MR. GLEN ERIC JOHNSON (NPI# 1750505566) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750505566 |
| Entity Type | Individual |
| Full Name | MR. GLEN ERIC JOHNSON |
| Credential | ATC |
| Practice Address |
3280 Fissels Church Rd Glen Rock PA 17327-8774 |
| Mailing Address |
736 Capri Cir Lewisberry PA 17339-9584 |
| Practice Telephone | 7172354811 |
| Mailing Telephone | 7179324269 |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
RT001236A | PA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124375423 | Glen Howard Johnson | Dentist | University of Washington School of Dentistry, Restorative Dentistry Box 357456, Seattle, WA 98195-0001 | 2012-08-07 |
| 1427291608 | Glen Ralph Johnson | Pharmacist | 901 Santa Fe Trl, Macon, GA 31220-3724 | 2009-04-17 |
| 1992758353 | Glen Lee Johnson | Psychologist | 5123 N Royal Dr, Traverse City, MI 49684-9201 | 2006-05-18 |
| 1619971561 | Glen F Johnson | Physician Assistant | 524 Beaumont Rd, Fayetteville, NC 28304-4443 | 2005-06-09 |
| 1699149831 | Glen Johnson | Physical Therapy Assistant | 231 Warner St, Toms River, NJ 08755-1028 | 2015-11-28 |
| 1841527256 | Glen R Johnson | Marriage & Family Therapist | 25500 Hawthorne Blvd, Suite 2200, Torrance, CA 90505-6829 | 2009-11-05 |
| 1649499138 | Glen R Johnson | Family Medicine | 2636 South Loop W, Suite 925, Houston, TX 77054-2680 | 2007-04-24 |
| 1720138399 | Glen Ric Johnson | Chiropractor | 4702 Northwest Hwy, Garland, TX 75043-4912 | 2007-01-12 |
| 1326157298 | Glen Eric Johnson | Psychiatry & Neurology | 3940 West 4100 South, West Valley City, UT 84120 | 2006-08-30 |
| 1942224258 | Glen E Johnson | Orthopaedic Surgery | 675 Old Ballas Rd Ste 100, Creve Coeur, MO 63141-7083 | 2006-07-27 |
| Street Address |
3280 FISSELS CHURCH RD |
| City | GLEN ROCK |
| State | PA |
| Zip Code | 17327-8774 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922121516 | Southern York County School District | Local Education Agency (LEA) | 3280 Fissels Church Rd, Glen Rock, PA 17327-8774 | 2007-04-09 |
| 1104394105 | Kallie Lynn Heiges | Specialist/Technologist | 3280 Fissels Church Rd, Glen Rock, PA 17327-8774 | 2018-11-07 |
| 1083068449 | Jason Schoonover | Specialist/Technologist | 3280 Fissels Church Rd, Glen Rock, PA 17327-8774 | 2016-04-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306192208 | Zoe Windham Hunter Travers | Counselor | 12869 Rennoll Rd, Glen Rock, PA 17327 | 2012-07-28 |
| 1386825644 | Dr. Wayne A. Mundis | Eyewear Supplier (Equipment, not the service) | 46 Water St, Glen Rock, PA 17327-1011 | 2007-11-15 |
| 1679612659 | David Robert Wells | Chiropractor | 40 Water St, Glen Rock, PA 17327-1011 | 2007-02-06 |
| 1891810040 | Southern York County Chiropractic | Chiropractor | 40 Water St, Glen Rock, PA 17327-1011 | 2007-03-20 |
| 1033199583 | Wayne Mundis | Optometrist | 46 Water St, Glen Rock, PA 17327-1011 | 2006-01-20 |
| 1972509891 | Glen Rock Emergency Medical Services Inc | Ambulance | 59 Water St, Glen Rock, PA 17327-1015 | 2005-06-24 |
| 1528061504 | Donald Michael Thompson | Dentist | 148 Manchester St, Glen Rock, PA 17327-1345 | 2005-05-24 |
| 1730746090 | Jonelle Lynn Lund | Registered Nurse | 4145 Bosley School Rd, Glen Rock, PA 17327-7713 | 2019-05-22 |
| 1598233348 | Tucker Daniel Devilbiss | Specialist/Technologist | 4449 Sunny Slope Rd, Glen Rock, PA 17327-7843 | 2018-11-09 |
| 1366847345 | Amanda Colvin | Counselor | 878 W Forrest Ave, Glen Rock, PA 17327-7913 | 2014-11-03 |
| Find all providers in zip 17327 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598233348 | Tucker Daniel Devilbiss | Specialist/Technologist | 4449 Sunny Slope Rd, Glen Rock, PA 17327-7843 | 2018-11-09 |
| 1104394105 | Kallie Lynn Heiges | Specialist/Technologist | 3280 Fissels Church Rd, Glen Rock, PA 17327-8774 | 2018-11-07 |
| 1083068449 | Jason Schoonover | Specialist/Technologist | 3280 Fissels Church Rd, Glen Rock, PA 17327-8774 | 2016-04-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942801642 | Allison Zilonis | Specialist/Technologist | 1923 Oak Hills Dr, Hanover, PA 17331-8522 | 2020-11-08 |
| 1487255642 | Siarra Grace Crum | Specialist/Technologist | 102 Bellwood Lane, Portage, PA 15946-1441 | 2020-11-04 |
| 1841891108 | Sydney Charles | Specialist/Technologist | 6325 Martins Mill Rd, Philadelphia, PA 19111-5321 | 2020-11-03 |
| 1871194308 | Alexander Hedrick | Specialist/Technologist | 33 Derstine Rd, Hatfield, PA 19440-3406 | 2020-11-02 |
| 1114528684 | Kelsey E Craig | Specialist/Technologist | 1856 N 16th St Apt 1r, Philadelphia, PA 19121-3301 | 2020-11-02 |
| 1740881333 | David Williams | Specialist/Technologist | 3100 W Thompson St Apt 42, Philadelphia, PA 19121-4485 | 2020-11-02 |
| 1992305940 | Alexandra Bossi | Specialist/Technologist | 450 N 18th St Apt 1032, Philadelphia, PA 19130-4198 | 2020-10-29 |
| 1043810021 | Randy W Dillon | Specialist/Technologist | 617c Chester Pike, Prospect Park, PA 19076-1506 | 2020-10-28 |
| 1871193086 | Troy Olsheski | Specialist/Technologist | 1970 Easton Tpke, Lake Ariel, PA 18436-4661 | 2020-10-27 |
| 1982203055 | Josiah Thompson | Specialist/Technologist | 20 Heather Rd, Feasterville Trevose, PA 19053-6320 | 2020-10-20 |
| Find all providers with the same taxonomy | ||||
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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.