DR. KATHLEEN DESTEFANO GLENN


Address: 196 W Sproul Rd, Healthplex Suite 205, Springfield, PA 19064-2045
Phone: 6106040888

DR. KATHLEEN DESTEFANO GLENN (NPI# 1760772198) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1760772198
Entity Type Individual
Full Name DR. KATHLEEN DESTEFANO GLENN
Credential D.O.
Practice Address 196 W Sproul Rd
Healthplex Suite 205
Springfield
PA 19064-2045
Practice Telephone 6106040888
Mailing Telephone 6106040888
Enumeration Date 2011-04-19
Last Update Date 2015-05-20
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208000000X Pediatrics OS017291 PA Allopathic & Osteopathic Physicians
N 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Other Providers KATHLEEN GLENN

NPI Name Taxonomy Address Enumeration
1932738150 Kathleen Glenn Pediatrics 252 S 4th St, Lebanon, PA 17042-6111 2020-04-08
1386177749 Kathleen A Glenn Physician Assistant 2821 New Hartford Rd, Owensboro, KY 42303-1320 2017-04-04
1316150428 Kathleen J Glenn Physician Assistant 23 Hammond Ln, Plattsburgh, NY 12901-2000 2007-05-07

Office Location

Street Address 196 W SPROUL RD
HEALTHPLEX SUITE 205
City SPRINGFIELD
State PA
Zip Code 19064-2045

Providers in the same location

NPI Name Taxonomy Address Enumeration
1669446159 Domenic Pisano Internal Medicine 196 W Sproul Rd, Suite 106, Springfield, PA 19064-2045 2006-02-14
1629575204 Kennneth Joseph Santello Family Medicine 196 W Sproul Rd, Springfield, PA 19064-2045 2018-04-10
1336645860 Rocky Marsero Physical Medicine & Rehabilitation 196 W Sproul Rd, Springfield, PA 19064-2045 2018-04-03
1528413002 Prospect Health Access Network, Inc. Family Medicine 196 W Sproul Rd, Suite 110, Springfield, PA 19064-2045 2016-05-03
1891182283 Jeff Ellis Specialist/Technologist 196 W Sproul Rd, Springfield, PA 19064-2045 2015-04-23
1417278789 Kevin Duprey Family Medicine 196 W Sproul Rd, Suite 110, Springfield, PA 19064-2045 2010-06-21
1558689745 Kenneth Kim Wynne Physician Assistant 196 W Sproul Rd, Suite 110, Springfield, PA 19064-2045 2010-05-12
1669682324 Health Access Network Obstetrics & Gynecology 196 W Sproul Rd, Suite 209, Springfield, PA 19064-2045 2007-05-23
1538287644 Health Access Network Family Medicine 196 W Sproul Rd, Suite 110, Springfield, PA 19064-2045 2007-03-27
1629109616 Kathleen Milliken Nurse Practitioner 196 W Sproul Rd, Springfield, PA 19064-2045 2007-03-08
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1023513058 Prospect Crozer Home Health and Hospice, LLC Hospice Care, Community Based 200 W. Sroul Road, Springfield, PA 19064 2018-03-30
1912369539 Olga Burt Physical Therapy Assistant 146 Rose Lane, Springfield, PA 19064 2016-03-23
1124407309 Communities of Don Guanella and Divine Providence Intermediate Care Facility, Mentally Retarded 1745 S. Sproul Rd, Springfield, PA 19064 2015-05-21
1477932655 Communities of Don Guanella and Divine Providence Intermediate Care Facility, Mentally Retarded 1755 S. Sproul Rd, Springfield, PA 19064 2015-05-21
1003295288 Communities of Don Guanella and Divine Providence Intermediate Care Facility, Mentally Retarded 1765 S. Sproul Rd, Springfield, PA 19064 2015-05-21
1427483742 Casseys Optical Inc Durable Medical Equipment & Medical Supplies 139 S State Road, Springfield, PA 19064 2013-09-05
1184982225 Ultimate Hearing Solutions II, LLC Audiologist-Hearing Aid Fitter 471 Baltimore Pike, Springfield, PA 19064 2012-04-26
1295091684 Theresa Nolan Registered Nurse 194 West Sprould Road, Suite 105, Springfield, PA 19064 2012-04-10
1649551367 Pa Center for Hearing and Balance, LLC Hearing Aid Equipment 760 W Sproul Road, Suite 103, Springfield, PA 19064 2011-09-08
1376864694 Cynthia Lacapra Family Medicine 965 Baltimore Pike Ste B2, Springfield, PA 19064 2010-06-22
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Taxonomy Information

Taxonomy Code 208000000X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics

Taxonomy Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio
- Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1467074492 Kinnera Are Pediatrics 400 N 9th St Ste 4a, Springfield, IL 62702-5310 2020-05-13
1306208368 Mckenzie Smith Pediatrics 2115 S Fremont Ave Ste 2900, Springfield, MO 65804-2233 2016-03-28
1790181402 Sonam Verma Pediatrics 400 N 9th St # 4a, Springfield, IL 62702-5310 2014-11-06
1619382132 Eric D Mcfeely Pediatrics 280 Chestnut Street, 2nd Floor, Springfield, MA 01199-1001 2014-06-23
1073923231 Charlotte Mcknight Pediatrics 6120 Brandon Ave Ste 308, Springfield, VA 22150-2504 2014-04-28
1336437078 Rashmi Jain Pediatrics 1965 S Fremont Ave Ste 260, Springfield, MO 65804-2257 2011-07-15
1861785958 Sienna Vorono Winer Pediatrics 6501 Loisdale Ct., Springfield, VA 22150 2011-05-23
1649581570 Kendra Suzanne Woods Pediatrics 415 N 9th St Ste 2w126, Springfield, IL 62702-5303 2010-06-25
1518117159 Jyoti Assudani Pediatrics 301 N 8th Street, Springfield, IL 62701 2008-09-19
1417105024 Stephen Edward Saunders Pediatrics 5 Orchard Ln, Springfield, IL 62712-8911 2008-09-08
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Competitor

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City SPRINGFIELD
Zip Code 19064

Improve Information

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Dataset Information

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.

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