Active NPI
Barbara A. Klatchko, M.D.
- Surgery Physician
- Lebanon, PA
National Provider Identifier
1104874932
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- MD044211E
- Practice address
- 402 S 12TH St
Lebanon, PA 17042-6617 - Phone
- (717) 274-5200
- Fax
- (717) 274-5440
- NPI assigned
- May 4, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | MD044211E | PA | Primary |
Addresses
Primary practice location
402 S 12TH St
Lebanon, PA 17042-6617
Mailing address
402 S 12TH St
Lebanon, PA 17042-6617
Phone (717) 274-5200
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1519910 | Other | PA | GATEWAY |
| A0612189 | Other | HEALTHONE | |
| P-42051920 | Other | MULTI-PLAN | |
| 0012789490004 | Medicaid | PA | |
| 612189 | Other | BLUE SHIELD | |
| 233096442010 | Other | BC/BS UNITED OF WISCONSIN | |
| 01968502 | Other | BLUE CROSS | |
| 4253876 | Other | AETNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230130001353 | PA | Order and Referring Only - General Surgery | 3971598913 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD044211E | PA | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Winer & Harvey Surgical Associates | Surgery | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1236729600000",
"number": "1104874932",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "402 S 12TH ST",
"city": "LEBANON",
"state": "PA",
"postal_code": "170426617",
"telephone_number": "717-274-5200",
"fax_number": "717-274-5440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "402 S 12TH ST",
"city": "LEBANON",
"state": "PA",
"postal_code": "170426617",
"telephone_number": "717-274-5200",
"fax_number": "717-274-5440"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLATCHKO",
"first_name": "BARBARA",
"middle_name": "A.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-04",
"last_updated": "2009-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "PA",
"license": "MD044211E",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GATEWAY",
"identifier": "1519910",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHONE",
"identifier": "A0612189",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MULTI-PLAN",
"identifier": "P-42051920",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0012789490004",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "612189",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS UNITED OF WISCONSIN",
"identifier": "233096442010",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "01968502",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4253876",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lebanon, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.