Organization Active NPI

Barbara a. Klatchko, M.D., LTD.

  • Surgery Physician
  • Lebanon, PA
National Provider Identifier
1174571863
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
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, 2009By the provider in NPPES
Organization subpart
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

Authorized official

Name
Barbara A. Klatchko, M.D.NPI 1104874932
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)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
01968502OtherBLUE CROSS
1519910OtherPAGATEWAY
P-42051920OtherMULTI-PLAN
4253876OtherAETNA
612189OtherBLUE SHIELD
0012789490004MedicaidPA
A0612189OtherHEALTH ONE

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.