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DR. GLENN HOWARD PISK M.D.
NPI 1114971066
Pediatrics - Adolescent Medicine in Philadelphia, PA

Active since May 22, 2006
2129 W OREGON AVE, FIRST FLOOR REAR, PHILADELPHIA, PA 19145(215) 462-6106(215) 462-5922 Get Directions Write a Review

NPPES record last updated: July 11, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Glenn Howard Pisk M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. GLENN HOWARD PISK M.D. (NPI 1114971066) is an individual adolescent medicine provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD0411084L) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1114971066
Entity TypeIndividualMale
Primary Taxonomy2080A0000X
Provider Legal NameDR. GLENN HOWARD PISKCredential: M.D.
Location Address2129 W OREGON AVE, FIRST FLOOR REARPhiladelphia, PA 19145-4131
Mailing Address2129 W Oregon Ave, First Floor RearPhiladelphia, PA 19145-4131 · (215) 462-6106 · Fax (215) 462-5922
Phone(215) 462-6106
Fax(215) 462-5922
Sole ProprietorNo
Enumeration DateMay 22, 2006
Last NPPES UpdateJuly 11, 2013
✔ NPI 1114971066 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080A0000X
License✔ Licensed in PA · MD0411084L
Definition
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
2129 W OREGON AVE, Philadelphia, PA 19145
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Other Identifiers 2

Medicare UPINE93071PA
Medicaid0016075460001PA

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. DAVID JOSEPH HILL PT
Physical Therapist
2129 W OREGON AVE
PHILA, PA 19145
Philadelphia County (215) 336-6630
RYAN SCHMID PT, DPT
Physical Therapist
2129 W OREGON AVE, 3RD FLOOR
PHILADELPHIA, PA 19145
Philadelphia County (215) 336-6630
MR. JOHN ASHENBRENNER
Physical Therapist
2129 W OREGON AVE, 3RD FLOOR SUITE
PHILA, PA 19145
Philadelphia County (215) 336-6630
MR. DEAN EARL PENUEL
Physical Therapist
2129 W OREGON AVE, 3RD FLOOR SUITE
PHILA, PA 19145
Philadelphia County (215) 336-6630
MR. AARON BORGMANN BS, MPT, ATC
Physical Therapist
2129 W OREGON AVE
PHILADELPHIA, PA 19145
Philadelphia County (215) 336-6630
PEDIATRIC AND ADOLESCENT MEDICINE GROUP
Pediatrics (Adolescent Medicine)
2129 W OREGON AVE, FIRST FLOOR REAR
PHILADELPHIA, PA 19145
Philadelphia County (215) 462-6106
DR. SHARON M ELVEY M.D.
Pediatrics (Adolescent Medicine)
2129 W OREGON AVE, FIRST FLOOR REAR
PHILADELPHIA, PA 19145
Philadelphia County (215) 462-6106
MISS CAITLIN SHAW DPT
Physical Therapist
2129 W OREGON AVE, 3RD FLOOR SUITE
PHILADELPHIA, PA 19145
Philadelphia County (215) 336-6630

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Glenn Pisk's NPI number?

The NPI number for Glenn Pisk is 1114971066. It was assigned to this individual provider in the NPPES registry on May 22, 2006.

Where is Glenn Pisk located?

Glenn Pisk practices at 2129 W Oregon Ave First Floor Rear, Philadelphia, PA 19145. The listed phone number is (215) 462-6106.

What is Glenn Pisk's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

When was this NPI record last updated?

The NPPES record for Glenn Pisk was last updated on July 11, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.