Active NPI
Glenn Scott Slick Jr., MD
- Anesthesiology Physician
- Mechanicsburg, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- MD495075
- Practice address
- 1995 Technology Pkwy
Mechanicsburg, PA 17050-8522 - Phone
- (717) 782-5118
- Fax
- (717) 782-5854
- NPI assigned
- Mar 24, 2022
- Last updated
- May 10, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | MD495075 | PA | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X | 1588314587 | CT | |
| Anesthesiology Physician | 207L00000X | 1588314587 | CT |
Addresses
Primary practice location
1995 Technology Pkwy
Mechanicsburg, PA 17050-8522
Mailing address
263 Farmington Ave
Farmington, CT 06030-1921
Phone (860) 679-2147
Other practice location 1
67 University Mnr E
Hershey, PA 17033-2809
Phone (570) 983-7886
Other practice location 2
263 Farmington Ave
Farmington, CT 06030-2809
Phone (860) 679-2147
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Pennsylvania State University College of Medicine, 2022
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1995 Technology Pkwy
Mechanicsburg, PA 17050-8522
409 S 2ND St
Harrisburg, PA 17104-1612
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD495075 | PA | MD | Anesthesiology Physician |
| 1588314587 | CT | MD | Student in an Organized Health Care Education/Training Program |
Organizations & group practices 1
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.
-
- Anesthesiology Physician
- Harrisburg, PA
- NPI 1730693979
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1648080000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778371200000",
"number": "1588314587",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "263 FARMINGTON AVE",
"city": "FARMINGTON",
"state": "CT",
"postal_code": "060301921",
"telephone_number": "860-679-2147",
"fax_number": "860-679-4624"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1995 TECHNOLOGY PKWY",
"city": "MECHANICSBURG",
"state": "PA",
"postal_code": "170508522",
"telephone_number": "717-782-5118",
"fax_number": "717-782-5854"
}
],
"practiceLocations": [
{
"address_1": "67 University Mnr E",
"address_purpose": "LOCATION",
"city": "Hershey",
"state": "PA",
"postal_code": "170332809",
"country_code": "US",
"telephone_number": "570-983-7886",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "263 Farmington Ave",
"address_purpose": "LOCATION",
"city": "Farmington",
"state": "CT",
"postal_code": "060302809",
"country_code": "US",
"telephone_number": "860-679-2147",
"fax_number": "860-679-1275",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SLICK",
"first_name": "GLENN",
"middle_name": "SCOTT",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-03-24",
"last_updated": "2026-05-10",
"certification_date": "2026-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Anesthesiology",
"state": "PA",
"license": "MD495075",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "CT",
"license": "1588314587",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "CT",
"license": "1588314587",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mechanicsburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.