Active NPI
Martin J Glynn, MD
- Internal Medicine Physician
- Abington, PA
National Provider Identifier
1972670933
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD019141E
- Practice address
- 1200 Old York Rd
Abington Memorial Hospital
Abington, PA 19001-3720 - Phone
- (215) 481-4213
- Fax
- (215) 481-3095
- NPI assigned
- Nov 28, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD019141E | PA | Primary |
Addresses
Primary practice location
1200 Old York Rd
Abington Memorial Hospital
Abington, PA 19001-3720
Mailing address
1601 Cherry St
Ste 11511
Philadelphia, PA 19102-1321
Phone (215) 255-7822
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000796162 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Windber Hospital, Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- General Acute Care Hospital
- Windber, PA
- NPI 1275620536
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1472515200000",
"number": "1972670933",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1601 CHERRY ST",
"address_2": "STE 11511",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191021321",
"telephone_number": "215-255-7822",
"fax_number": "215-255-7825"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 OLD YORK RD",
"address_2": "ABINGTON MEMORIAL HOSPITAL",
"city": "ABINGTON",
"state": "PA",
"postal_code": "190013720",
"telephone_number": "215-481-4213",
"fax_number": "215-481-3095"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLYNN",
"first_name": "MARTIN",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-28",
"last_updated": "2016-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PA",
"license": "MD019141E",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000796162",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Abington, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.