Organization Active NPI

Richard P. Glunk, M.D., L.L.C.

  • Plastic Surgery Physician
  • King of Prussia, PA
National Provider Identifier
1306048004
Registry record updated Dec 3, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
Legal business name
RICHARD P. GLUNK, M.D., L.L.C.
Practice address
216 Mall Blvd
Suite 101
King of Prussia, PA 19406-2923
Phone
(610) 354-8800
NPI assigned
Jun 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2007

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

Authorized official

Name
Richard Glunk
Title
President
Phone
(610) 354-8800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208200000X Primary

Addresses

Primary practice location

216 Mall Blvd
Suite 101
King of Prussia, PA 19406-2923

Mailing address

216 Mall Blvd
Suite 101
King of Prussia, PA 19406-2923

Other identifiers 1

IdentifierTypeStateIssuer
438111OtherPAMEDICARE ID

National Provider Directory

National Provider Directory

Locations

20128 Valley Forge Cir
King of Prussia, PA 19406
Phone (610) 213-5566

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1180915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196640000000",
    "number": "1306048004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 MALL BLVD",
            "address_2": "SUITE 101",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194062923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 MALL BLVD",
            "address_2": "SUITE 101",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194062923",
            "telephone_number": "610-354-8800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD P. GLUNK, M.D., L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-04",
        "last_updated": "2007-12-03",
        "status": "A",
        "authorized_official_last_name": "GLUNK",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "610-354-8800"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "438111",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in King of Prussia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2007; 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.