GLEN ROY DAUGHTRY (NPI# 1578556551) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578556551 |
| Entity Type | Individual |
| Full Name | GLEN ROY DAUGHTRY |
| Credential | D.O. |
| Practice Address |
2850 Commerce Dr Ste 300 Harrisburg PA 17110-9383 |
| Mailing Address |
7 Dock Hill Rd Middleburg PA 17842-8910 |
| Practice Telephone | 7176571361 |
| Practice Fax Number | 7176575396 |
| Mailing Telephone | 5708372123 |
| Mailing Fax Number | 5708372185 |
| Enumeration Date | 2005-08-25 |
| Last Update Date | 2019-11-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | OS006776E | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 0014956000003 | 05 |
| Street Address |
2850 COMMERCE DR STE 300 |
| City | HARRISBURG |
| State | PA |
| Zip Code | 17110-9383 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376082313 | Marissa Anne Riganati | Counselor | 2850 Commerce Dr Ste 300, Harrisburg, PA 17110-9383 | 2017-02-22 |
| 1396937256 | Amy Lynn Zellers | Family Medicine | 2850 Commerce Dr Ste 300, Harrisburg, PA 17110-9383 | 2007-08-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457993271 | Christopher William Delong | Nurse Practitioner | 2501 North 3rd St. Fl 2, Harrisburg, PA 17110 | 2019-10-14 |
| 1306490701 | Melissa Ann Duchesne | Registered Nurse | 2501 North 3rd Street, Landis Building 7th Floor, Harrisburg, PA 17110 | 2019-07-25 |
| 1558845024 | Mary Kaitlin Novak | Counselor | 3605 Vartan Way, Suite 204a, Harrisburg, PA 17110 | 2018-09-20 |
| 1548781602 | Olson Orenson Knight | Internal Medicine | 2501 N. Third Street, Harrisburg, PA 17110 | 2017-06-29 |
| 1356897938 | Millonee Dialysis LLC | Clinic/Center | 4390 Sturbridge Dr, Harrisburg, PA 17110 | 2016-09-01 |
| 1538529268 | Ergency Associates LLC | Emergency Medical Technician, Basic | 2323 Linglestown Road, Unit 201b, Harrisburg, PA 17110 | 2016-02-23 |
| 1134514904 | Benjamin Daniel Chan | Student in an Organized Health Care Education/Training Program | Kline Health Center, 2501 N. Third St., 2nd Floor, Landis Building, Harrisburg, PA 17110 | 2015-03-30 |
| 1013317411 | Robert Derner Jr. | Counselor | 2700 Commerce Dr., Harrisburg, PA 17110 | 2014-09-04 |
| 1780029454 | Khem Kumar Adhikari | Family Medicine | 3601 North Progress Ave., Harrisburg, PA 17110 | 2013-05-07 |
| 1962791905 | Paul Schaffner Stoner Sr. | General Practice | 4500 Oakhurst Blvd., Apt 319, Harrisburg, PA 17110 | 2011-03-30 |
| Find all providers in zip 17110 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649824954 | Novant Medical Group, Inc. | Family Medicine | 6555 Kee Lane, Harrisburg, NC 28075-7463 | 2019-07-25 |
| 1003307067 | Michael Timothy Partin | Family Medicine | 121 Nyes Road, Suite A, Hp09, Harrisburg, PA 17112 | 2018-05-25 |
| 1780029454 | Khem Kumar Adhikari | Family Medicine | 3601 North Progress Ave., Harrisburg, PA 17110 | 2013-05-07 |
| 1457795171 | Sarah Elizabeth Nickolich | Family Medicine | 121 N Nyes Rd Ste F, Harrisburg, PA 17112-3248 | 2013-04-24 |
| 1083989883 | Urgent Cares of America North Carolina Inc | Family Medicine | 4415 Schoolhouse Commons, Harrisburg, NC 28075-7460 | 2012-03-13 |
| 1982975108 | Thomas Raymond Czarnecki | Family Medicine | 4101 Ridgeview Road, Harrisburg, PA 17112 | 2012-01-19 |
| 1659508760 | Samuel Looker | Family Medicine | 4984 Westchester Dr, Harrisburg, PA 17112-2184 | 2009-06-16 |
| 1881854461 | Bernadatte Georga Gilbert | Family Medicine | 121 Nyes Road, Suite A, Penn State Medical Group Nyes Road - Family Medicine I, Harrisburg, PA 17112 | 2008-06-16 |
| 1649445800 | Raselette Agatha Hunt | Family Medicine | 2292 Forest Ln, Harrisburg, PA 17112-6004 | 2008-04-28 |
| 1114094851 | James O Alexander | Family Medicine | 901 S Commercial St, Harrisburg, IL 62946-2640 | 2006-11-29 |
| Find all providers in HARRISBURG | ||||
| City | HARRISBURG |
| Zip Code | 17110 |
Please comment or provide details below to improve the information on GLEN ROY DAUGHTRY.
| 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.