Organization Active NPI

GK Medical Consulting LLC

  • Addiction Medicine (Internal Medicine) Physician
  • Dayton, OH
National Provider Identifier
1942682455
Registry record updated Jul 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Internal Medicine) PhysicianTaxonomy code 207RA0401X
License
35.057549 Issued in OH
Legal business name
GK MEDICAL CONSULTING LLC
Practice address
1010 Woodman Dr
Suite 220
Dayton, OH 45432-1400
Phone
(937) 258-0682
NPI assigned
Jun 20, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2023

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

Authorized official

Name
Dr. Glenn Herman Kluge, MD
Title
President
Phone
(937) 838-0036

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RA0401X 35.057549 OH Primary

Addresses

Primary practice location

1010 Woodman Dr
Suite 220
Dayton, OH 45432-1400

Mailing address

1010 Woodman Dr
Suite 220
Dayton, OH 45432-1400
Phone (937) 258-0682

National Provider Directory

National Provider Directory

Locations

1010 Woodman Dr
#220
Dayton, OH 45432
Phone (937) 258-0682

1010 Woodman Dr
Ste 220
Dayton, OH 45432
Phone (937) 258-0682

2611 Wayne Ave
Ste 64
Dayton, OH 45420
Phone (937) 228-0579

NPI Registry JSON

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

{
    "created_epoch": "1434758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688947200000",
    "number": "1942682455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 WOODMAN DR",
            "address_2": "SUITE 220",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454321400",
            "telephone_number": "937-258-0682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 WOODMAN DR",
            "address_2": "SUITE 220",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454321400",
            "telephone_number": "937-258-0682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GK MEDICAL CONSULTING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-20",
        "last_updated": "2023-07-10",
        "certification_date": "2023-07-10",
        "status": "A",
        "authorized_official_last_name": "KLUGE",
        "authorized_official_first_name": "GLENN",
        "authorized_official_middle_name": "HERMAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "937-838-0036",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RA0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": "OH",
            "license": "35.057549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2023; 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.