Individual provider Active NPI

Barbara A. Klatchko, M.D.

  • Surgery Physician
  • Lebanon, PA
National Provider Identifier
1104874932
Registry record updated Mar 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MD044211E Issued in PA
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

Updated by the provider on Mar 11, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1519910OtherPAGATEWAY
A0612189OtherHEALTHONE
P-42051920OtherMULTI-PLAN
0012789490004MedicaidPA
612189OtherBLUE SHIELD
233096442010OtherBC/BS UNITED OF WISCONSIN
01968502OtherBLUE CROSS
4253876OtherAETNA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230130001353 PA Order and Referring Only - General SurgeryPractitioner - General Surgery 3971598913

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD044211EPAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew 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

Verify at the official NPI Registry.