DR. GLENN H. BOCK (NPI# 1942275227) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942275227 |
| Entity Type | Individual |
| Full Name | DR. GLENN H. BOCK |
| Credential | M.D. |
| Practice Address |
100 N Academy Ave Danville PA 17822-1339 |
| Mailing Address |
100 N Academy Ave Danville PA 17822-3034 |
| Practice Telephone | 5702716440 |
| Practice Fax Number | 5702716002 |
| Mailing Telephone | 5702716144 |
| Mailing Fax Number | 5702716578 |
| Enumeration Date | 2006-02-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0210X |
Pediatrics Specialization: Pediatric Nephrology |
MD424824 | PA | Allopathic & Osteopathic Physicians |
| Street Address |
100 N ACADEMY AVE |
| City | DANVILLE |
| State | PA |
| Zip Code | 17822-1339 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861495996 | David J Salinger | Radiology | 100 N Academy Ave, Danville, PA 17822-2385 | 2005-05-23 |
| 1467053751 | Geisinger Clinc | Advanced Practice Midwife | 100 N Academy Ave, Danville, PA 17822-4903 | 2020-11-04 |
| 1144829649 | Felicia Mazzoni Sweeney | Nurse Practitioner | 100 N Academy Ave, Danville, PA 17822-9800 | 2020-10-26 |
| 1013516988 | Julia Elizabeth Dawson | Audiologist | 100 N Academy Ave, Danville, PA 17822-0001 | 2020-10-21 |
| 1114525888 | Madelyn Elise Stabinski | Pharmacist | 100 N Academy Ave, Danville, PA 17822-0001 | 2020-10-14 |
| 1316545304 | Victor Theodore Mallory | Physician Assistant | 100 N Academy Ave, Danville, PA 17822-9800 | 2020-10-13 |
| 1578160412 | Allison Nicole Hamner | Pharmacist | 100 N Academy Ave, Danville, PA 17822-0001 | 2020-10-05 |
| 1891392064 | Kaitlyn Kishbaugh | Speech-Language Pathologist | 100 N Academy Ave, Danville, PA 17822-9800 | 2020-10-01 |
| 1174138150 | Anna Marie Cruz | Psychologist | 100 N Academy Ave, Geisinger Medical Center, Danville, PA 17822-1335 | 2020-09-15 |
| 1649884933 | Heather M Krohn | Nurse Anesthetist, Certified Registered | 100 N Academy Ave, Danville, PA 17822-9800 | 2020-09-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366062895 | Staci Lee Benoit | Student in an Organized Health Care Education/Training Program | 100 North Academy Avenue Geisinger Medical Center, Danville, PA 17822 | 2020-04-24 |
| 1275162018 | Kristena Yossef | Student in an Organized Health Care Education/Training Program | Geisinger Medical Center, 100 North Academy Avenue, Da, Danville, PA 17822 | 2020-04-03 |
| 1003470444 | Intekhab Askari Syed Ahmad Raza | Student in an Organized Health Care Education/Training Program | 100 North Academy Avenue, Geisinger Medical Center, Danville, PA 17822 | 2019-04-30 |
| 1841766334 | Sarah Louise Dearment | Counselor | Geisinger Medical Center: Department of Psychiatry, 100 N. Academy Avenue, Danville, PA 17822 | 2018-10-23 |
| 1548753908 | Josie Pervola | Genetic Counselor, MS | 100 N Academy Ave Mc-26-20, Danville, PA 17822 | 2018-06-11 |
| 1477059350 | Martha Niemiec | Counselor | Geisinger Medical Center Department of Psychiatry, 100 North Academy Avenue, Danville, PA 17822 | 2018-04-01 |
| 1730625450 | Nir Shimony | Neurological Surgery | 100 N. Academy Ave., Geisinger Medical Center, Neurosurgery Department, Danville, PA 17822 | 2017-01-19 |
| 1164877197 | Britta Hunter | Speech-Language Pathologist | 100 N. Academy Ave., Danville, PA 17822 | 2016-04-27 |
| 1891180725 | Zach Rottmann | Internal Medicine | Geisinger Medical Center, 100 North Academy Avenue, Danville, PA 17822 | 2015-03-30 |
| 1891063251 | John D Chakan | Pharmacist | 1000 S Second St, Sunbury, PA 17822 | 2011-12-13 |
| Find all providers in zip 17822 | ||||
| Taxonomy Code | 2080P0210X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Nephrology |
| A pediatrician who deals with the normal and abnormal development and maturation of the kidney and urinary tract, the mechanisms by which the kidney can be damaged, the evaluation and treatment of renal diseases, fluid and electrolyte abnormalities, hypertension and renal replacement therapy. |
| 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/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316092554 | David N Kenagy | Pediatrics | 100 North Academy Ave, Danville, PA 17822-9800 | 2007-01-25 |
| 1194825059 | Dianne G Muchant | Pediatrics | 100 N Academy Ave, Danville, PA 17822-1339 | 2006-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386018844 | Brenda Cooperstone | Pediatrics | 394 Strathmore Dr, Bryn Mawr, PA 19010-1261 | 2015-11-20 |
| 1891037644 | Martin Sander Polinsky | Pediatrics | 953 Caledonia St, Philadelphia, PA 19128-1129 | 2013-03-20 |
| 1306135769 | Ruth Panzer Gottlieb | Pediatrics | 3300 Darby Rd Apt 5213, Haverford, PA 19041-7706 | 2011-04-06 |
| 1588826317 | Seth Schulman | Pediatrics | 15 Beth Dr, Ambler, PA 19002-1930 | 2008-07-02 |
| 1609986421 | Yosuke Miyashita | Pediatrics | 4401 Penn Ave / Faculty Pavilion, 44, Children's Hospital of Pittsburgh of Upmc, Pittsburgh, PA 15224 | 2006-08-30 |
| 1265480248 | Jonathan David Heiliczer | Pediatrics | St. Christopher's Hospital for Children, Erie Avenue At Front Street, Philadelphia, PA 19134-1095 | 2006-05-04 |
| 1932106077 | Carlton M Bates | Pediatrics | Upmc Children's Hospital of Pittsburgh, 4401 Penn Avenue, Rangos 5th Floor, Room 5130, Pittsburgh, PA 15201 | 2005-07-05 |
| 1730715830 | Katie Sullivan | Pediatrics | 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 | 2020-03-20 |
| 1568000461 | Stc Pediatrics LLC | Pediatrics | 153 Brodhead Rd, Bethlehem, PA 18017-8931 | 2019-12-11 |
| 1760026991 | Stc Pediatrics LLC | Pediatrics | 500 York Rd Ste 250, Jenkintown, PA 19046-2870 | 2019-10-31 |
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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.