Glenn Gordon Hamm, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

MD029612E Issued in PA

Practice address

3512 State Route 257
Suite 106
Seneca, PA 16346-2946

Phone

(814) 677-3717

Fax

(814) 677-8914

NPI assigned

Aug 15, 2005

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

Other identifiers 2

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Hope Pediatrics PC

  • Pediatrics Physician
  • Seneca, PA
  • NPI 1114294006
  NPD (past) Authorized official

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

{
    "created_epoch": "1124064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610323200000",
    "number": "1992707350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3512 STATE ROUTE 257 STE 108",
            "city": "SENECA",
            "state": "PA",
            "postal_code": "163462946",
            "telephone_number": "814-677-3717",
            "fax_number": "814-677-8914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3512 STATE ROUTE 257",
            "address_2": "SUITE 106",
            "city": "SENECA",
            "state": "PA",
            "postal_code": "163462946",
            "telephone_number": "814-677-3717",
            "fax_number": "814-677-8914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMM",
        "first_name": "GLENN",
        "middle_name": "GORDON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-15",
        "last_updated": "2021-01-11",
        "certification_date": "2021-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MD029612E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0010113300004",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "MD029612E",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "drhamm@hopepediatrics.medentdirect.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "3512 State Route 257",
            "address_2": "Suite 106",
            "city": "Seneca",
            "state": "PA",
            "country_code": "US",
            "postal_code": "163462946",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Razvan N Gramatovici, M.D.
• Carolee Jeanine Greenawalt, NP-C
• Christina Renee Greggs
• Metin Gunduz, M.D.
• Karen E. Guth, P.T.
• Thomas Heeter, O.D.
• Darcy R Henderson, SLP
• Kathryn Henderson, CRNP
• Clair A Hepler, RPH
• Ian Hepler

• Pediatrics Physician in Seneca, PA
• Providers in Seneca, PA by specialty
• Pediatrics Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2021; 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.