GLENN M SHORT (NPI# 1881693521) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881693521 |
| Entity Type | Individual |
| Full Name | GLENN M SHORT |
| Credential | MD |
| Practice Address |
1501 N Cedar Crest Blvd Suite 110 Allentown PA 18104-2309 |
| Practice Telephone | 6108212828 |
| Practice Fax Number | 6108217915 |
| Mailing Telephone | 6108212828 |
| Mailing Fax Number | 6108217915 |
| Enumeration Date | 2005-07-15 |
| Last Update Date | 2010-08-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
MD024361E | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 001053555 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497212195 | Glenn Short | Counselor | 700 N Main St, Fort Stockton, TX 79735-5626 | 2019-02-28 |
| Street Address |
1501 N CEDAR CREST BLVD SUITE 110 |
| City | ALLENTOWN |
| State | PA |
| Zip Code | 18104-2309 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962405175 | Frederic A Stelzer | Internal Medicine | 1501 N Cedar Crest Blvd, Suite 110, Allentown, PA 18104-2309 | 2005-05-23 |
| 1396193900 | University of Penn-medical Group | Transplant Surgery | 1501 N Cedar Crest Blvd, Suite 110 Liver Transplant, Allentown, PA 18104-2309 | 2016-05-25 |
| 1699133777 | Christine Blasko | Clinical Nurse Specialist | 1501 N Cedar Crest Blvd, Suite 110, Allentown, PA 18104-2309 | 2016-02-04 |
| 1871994871 | Briana Kish | Physician Assistant | 1501 N Cedar Crest Blvd, Suite 110, Allentown, PA 18104-2309 | 2014-09-09 |
| 1124454616 | Katelyn Ann Iacocca | Physician Assistant | 1501 N Cedar Crest Blvd, 110, Allentown, PA 18104-2309 | 2013-09-17 |
| 1891052569 | Patrick Tarran Hickey | Internal Medicine | 1501 N Cedar Crest Blvd, Suite 110, Allentown, PA 18104-2309 | 2012-04-18 |
| 1679806863 | She-yan Wong | Internal Medicine | 1501 N Cedar Crest Blvd, Suite 110, Allentown, PA 18104-2309 | 2009-09-07 |
| 1275722241 | Melissa Gilroy | Physician Assistant | 1501 N Cedar Crest Blvd, Suite110, Allentown, PA 18104-2309 | 2007-10-16 |
| 1396944096 | Shashin Shah | Internal Medicine | 1501 N Cedar Crest Blvd, Suite 110, Allentown, PA 18104-2309 | 2007-07-12 |
| 1558565598 | Adam Louis Peyton | Internal Medicine | 1501 N Cedar Crest Blvd, Suite110, Allentown, PA 18104-2309 | 2007-06-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174134191 | The Calm Space LLC | Social Worker | 2047 Pa-309, Allentown, PA 18104 | 2020-08-13 |
| 1790333458 | Loanna T Nguyen | Nurse Practitioner | 2895 Halmilton Blvd, Suite 202, Allentown, PA 18104 | 2019-08-27 |
| 1093360513 | Meghan Paul | Pharmacist | 1727 W Liberty Street, Unit 2, Allentown, PA 18104 | 2019-08-02 |
| 1750948154 | Patricia Terreros | Counselor | 3057 College Heights Blvd Suite Ll, Allentown, PA 18104 | 2019-05-22 |
| 1023593084 | Hearvana | Clinic/Center | 2200 Wets Hamilton Street Suite 311, Allentown, PA 18104 | 2018-09-26 |
| 1700397098 | Amanda L Sellers | Psychologist | 121 N Cedar Crest Blvd Ste A, Allentown, PA 18104 | 2017-10-13 |
| 1689104457 | Craig Ryan Miller | Physical Therapist | 1651 N Cedar Crest Blvd Ste 100, Allentown, PA 18104 | 2017-06-14 |
| 1780128207 | Brandi Nicole Burns | Pediatrics | 1517 Pond Road, Allentown, PA 18104 | 2016-12-19 |
| 1750824264 | William Edward Thawley | Pharmacist | 322 N 7th St., Allentown, PA 18104 | 2016-12-01 |
| 1609222371 | Extremity Mri Inc | Radiologic Technologist | 3131 College Heights Blvd Ste 400, Allentown, PA 18104 | 2016-05-11 |
| Find all providers in zip 18104 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073047205 | Margaret Spinosa | Internal Medicine | 1627 Chew St Ste 101, Allentown, PA 18102-3648 | 2017-04-14 |
| 1962405175 | Frederic A Stelzer | Internal Medicine | 1501 N Cedar Crest Blvd, Suite 110, Allentown, PA 18104-2309 | 2005-05-23 |
| 1174055271 | Olga Vitorsky | Internal Medicine | 17th & Chew, Suite 101, Allentown, PA 18105 | 2017-03-29 |
| 1649657701 | Travis Magdaleno | Internal Medicine | 1501 N Cedar Crest Blvd Ste 110, Allentown, PA 18104-2309 | 2015-04-28 |
| 1699112359 | Eric Nellis | Internal Medicine | 1501 N Cedar Crest Blvd Ste 110, Eastern Pennsylvania Gastroenterology and Liver Special, Allentown, PA 18104-2309 | 2013-06-04 |
| 1235499898 | Aaron Mendelson | Internal Medicine | 1501 N Cedar Crest Blvd Ste 110, Allentown, PA 18104 | 2012-05-16 |
| 1396944096 | Shashin Shah | Internal Medicine | 1501 N Cedar Crest Blvd, Suite 110, Allentown, PA 18104-2309 | 2007-07-12 |
| 1558565598 | Adam Louis Peyton | Internal Medicine | 1501 N Cedar Crest Blvd, Suite110, Allentown, PA 18104-2309 | 2007-06-13 |
| 1518959360 | Gastroenterology Associates Ltd | Internal Medicine | 3131 College Heights Blvd, Allentown, PA 18104-4812 | 2005-08-18 |
| 1942209697 | Tanveer M Imam | Internal Medicine | 1501 N Cedar Crest Blvd, Suite 110, Allentown, PA 18104-2309 | 2005-07-15 |
| Find all providers in ALLENTOWN | ||||
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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.