Glendale Care Center Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

GLENDALE CARE CENTER INC

Practice address

1601 N Broad St
Philadelphia, PA 19122-6024

Phone

(215) 456-7890

NPI assigned

Feb 25, 2010

Last updated

Feb 25, 2010By 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

Michael J Sears

Title

President

Phone

(215) 456-7890

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1267056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267056000000",
    "number": "1154643526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 N BROAD ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191226024",
            "telephone_number": "215-456-7890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 N BROAD ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191226024",
            "telephone_number": "215-456-7890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLENDALE CARE CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-25",
        "last_updated": "2010-02-25",
        "status": "A",
        "authorized_official_last_name": "SEARS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-456-7890"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caroline Rebecca Gleeson, LCSW
• Patrick Kevin Gleeson, MD, MSCE
• Sojourner Gleeson, LSW
• Lauren Gleich, D.O.
• John Gleim, PH.D.
• Glendale Prescription Center Inc (Glendale Prescription Center)
• Maureen P Glendon, MSN, ARNP,BC, CRNP
• Steven Robert Glener, MD
• Glenn B. Truskin,DPM
• Gretchen Leigh Glenn, LCSW

• Family Medicine Physician in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2010; 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.