Active NPI
Glade Run Medical Associates
- Obstetrics & Gynecology Physician
- Kittanning, PA
National Provider Identifier
1659693133
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- Legal business name
- GLADE RUN MEDICAL ASSOCIATES
- Practice address
- 200 Medical Arts BLDG Ste 230
Kittanning, PA 16201-7132 - Phone
- (724) 543-8784
- Fax
- (724) 543-8764
- NPI assigned
- Feb 24, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nichole Geraci
- Title
- Ceo
- Phone
- (724) 543-8500
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | Primary |
Addresses
Primary practice location
200 Medical Arts BLDG Ste 230
Kittanning, PA 16201-7132
Mailing address
1 Nolte Dr
Kittanning, PA 16201-7111
Phone (724) 543-8500
Other practice location 1
1707 Union Ave
Natrona Heights, PA 15065-2104
Phone (724) 904-7062
Other practice location 2
102 South St
New Bethlehem, PA 16242-1238
Phone (814) 275-2264
Other practice location 3
619 S Pike Rd
Sarver, PA 16055-9299
Phone (724) 543-8784
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1024592620010 | Medicaid | PA |
Other names 1
- ABC Women's Care
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
Other NPIs on the same Medicare enrollment 25
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Obstetrics & Gynecology Physician
- Kittanning, PA
- NPI 1174845655
O20100806000006
-
- Internal Medicine Physician
- Kittanning, PA
- NPI 1326357443
O20100806000006
-
- Orthopaedic Surgery Physician
- Kittanning, PA
- NPI 1366702029
O20100806000006
-
- Neurological Surgery Physician
- Kittanning, PA
- NPI 1740502251
O20100806000006
National Provider Directory
National Provider DirectoryLocations
619 S Pike Rd
Sarver, PA 16055
Phone (724) 295-2700
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatry Physician
- Kittanning, PA
- NPI 1891884185
-
- Surgery Physician
- Kittanning, PA
- NPI 1467915587
-
- Family Nurse Practitioner
- Kittanning, PA
- NPI 1386981793
-
- Physician Assistant
- Pittsburgh, PA
- NPI 1700983004
-
- Gastroenterology Physician
- Cookeville, TN
- NPI 1689833048
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1266969600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757894400000",
"number": "1659693133",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 NOLTE DR",
"city": "KITTANNING",
"state": "PA",
"postal_code": "162017111",
"telephone_number": "724-543-8500",
"fax_number": "724-543-8616"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 MEDICAL ARTS BLDG STE 230",
"city": "KITTANNING",
"state": "PA",
"postal_code": "162017132",
"telephone_number": "724-543-8784",
"fax_number": "724-543-8764"
}
],
"practiceLocations": [
{
"address_1": "1707 Union Ave",
"address_purpose": "LOCATION",
"city": "Natrona Heights",
"state": "PA",
"postal_code": "150652104",
"country_code": "US",
"telephone_number": "724-904-7062",
"fax_number": "724-543-8764",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "102 South St",
"address_purpose": "LOCATION",
"city": "New Bethlehem",
"state": "PA",
"postal_code": "162421238",
"country_code": "US",
"telephone_number": "814-275-2264",
"fax_number": "814-275-7875",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "619 S Pike Rd",
"address_purpose": "LOCATION",
"city": "Sarver",
"state": "PA",
"postal_code": "160559299",
"country_code": "US",
"telephone_number": "724-543-8784",
"fax_number": "724-543-8764",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "GLADE RUN MEDICAL ASSOCIATES",
"organizational_subpart": "NO",
"enumeration_date": "2010-02-24",
"last_updated": "2025-09-15",
"certification_date": "2025-09-15",
"status": "A",
"authorized_official_last_name": "GERACI",
"authorized_official_first_name": "NICHOLE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "724-543-8500"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1024592620010",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "ABC Women's Care",
"code": "5",
"type": "Other Name"
},
{
"organization_name": "ABC Women's Care",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Kittanning, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.