| Glade Run Medical Associates Inc | |
|
1 Nolte Dr Kittanning PA 16201-7111 | |
| (724) 543-8670 | |
| (724) 543-8535 |
| Full Name | Glade Run Medical Associates Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 1 Nolte Dr, Kittanning, Pennsylvania |
| Authorized Official Name and Position | Patrick Burns (VP OF FINANCE & CFO) |
| Authorized Official Contact | 7245438618 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Glade Run Medical Associates Inc 1 Nolte Dr Kittanning PA 16201-7111 Ph: (724) 543-8670 | Glade Run Medical Associates Inc 1 Nolte Dr Kittanning PA 16201-7111 Ph: (724) 543-8670 |
| NPI Number | 1881820850 |
|---|---|
| Provider Enumeration Date | 06/04/2009 |
| Last Update Date | 02/06/2012 |
| Medicare PECOS PAC ID | 3577696897 |
|---|---|
| Medicare Enrollment ID | O20100806000006 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881820850 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207V00000X | Obstetrics & Gynecology | (* (Not Available)) | Secondary |
| 208600000X | Surgery | (* (Not Available)) | Secondary |
| Provider Name | Bert C Hepner |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1174521629 PECOS PAC ID: 5698763886 Enrollment ID: I20040505000968 |
| Provider Name | Matthew D Starr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063486868 PECOS PAC ID: 3072501188 Enrollment ID: I20040505001139 |
| Provider Name | Curt P Conry |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1386628360 PECOS PAC ID: 1254316482 Enrollment ID: I20040622000956 |
| Provider Name | Donald F Ehrenberger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942207089 PECOS PAC ID: 1153392790 Enrollment ID: I20040805000542 |
| Provider Name | Geri L Bacu |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1376582700 PECOS PAC ID: 7517935489 Enrollment ID: I20040918000100 |
| Provider Name | Jeffrey A Reyer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801996756 PECOS PAC ID: 5193780153 Enrollment ID: I20041201000623 |
| Provider Name | Sarun Suwan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1265470736 PECOS PAC ID: 0547225344 Enrollment ID: I20041209000715 |
| Provider Name | Frank A Borgia |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1992748461 PECOS PAC ID: 1456316256 Enrollment ID: I20050104000727 |
| Provider Name | Kimberly A Swendsen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972570679 PECOS PAC ID: 4486600749 Enrollment ID: I20050330000061 |
| Provider Name | Richard A Bernat |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1447218649 PECOS PAC ID: 2163447020 Enrollment ID: I20051010000706 |
| Provider Name | Michael J Jacobson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1891884185 PECOS PAC ID: 2466459607 Enrollment ID: I20061031000286 |
| Provider Name | Yanouchka D Narcisse |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1427273796 PECOS PAC ID: 9234237272 Enrollment ID: I20070614000346 |
| Provider Name | Donald A Ravasio |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1730299173 PECOS PAC ID: 4082712658 Enrollment ID: I20070809000309 |
| Provider Name | Mushtaq A Syed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649230855 PECOS PAC ID: 4183676166 Enrollment ID: I20081111000246 |
| Provider Name | Edward E Balestrino |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134102627 PECOS PAC ID: 6305038787 Enrollment ID: I20101004000693 |
| Provider Name | Richard A Mercurio |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477623494 PECOS PAC ID: 6709071558 Enrollment ID: I20101108000067 |
| Provider Name | Rebecca D Edmonds |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1811153976 PECOS PAC ID: 5294991154 Enrollment ID: I20120720000145 |
| Provider Name | Lee H Koster |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1174689814 PECOS PAC ID: 4284890922 Enrollment ID: I20120724000606 |
| Provider Name | Ricky Clay |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1558656298 PECOS PAC ID: 0648428334 Enrollment ID: I20120921000656 |
| Provider Name | Jeffrey W David |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1881738870 PECOS PAC ID: 8022152354 Enrollment ID: I20121023000720 |
| Provider Name | Valerie A Lager |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386981793 PECOS PAC ID: 4981844826 Enrollment ID: I20130717000350 |
