DR. GLENN BAKER CHARLTON (NPI# 1629274956) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629274956 |
| Entity Type | Individual |
| Full Name | DR. GLENN BAKER CHARLTON |
| Credential | M.D. |
| Practice Address |
602 Roemer Blvd Farrell PA 16121-1902 |
| Mailing Address |
100 Shenango Ave Sharon PA 16146-1503 |
| Practice Telephone | 7249812246 |
| Practice Fax Number | 7249810553 |
| Mailing Telephone | 7247048886 |
| Mailing Fax Number | 7243421942 |
| Enumeration Date | 2007-06-24 |
| Last Update Date | 2017-10-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | MD019961E | PA | Allopathic & Osteopathic Physicians |
| N | 207P00000X | Emergency Medicine | 200701478 | NC | Allopathic & Osteopathic Physicians |
| N | 207P00000X | Emergency Medicine | M5097 | TX | Allopathic & Osteopathic Physicians |
| Y | 207Q00000X | Family Medicine | MD019961E | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | BCBS OF NC | 146GA | 01 |
| PA | 000549072 | 05 | |
| NC | 5907696 | 05 |
| Street Address |
602 ROEMER BLVD |
| City | FARRELL |
| State | PA |
| Zip Code | 16121-1902 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851374664 | Anthony F Rossi | Podiatrist | 602 Roemer Blvd, Farrell, PA 16121-1902 | 2005-11-25 |
| 1184821118 | Primary Health Network | Clinic/Center | 602 Roemer Blvd, Farrell, PA 16121-1902 | 2007-07-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154982072 | Elisabeth Katherine Andrews | Student in an Organized Health Care Education/Training Program | 2000 Memorial Drive, Shenango Valley Family Medicine, Suite B, Farrell, PA 16121 | 2019-06-21 |
| 1801456421 | Carissa Antonia Pokrant | Student in an Organized Health Care Education/Training Program | Shenango Valley Family Medicine, 2000 Memorial Dr, Suite B, Farrell, PA 16121 | 2019-06-17 |
| 1326533977 | Kwei Ham Daniel Tan | Student in an Organized Health Care Education/Training Program | 2200 Memorial Dr., Farrell, PA 16121 | 2018-06-26 |
| 1821589631 | Michael Tinyee Hsu | Student in an Organized Health Care Education/Training Program | Horizon Surgical Associates, 2000 Memorial Drive Suite A, Farrell, PA 16121 | 2018-05-29 |
| 1639552722 | Kristin Kennedy | Surgery | 2000 Memorial Drive, Farrell, PA 16121 | 2015-07-07 |
| 1780896514 | Cheryl A Duffy Md Inc | Pediatrics | 1914 Mercer Avenue, Farrell, PA 16121 | 2007-05-04 |
| 1073682829 | Health Care Solutions At Home Inc. | Durable Medical Equipment & Medical Supplies | 1123 Lee Ave, Ste C, Farrell, PA 16121 | 2006-11-07 |
| 1265549489 | Tamara Joy Lowe | Dentist | 919 Sharon New Castle Rd, Farrell, PA 16121 | 2006-08-24 |
| 1568426120 | Diana Cantellops | Specialist | 480. N. Kerrwood Dr., Suite 103, Hermitage, PA 16121 | 2006-04-12 |
| 1528036688 | Arthur Morris Greenbaum | Specialist | Upmc Horizon, 2200 Memorial Drive, Farrell, PA 16121 | 2006-03-14 |
| Find all providers in zip 16121 | ||||
| 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 |
|---|---|---|---|---|
| 1700438454 | Oscar Radi | Family Medicine | 2000 Memorial Dr, Farrell, PA 16121-1366 | 2019-07-12 |
| 1831540517 | Brishti Biswas | Family Medicine | 2200 Memorial Dr, Graduatemedical Education, Farrell, PA 16121-1357 | 2016-06-24 |
| 1679952832 | Amanda Carl | Family Medicine | 2200 Memorial Dr, Farrell, PA 16121-1357 | 2015-05-21 |
| 1588076319 | Meredith Deist | Family Medicine | 2200 Memorial Dr, Farrell, PA 16121-1357 | 2014-05-28 |
| 1154761252 | Derek David Kestila | Family Medicine | 2200 Memorial Dr, Farrell, PA 16121-1357 | 2013-07-03 |
| 1265871131 | Dustin Ross Stanley | Family Medicine | 2200 Memorial Dr, Farrell, PA 16121-1357 | 2013-06-24 |
| 1881032357 | Upmc Community Medicine Inc | Family Medicine | 2000 Green St, Farrell, PA 16121-1364 | 2013-06-06 |
| 1669786612 | Catherine M Novosel | Family Medicine | 2200 Memorial Dr, Farrell, PA 16121-1357 | 2010-08-02 |
| 1093029506 | Park William Bateson | Family Medicine | 2000 Green St, Building A Suite 2, Farrell, PA 16121-1364 | 2010-07-27 |
| 1457551301 | Adam Keith Lucich | Family Medicine | 2200 Memorial Dr, Farrell, PA 16121-1357 | 2007-07-19 |
| Find all providers in FARRELL | ||||
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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.