Active NPI
Barbara a. Klatchko, M.D., LTD.
- Surgery Physician
- Lebanon, PA
National Provider Identifier
1174571863
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- MD044211E
- Legal business name
- BARBARA A. KLATCHKO, M.D., LTD.
- Practice address
- 402 S 12TH St
Lebanon, PA 17042-6617 - Phone
- (717) 274-5200
- Fax
- (717) 274-5440
- NPI assigned
- May 4, 2006
- Last updated
- Mar 11, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Barbara A. Klatchko, M.D.
- Title
- President
- Phone
- (717) 274-5440
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
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 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01968502 | Other | BLUE CROSS | |
| 1519910 | Other | PA | GATEWAY |
| P-42051920 | Other | MULTI-PLAN | |
| 4253876 | Other | AETNA | |
| 612189 | Other | BLUE SHIELD | |
| 0012789490004 | Medicaid | PA | |
| A0612189 | Other | HEALTH ONE |
National Provider Directory
National Provider DirectoryLocations
402 S 12th St
Lebanon, PA 17042
Phone (717) 274-5200
Practitioners & affiliated clinicians
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.
-
- Surgery Physician
- Lebanon, PA
- NPI 1104874932
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146700800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1236729600000",
"number": "1174571863",
"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": {
"organization_name": "BARBARA A. KLATCHKO, M.D., LTD.",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-04",
"last_updated": "2009-03-11",
"status": "A",
"authorized_official_last_name": "KLATCHKO",
"authorized_official_first_name": "BARBARA",
"authorized_official_middle_name": "A.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "717-274-5440",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery",
"state": "PA",
"license": "MD044211E",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "01968502",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GATEWAY",
"identifier": "1519910",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MULTI-PLAN",
"identifier": "P-42051920",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4253876",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "612189",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0012789490004",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH ONE",
"identifier": "A0612189",
"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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.