DR. GLENN T BLOISO (NPI# 1447363825) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447363825 |
| Entity Type | Individual |
| Full Name | DR. GLENN T BLOISO |
| Credential | MD |
| Practice Address |
1705 Warren Ave Ste 206 Williamsport PA 17701-2664 |
| Mailing Address |
1201 Grampian Blvd Williamsport PA 17701-1900 |
| Practice Telephone | 5703268090 |
| Practice Fax Number | 5703268091 |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2019-07-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | MD035271E | PA | Allopathic & Osteopathic Physicians |
| Street Address |
1705 WARREN AVE STE 206 |
| City | WILLIAMSPORT |
| State | PA |
| Zip Code | 17701-2664 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992702682 | Kenneth Robert Durrwachter | Family Medicine | 1705 Warren Ave, Suite 208, Williamsport, PA 17701-2647 | 2005-07-07 |
| 1043862824 | Karen A Armson | Physical Therapist | 1705 Warren Ave, Williamsport, PA 17701-2647 | 2019-07-12 |
| 1558913202 | Shari Mcelwain Berthold | Physical Therapist | 1705 Warren Ave, Williamsport, PA 17701-2647 | 2019-07-12 |
| 1740832609 | Joan Winslow | Physical Therapist | 1705 Warren Ave, Williamsport, PA 17701-2647 | 2019-07-11 |
| 1184276065 | Kristen Durrwachter | Physical Medicine & Rehabilitation | 1705 Warren Ave, Williamsport, PA 17701-2647 | 2019-07-11 |
| 1538563804 | Amber Snyder | Specialist/Technologist, Other | 1705 Warren Ave, Suite 103, Williamsport, PA 17701-2647 | 2014-10-15 |
| 1821406547 | Crystal Jean Loose | Physician Assistant | 1705 Warren Ave, Suite 101-103, Williamsport, PA 17701-2647 | 2014-07-25 |
| 1467865204 | Erin Foley | Physician Assistant | 1705 Warren Ave, Suite 101-103, Williamsport, PA 17701-2647 | 2014-06-10 |
| 1215361639 | Megan Ann Sechrist | Physician Assistant | 1705 Warren Ave, Suite 204-205, Williamsport, PA 17701-2647 | 2013-08-22 |
| 1598198525 | Kelly Douglass | Nurse Practitioner | 1705 Warren Ave, Suite 303, Williamsport, PA 17701-2665 | 2013-08-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184267809 | Charlene Angella Pitter | Nurse Practitioner | 170 Warren Ave, Williamsport, PA 17701 | 2019-10-25 |
| 1396395299 | Susan E Fetzer | Occupational Therapy Assistant | Upmc Susquehanna,625 West Edwin Street, Williamsport, PA 17701 | 2019-09-13 |
| 1184280984 | Craig Andrew Tuller | Student in an Organized Health Care Education/Training Program | Williamsport Family Medicine Residency, 740 High Street, Suite 4001, Williamsport, PA 17701 | 2019-05-16 |
| 1760048045 | Michael Harvey | Student in an Organized Health Care Education/Training Program | 740 High St. Suite 4001, Williamsport, PA 17701 | 2019-05-13 |
| 1275196008 | Olivia Fladmark | Student in an Organized Health Care Education/Training Program | Williamsport Family Medicine Residency 740 High St, Suite 4001, Williamsport, PA 17701 | 2019-04-17 |
| 1528551231 | Mark Hampton Chiropractic Inc. | Durable Medical Equipment & Medical Supplies | 1111 East 3rd Street, Williamsport, PA 17701 | 2018-06-08 |
| 1548710882 | Central Pennsylvania Rehabilitation Medicine, Inc | Physical Medicine & Rehabilitation | 460 River Ave Ste 1, Williamsport, PA 17701 | 2016-10-11 |
| 1376096784 | Christine Kessler | Physician Assistant | One College Ave, Penna. College of Tech, Pa Program Dif 123, Williamsport, PA 17701 | 2016-08-02 |
| 1629440276 | Matthew Ray Rebuck | Specialist/Technologist | 220 N Reach Rd, Williamsport, PA 17701 | 2015-10-22 |
| 1508237223 | Neihl Williamson | Physician Assistant | 1205 Grampian Blvd Ste 3c, Williamsport, PA 17701 | 2015-10-08 |
| Find all providers in zip 17701 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750493441 | Susquehanna Urologic Associates Ltd | Urology | 1705 Warren Ave Ste 206, Williamsport, PA 17701 | 2006-08-31 |
| 1285070425 | David Kurz | Urology | 1705 Warren Ave Ste 206, Williamsport, PA 17701-2664 | 2013-05-15 |
| 1326151705 | A Scott Niditch | Urology | 1705 Warren Ave, Ste 206, Williamsport, PA 17701-2664 | 2006-08-17 |
| 1851404255 | Steven D Rockoff | Urology | 1705 Warren Ave, Ste 206, Williamsport, PA 17701-2664 | 2006-08-17 |
| 1588777908 | Christopher E Reilly | Urology | 1705 Warren Ave, Suite 206, Williamsport, PA 17701-2664 | 2006-08-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184230468 | St Clair Medical Services, Inc. | Urology | 2000 Oxford Dr Ste 410, Bethel Park, PA 15102-1841 | 2020-09-22 |
| 1326673690 | Glade Run Medical Associates, Inc. | Urology | 500 Medical Arts Bldg Ste 520, Kittanning, PA 16201-7137 | 2020-03-07 |
| 1235779943 | Stacey Oberhauser | Urology | Center for Urologic Care of Berks County, 1320 Broadcasting Road, Suite 200, Wyomissing, PA 19610 | 2020-01-10 |
| 1558859645 | East Freedom Surgical Associates, LLC | Urology | 15721 Dunnings Hwy, Duncansville, PA 16635 | 2018-04-25 |
| 1528560943 | Lancaster Urology PC | Urology | 175 Martin Ave Ste 300, Ephrata, PA 17522-1761 | 2018-03-01 |
| 1841706561 | Urology of Central Pennsylvania, Inc | Urology | 815 Sir Thomas Ct Ste 100, Harrisburg, PA 17109-4839 | 2017-12-18 |
| 1003326869 | St Luke's Physician Group Inc | Urology | 5325 Northgate Dr Ste 203, Bethlehem, PA 18017-9413 | 2017-10-06 |
| 1952829350 | Centers for Advanced Urology, LLC | Urology | 140 W Germantown Pike Ste 250, Plymouth Meeting, PA 19462-1421 | 2017-09-06 |
| 1346767944 | Nazareth Physician Services | Urology | 2701 Holme Ave Ste 101, Phila, PA 19152-2029 | 2017-08-24 |
| 1710403191 | Mercy Management of Sepa | Urology | 501 S 54th St Ste 227, Phila, PA 19143-1900 | 2017-08-17 |
| Find all providers with the same taxonomy | ||||
| City | WILLIAMSPORT |
| Zip Code | 17701 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.