Maple Glen Medical Assoc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD023298E Issued in PA

Legal business name

MAPLE GLEN MEDICAL ASSOC

Practice address

1000 E Welsh Rd
Ambler, PA 19002

Phone

(215) 646-0165

Fax

(215) 646-6104

NPI assigned

Mar 6, 2007

Organization subpart

No

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

Authorized official

Name

Glenn A Hyatt, MD

Title

Pres

Phone

(215) 646-0165

Specialties & licenses 3

Addresses

Practitioners 1

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

• Diana Marie Tyler Rocks, D.O.

  • Internal Medicine Physician
  • Horsham, PA
  • NPI 1457670234
  NPD (past)

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1649300393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 E WELSH RD",
            "city": "AMBLER",
            "state": "PA",
            "postal_code": "19002",
            "telephone_number": "215-646-0165",
            "fax_number": "215-646-6104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 E WELSH RD",
            "city": "AMBLER",
            "state": "PA",
            "postal_code": "19002",
            "telephone_number": "215-646-0165",
            "fax_number": "215-646-6104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAPLE GLEN MEDICAL ASSOC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HYATT",
        "authorized_official_first_name": "GLENN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "215-646-0165",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD023298E",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "OS008558L",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "SP009090",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gillian Kelly Makowski, MA CCC-SLP
• Michael John Malloy, LBS
• Molly Malloy, PT, OCS
• Grace Manero
• Maple Glen Chiropractic & Wellness
• Joseph H Margolis, D.C.
• Jamie Martz, CPHT.
• Emily Catherine Masko, LPC
• Liliya May
• Ashley Elizabeth Mayes, RD

• Internal Medicine Physician in Ambler, PA
• Providers in Ambler, PA by specialty
• Internal Medicine Physician in Pennsylvania

• 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.