgow Ave
Suite 126
Newark, DE 19702-4773

Phone

(302) 836-0100

Fax

(302) 836-5244

NPI assigned

Nov 12, 2007

Last updated

Mar 7, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Curt Daniel Blacklock, DONPI 1467465450

Title

President

Phone

(302) 836-0100

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in DE

Enrollment records 1

Locations

Practitioners 1

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.

• Curt D Blacklock, DO

  • Internal Medicine Physician
  • Newark, DE
  • NPI 1467465450
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1194825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1063692648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 GLASGOW AVE",
            "address_2": "SUITE 126",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197024773",
            "telephone_number": "302-836-0100",
            "fax_number": "302-836-5244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 GLASGOW AVE",
            "address_2": "SUITE 126",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197024773",
            "telephone_number": "302-836-0100",
            "fax_number": "302-836-5244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLASGOW INTERNAL MEDICINE ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-12",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "BLACKLOCK",
        "authorized_official_first_name": "CURT",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "302-836-0100",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "DE",
            "license": "C20003134",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "239903",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DCS",
            "identifier": "D00167",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ruchira Glaser, M.D.
• Glasgow Chiropractic LLC
• Glasgow Family Practice (Rehab & Wellness by Glasgow Family Practice)
• Glasgow Family Practice PA
• Glasgow Imaging LLC
• Glasgow Medical Associates PA
• Glasgow Medical Center LLC
• Glasgow Medical Center LLC
• Glasgow Medical Center, LLC
• Glasgow Medical Center, LLC

• Internal Medicine Physician in Newark, DE
• Providers in Newark, DE by specialty
• Internal Medicine Physician in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.