Active NPI
GK Medical Consulting LLC
- Addiction Medicine (Internal Medicine) Physician
- Dayton, OH
National Provider Identifier
1942682455
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction Medicine (Internal Medicine) Physician
- License
- 35.057549
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction Medicine (Internal Medicine) Physician | 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 DirectoryLocations
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.