Glen R Daughtry (NPI# 1578556551, PAC ID# 4587790001) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1578556551 |
| PAC ID by PECOS | 4587790001 |
| Professional Enrollment ID | I20100409000047 |
| Full Name | Glen R Daughtry |
| Organization Legal Name | FAMILY PRACTICE CENTER PC |
| Address |
2850 Commerce Dr Harrisburg PA 17110-9383 |
| Phone Number | 7176571361 |
| Gender | M |
| Medical School | WEST VIRGINIA SCHOOL OF OSTEOPATHIC MEDICINE |
| Graduation Year | 1987 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 0244124212 |
| Number of Group Practice Members | 236 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 390067 | PINNACLE HEALTH HOSPITALS |
| 390004 | HOLY SPIRIT HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2850 Commerce Dr, Harrisburg, PA 17110-9383 | 7176571361 | FAMILY PRACTICE CENTER PC |
| Organization Legal Name | FAMILY PRACTICE CENTER PC |
| Physicians | 244 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kayla M Ganger | Physician Assistant | Family Practice Center PC | 1900 Bridge St, New Cumberland, PA 17070-1127 |
| Kaitlin L Plummer | Family Medicine | Family Practice Center PC | 225 N Front St, Steelton, PA 17113-2240 |
| Taryn J Deantonio | Nurse Practitioner | Family Practice Center PC | 246 S Main St, Hughesville, PA 17737-1614 |
| Lylah D Starks | Nurse Practitioner | Family Practice Center PC | 36 S River Rd, Halifax, PA 17032-8614 |
| Kyle L Mcmanigle | Physician Assistant | Family Practice Center PC | 1072 Market St, Sunbury, PA 17801-2458 |
| Lisa D Miller | Physician Assistant | Family Practice Center PC | 2813 Industrial Park Rd, Mifflintown, PA 17059-9078 |
| Jeremy D Lazorka | Physician Assistant | Family Practice Center PC | 7133 Nittany Valley Dr, Mill Hall, PA 17751-9013 |
| Kelly Ann Kuzminski | Physical Therapy | Family Practice Center PC | 318 New Bloomfield Rd, Duncannon, PA 17020-9503 |
| Brynne A Manning | Physical Therapy | Family Practice Center PC | 4897 State Route 209, Elizabethville, PA 17023-8455 |
| Alexander C Duffy | Physician Assistant | Family Practice Center PC | 689 Yorktown Rd, Lewisberry, PA 17339-9258 |
| Street Address |
2850 COMMERCE DR |
| City | HARRISBURG |
| State | PA |
| Zip | 17110-9383 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Augustus Papandrea Jr. | Family Medicine | Family Practice Center PC | 2850 Commerce Dr, Harrisburg, PA 17110-9383 |
| Ryan C Hornung | Nurse Practitioner | Family Practice Center PC | 2850 Commerce Dr, Harrisburg, PA 17110-9383 |
| Maria V Santiago | Nurse Practitioner | Family Practice Center PC | 2850 Commerce Dr, Harrisburg, PA 17110-9383 |
| Janeann Kakalecz | Certified Nurse Midwife | Spirit Physician Services Inc | 2850 Commerce Dr, 200a, Harrisburg, PA 17110-9383 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lisa S Zoll | Clinical Social Worker | 2601 N Front St, Suite 102, Harrisburg, PA 17110-1123 | |
| Bette R Weinberger | Clinical Social Worker | 240 Division St, Harrisburg, PA 17110-1212 | |
| Michelle Wetherhold | Optometry | Morrison Eye Associates Inc | 235 Division St, Harrisburg, PA 17110-1213 |
| Wayne D. Schmoyer | Psychologist, Clinical | 2818 Green St, Harrisburg, PA 17110-1228 | |
| Arthur J Horowitz | Clinical Social Worker | Jewish Family Service of Greater Harrisburg, Inc | 3333 N Front St, Harrisburg, PA 17110-1436 |
| Eva Stern Siegel | Clinical Social Worker | Jewish Family Service of Greater Harrisburg, Inc | 3333 N Front St, Harrisburg, PA 17110-1436 |
| Malinda J Myers | Clinical Social Worker | Jewish Family Service of Greater Harrisburg, Inc | 3333 N Front St, Harrisburg, PA 17110-1436 |
| Marjorie Koch | Clinical Social Worker | Jewish Family Service of Greater Harrisburg, Inc | 3333 N Front St, Harrisburg, PA 17110-1436 |
| Larry Lee Sollenberger | Colorectal Surgery (proctology) | Pinnacle Health Medical Services | 3907 N Front St, Upmc Pinnacle Colon Rectal Surgery, Harrisburg, PA 17110-1536 |
| Thomas Michael Mazza | General Surgery | Pinnacle Health Medical Services | 3907 N Front St, Upmc Pinnacle Colon Rectal Surgery, Harrisburg, PA 17110-1536 |
| Find all physicians in zip 17110 | |||
| City | HARRISBURG |
| Zip Code | 17110 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | HARRISBURG + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Glen R Daughtry.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.