Donald J Klingen, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD074108L Issued in PA

Practice address

599 Arcola Rd
Main Line Health Center
Collegeville, PA 19426-3954

Phone

(484) 565-8440

Fax

(610) 409-6160

NPI assigned

Jan 22, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Main Line Healthcare

  • Family Medicine Physician
  • Newtown Square, PA
  • NPI 1922077643
  Medicare reassignment NPD

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411430400000",
    "number": "1750434791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "599 ARCOLA RD",
            "address_2": "MAIN LINE HEALTH CENTER",
            "city": "COLLEGEVILLE",
            "state": "PA",
            "postal_code": "194263954",
            "telephone_number": "484-565-8440",
            "fax_number": "610-409-6160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "599 ARCOLA RD",
            "address_2": "MAIN LINE HEALTH CENTER",
            "city": "COLLEGEVILLE",
            "state": "PA",
            "postal_code": "194263954",
            "telephone_number": "484-565-8440",
            "fax_number": "610-409-6160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLINGEN",
        "first_name": "DONALD",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-22",
        "last_updated": "2014-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD074108L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexis Kingcade
• Jessica Kirk, M. ED
• Wasana Klayson
• Rose Anne Klementisz, PTA
• Laura Kline, PHARMD
• Marjana Knezevic, DMD
• Susan Wenonah Koch, M.S., C.G.C.
• Shreya Kolar, DDS
• Lavinash Kooma
• Joseph Kosto, PHARMD

• Family Medicine Physician in Collegeville, PA
• Providers in Collegeville, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2014; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.