ROBERT J GLUCKMAN (NPI# 1336110303) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1336110303 |
Entity Type | Individual |
Full Name | ROBERT J GLUCKMAN |
Credential | M.D. |
Practice Address |
9930 Grubbs Rd Wexford PA 15090-9643 |
Mailing Address |
2 Hot Metal St Quantum One, N431 Pittsburgh PA 15203-2348 |
Practice Telephone | 4123671199 |
Practice Fax Number | 4123670216 |
Mailing Telephone | 4124325806 |
Mailing Fax Number | 4124327691 |
Enumeration Date | 2006-01-30 |
Last Update Date | 2009-04-03 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
MD025529E | PA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PA | HIGHMARK BS | 403570 | 01 |
PA | CAQH | 10765082 | 01 |
OH | 2653801 | 05 | |
PA | 0010835630006 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912935792 | Robert A Gluckman | Internal Medicine | 9205 Sw Barnes Rd, Suite Mt 2800, Portland, OR 97225-6603 | 2006-06-29 |
Street Address |
9930 GRUBBS RD |
City | WEXFORD |
State | PA |
Zip Code | 15090-9643 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821068396 | Theodore L Crandall | Internal Medicine | 9930 Grubbs Rd, Wexford, PA 15090-9643 | 2006-01-25 |
1851459036 | Mary Elizabeth Savage | Dentist | 9930 Grubbs Rd, Suite Ll40, Wexford, PA 15090-9643 | 2006-12-04 |
1881658375 | Oncology Hematology Association | Durable Medical Equipment & Medical Supplies | 9930 Grubbs Rd, Wexford, PA 15090-9643 | 2006-04-13 |
1881667525 | Kiran K Rajasenan | Internal Medicine | 9930 Grubbs Rd, Wexford, PA 15090-9643 | 2006-02-13 |
1235101692 | Kimberly A Ott | Nurse Practitioner | 9930 Grubbs Rd, Wexford, PA 15090-9643 | 2006-02-01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932746443 | Lauren Jennifer Kinder | Nurse Practitioner | 103 North Meadows Dr., Suite 220, Wexford, PA 15090 | 2019-12-03 |
1235608365 | Pittsburgh Ear LLC | Audiologist | 6041 Wallace Road Ext, Suite 110, Wexford, PA 15090 | 2018-11-19 |
1659847739 | Anna Zenkova | Physician Assistant | 10466 Perry Highway, Baierl Honda Cpo Building. 2nd Floor., Wexford, PA 15090 | 2018-10-16 |
1831674571 | Comprehensive Care Multi-specialty Physician Organization PC | Internal Medicine | 6400 Brooktree Court., Suite. 320, Wexford, PA 15090 | 2018-09-28 |
1760989115 | Kerry L Vaughn | Nurse Practitioner | 12311 Perry Hwy Fl 1, Wexford, PA 15090 | 2018-04-11 |
1821446097 | John Richard Moesch | Internal Medicine | 9000 Brooktree Rd, Brooktree Office Park, Suite 2000, Hexford, PA 15090 | 2016-05-28 |
1336595511 | Kelly Mea | Occupational Therapist | 10475 Perry Hwy Ste 106g, Wexford, PA 15090 | 2016-05-06 |
1194194282 | Natassia Dickey | Counselor | 101 N Meadows Dr Ste 234, Wexford, PA 15090 | 2015-09-18 |
1912382631 | Jessica Hamilton | Dietitian, Registered | 155 Towne Centre Avenue, Wexford, PA 15090 | 2015-07-23 |
1205211224 | Tamara Domnitz | Optometrist | 110 Vip Dr Ste 301, Wexford, PA 15090 | 2015-07-21 |
Find all providers in zip 15090 |
Taxonomy Code | 207RH0003X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Hematology & Oncology |
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821068396 | Theodore L Crandall | Internal Medicine | 9930 Grubbs Rd, Wexford, PA 15090-9643 | 2006-01-25 |
1881667525 | Kiran K Rajasenan | Internal Medicine | 9930 Grubbs Rd, Wexford, PA 15090-9643 | 2006-02-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598372286 | Bethanie Jones | Internal Medicine | 200 St Lukes Ln Ste 100, Stroudsburg, PA 18360-6218 | 2020-09-26 |
1053930362 | Dubois Regional Medical Center | Internal Medicine | 88 Hospital Rd, Brookville, PA 15825-1368 | 2020-04-16 |
1760947840 | Russell Eugene Kaufman | Internal Medicine | 700 Glengarry Rd, Philadelphia, PA 19118-4111 | 2019-02-04 |
1891204921 | Ahmed Mostafa | Internal Medicine | Hahnemann University Hospital, 230 N. Broad St., Philadelphia, PA 19102 | 2017-09-20 |
1730607755 | Penn State Health Community Medical Group, LLC | Internal Medicine | 233 College Ave Ste 303, Lancaster, PA 17603-3384 | 2017-08-30 |
1831619097 | Pinnacle Health Regional Physicians | Internal Medicine | 233 College Ave Ste 100, Lancaster, PA 17603-3372 | 2017-06-20 |
1194193656 | Allen Oliff | Internal Medicine | 1412 Florence Dr, Gwynedd Valley, PA 19437 | 2015-09-14 |
1679958912 | Lancaster Medical Group, LLC | Internal Medicine | 1575 Highlands Dr Ste 205, Lititz, PA 17543-7507 | 2015-07-28 |
1780077735 | Arnon I Dreyfuss | Internal Medicine | 239 Delancey St, Philadelphia, PA 19106-4318 | 2015-03-16 |
1164841193 | Maria Vershvovsky | Internal Medicine | 440 E Marshall St Ste 101, West Chester, PA 19380-5414 | 2014-04-07 |
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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.