NPIMap

Organization Active NPI

Glade Run Medical Associates Inc

  • Gastroenterology Physician
  • Kittanning, PA
National Provider Identifier
1710857776
Registry record updated Nov 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
GLADE RUN MEDICAL ASSOCIATES INC
Practice address
500 Medical Arts BLDG Ste 530
Kittanning, PA 16201-7137
Phone
(724) 548-3881
Fax
(724) 548-3882
NPI assigned
Nov 6, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2025

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

Authorized official

Name
Nichole Geraci
Title
President and Ceo
Phone
(724) 543-8407

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RG0100X Primary

Addresses

Primary practice location

500 Medical Arts BLDG Ste 530
Kittanning, PA 16201-7137

Mailing address

500 Medical Arts BLDG Ste 530
Kittanning, PA 16201-7137
Phone (724) 548-3881

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100806000006 PA Part B Supplier - Clinic/Group Practice 3577696897 Receives reassigned benefits from 40 practitioners
25 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Kittanning, PA; Sarver, PA; New Bethlehem, PA; Natrona Heights, PA

Other NPIs on the same Medicare enrollment 25

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 25

National Provider Directory

National Provider Directory
Tax ID family
Glade Run Medical Associates7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

99 West Sunbury Rd
Butler, PA 16001
Phone (724) 282-3030

100 Evans Rd
Ste 2
Butler, PA 16001
Phone (724) 431-0676

647 N Broad Street Ext
Grove City, PA 16127
Phone (724) 450-7004

100 Medical Arts Bldg
Ste 130
Kittanning, PA 16201
Phone (724) 545-9672

100 Medical Arts Bldg
Ste 140
Kittanning, PA 16201
Phone (724) 548-4701

316 1st Ave
Ste 275
Kittanning, PA 16201
Phone (724) 545-2200

200 Medical Arts Bldg
Ste 230
Kittanning, PA 16201
Phone (724) 543-8784

Practitioners & affiliated clinicians

Practitioners 38

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.

View all 38

NPI Registry JSON

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

{
    "created_epoch": "1762387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762387200000",
    "number": "1710857776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 MEDICAL ARTS BLDG STE 530",
            "city": "KITTANNING",
            "state": "PA",
            "postal_code": "162017137",
            "telephone_number": "724-548-3881",
            "fax_number": "724-548-3882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 MEDICAL ARTS BLDG STE 530",
            "city": "KITTANNING",
            "state": "PA",
            "postal_code": "162017137",
            "telephone_number": "724-548-3881",
            "fax_number": "724-548-3882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLADE RUN MEDICAL ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-06",
        "last_updated": "2025-11-06",
        "certification_date": "2025-11-06",
        "status": "A",
        "authorized_official_last_name": "GERACI",
        "authorized_official_first_name": "NICHOLE",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "724-543-8407"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Nov 6, 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.

Verify at the official NPI Registry.