| Provider Name | Dana L Knox |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1023457264 PECOS PAC ID: 7416190277 Enrollment ID: I20130826000787 |
| Provider Name | Jacqueline M Guerriero |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1639330384 PECOS PAC ID: 4880837285 Enrollment ID: I20130904000737 |
| Provider Name | Maureen B Conroy |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1073507927 PECOS PAC ID: 3375689607 Enrollment ID: I20140910001045 |
| Provider Name | Kelly Ann Zbanic |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1275703209 PECOS PAC ID: 4183843931 Enrollment ID: I20140910001096 |
| Provider Name | Matthew Paul Kozminski |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1649303108 PECOS PAC ID: 1153586805 Enrollment ID: I20141027001352 |
| Provider Name | Nathan T Formaini |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1972730604 PECOS PAC ID: 6608094032 Enrollment ID: I20150805007248 |
| Provider Name | Andrea L Skomo |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1477833507 PECOS PAC ID: 7810299492 Enrollment ID: I20160114000088 |
| Provider Name | Jamie E Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770074783 PECOS PAC ID: 4284980004 Enrollment ID: I20180710002102 |
| Provider Name | Kirtan Patel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750709143 PECOS PAC ID: 8729348107 Enrollment ID: I20200409003186 |
| Provider Name | Spenser Nell Pleta |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1598328726 PECOS PAC ID: 2961736574 Enrollment ID: I20200415000823 |
| Provider Name | Jalaluddin Umar |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1770992760 PECOS PAC ID: 0547531402 Enrollment ID: I20210201001524 |
| Provider Name | Jatinder Kumar |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1811456866 PECOS PAC ID: 7719391507 Enrollment ID: I20210208001699 |
| Provider Name | Natalie Marie Ellinger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619577871 PECOS PAC ID: 2567870280 Enrollment ID: I20210419002163 |
| Provider Name | Dallas Joseph Cousins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669140240 PECOS PAC ID: 9830580984 Enrollment ID: I20211227001450 |
| Provider Name | Muhammad Umar Alam |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1184186009 PECOS PAC ID: 3072904903 Enrollment ID: I20220103000421 |
| Provider Name | Mohamad Rassoul Abu-nuwar |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1992206437 PECOS PAC ID: 9638545916 Enrollment ID: I20221012002438 |
| Provider Name | Kraig S Graham |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1174755961 PECOS PAC ID: 0446560874 Enrollment ID: I20230201003374 |
| Provider Name | Breanna Nicole Scheller |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1841920493 PECOS PAC ID: 0749634129 Enrollment ID: I20231004001181 |
| Provider Name | Kylie Kristine Mccleary |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538931167 PECOS PAC ID: 0648614826 Enrollment ID: I20240215001659 |
| Provider Name | Mary Rizzo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255915807 PECOS PAC ID: 5294177176 Enrollment ID: I20240523001119 |
Hyperbaric Wound Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 Nolte Dr, Snyder Institute, Kittanning, PA 16201 Phone: 724-543-8500 | |
Armstrong Primary Care Center - Kittanning Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 260 S Jefferson St, Kittanning, PA 16201 Phone: 724-543-5919 Fax: 724-543-3544 | |
Richard A. Mercurio Md, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 198 Westgate Drive, Suite 101a, Kittanning, PA 16201 Phone: 724-543-1735 | |
Frederick B Doerfler Jr Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 260 S Jefferson St, Kittanning, PA 16201 Phone: 724-545-1288 Fax: 724-545-7615 | |
Acmh Hospital - Acmh Rural Health Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 Nolte Dr, Kittanning, PA 16201 Phone: 724-543-8500 Fax: 724-543-8616 | |
Acmh Hospital - Armstrong Infectious Disease Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 Nolte Dr, Kittanning, PA 16201 Phone: 724-543-8500 Fax: 724-543-8616 | |
Acmh Endocrinology Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 Nolte Dr, Kittanning, PA 16201 Phone: 724-543-8164 Fax: 724-543-8616 |