NPIMap

Organization Active NPI

Glover Clinic

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Drexel Hill, PA
National Provider Identifier
1447204011
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
MD030384L Issued in PA
Legal business name
GLOVER CLINIC
Practice address
2100 Keystone Avenue
Ste 400
Drexel Hill, PA 19026
Phone
(610) 259-8585
Fax
(610) 259-3679
NPI assigned
May 19, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Homayoon Pasdar, MDNPI 1962628222
Title
President Glover Clinic
Phone
(610) 259-8585

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X MD030384L PA Primary

Addresses

Primary practice location

2100 Keystone Avenue
Ste 400
Drexel Hill, PA 19026

Mailing address

2100 Keystone Avenue
Ste 400
Drexel Hill, PA 19026

Other identifiers 1

IdentifierTypeStateIssuer
0643181MedicaidPA

National Provider Directory

National Provider Directory

Locations

2100 Keystone Ave
Ste 400
Drexel Hill, PA 19026
Phone (215) 259-8585

Practitioners & affiliated clinicians

Practitioners 4

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": "1147996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1447204011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 KEYSTONE AVENUE",
            "address_2": "STE 400",
            "city": "DREXEL HILL",
            "state": "PA",
            "postal_code": "19026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 KEYSTONE AVENUE",
            "address_2": "STE 400",
            "city": "DREXEL HILL",
            "state": "PA",
            "postal_code": "19026",
            "telephone_number": "610-259-8585",
            "fax_number": "610-259-3679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLOVER CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PASDAR",
        "authorized_official_first_name": "HOMAYOON",
        "authorized_official_title_or_position": "PRESIDENT GLOVER CLINIC",
        "authorized_official_telephone_number": "610-259-8585",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "PA",
            "license": "MD030384L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0643181",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Drexel Hill, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.