Eileen S Glick, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

RN189785L Issued in PA

Practice address

333 N Oxford Valley Rd
Suite 510
Fairless Hills, PA 19030-2624

Phone

(215) 785-0145

Fax

(215) 785-0161

NPI assigned

Jul 13, 2006

Last updated

May 11, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Clinical Pain Management Associates, PC

  • Pain Medicine Physician
  • Fairless Hills, PA
  • NPI 1265488308
  NPD (past)
• Valley Pain Center, L.L.C.

  • Ambulatory Surgical Clinic/Center
  • Huntingdon Valley, PA
  • NPI 1366498115
  NPD (past)
• Integrated Dermatology of Lakeport, PC

  • Dermatology Physician
  • Lakeport, CA
  • NPI 1295276962
  NPD (past)
• Lake Dermatology Medical Assoc Inc

  • Dermatology Physician
  • Lakeport, CA
  • NPI 1437346657
  NPD (past)

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273536000000",
    "number": "1215952841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 606",
            "city": "LANGHORNE",
            "state": "PA",
            "postal_code": "190470606",
            "telephone_number": "215-785-0145",
            "fax_number": "215-785-0161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 N OXFORD VALLEY RD",
            "address_2": "SUITE 510",
            "city": "FAIRLESS HILLS",
            "state": "PA",
            "postal_code": "190302624",
            "telephone_number": "215-785-0145",
            "fax_number": "215-785-0161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLICK",
        "first_name": "EILEEN",
        "middle_name": "S",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-13",
        "last_updated": "2010-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "PA",
            "license": "RN189785L",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NJ",
            "license": "26NJ00195700",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN189785L",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL GOVERNMENT SERVICES (NJ EMPIRE)",
            "identifier": "076960RVB",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "430033948",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jill Gabay, CRNA
• William Anthony Gardner, DC
• Karen Gehris-Murphy, CRNA
• George Larry Geisler IV, DO
• Genesa Home Healthcare & Companion Agency LLC
• Jason Gold, DO
• Gregory R Gordon, MD
• Michael Albert Gorman, D.C.
• Katherine Maria Grinberg, PA-C
• Barbara Gronsky, PHD

• Certified Registered Nurse Anesthetist in Fairless Hills, PA
• Providers in Fairless Hills, PA by specialty
• Certified Registered Nurse Anesthetist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 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.