Active NPI
Glenn D Hamilton MD
- Family Medicine Physician
- Media, PA
National Provider Identifier
1740397652
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- GLENN D HAMILTON MD
- Practice address
- 1088 W Baltimore Pike
Suite #2208
Media, PA 19063-5146 - Phone
- (610) 891-3900
- Fax
- (610) 891-3919
- NPI assigned
- Aug 24, 2006
- 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
- Glenn D Hamilton, MD
- Title
- MD
- Phone
- (610) 891-3900
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
1088 W Baltimore Pike
Suite #2208
Media, PA 19063-5146
Mailing address
1088 W Baltimore Pike
Suite #2208
Media, PA 19063-5146
Phone (610) 891-3900
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156377600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1740397652",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1088 W BALTIMORE PIKE",
"address_2": "SUITE #2208",
"city": "MEDIA",
"state": "PA",
"postal_code": "190635146",
"telephone_number": "610-891-3900",
"fax_number": "610-891-3919"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1088 W BALTIMORE PIKE",
"address_2": "SUITE #2208",
"city": "MEDIA",
"state": "PA",
"postal_code": "190635146",
"telephone_number": "610-891-3900",
"fax_number": "610-891-3919"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GLENN D HAMILTON MD",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-24",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "HAMILTON",
"authorized_official_first_name": "GLENN",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "MD",
"authorized_official_telephone_number": "610-891-3900",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Media, 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.