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STEPHEN GLENNON MD
NPI 1629761994
Student in an Organized Health Care Education/Training Program in Philadelphia, PA

Active since June 01, 2023
10800 KNIGHTS RD, PHILADELPHIA, PA 19114(215) 612-4000 Get Directions Write a Review

NPPES record last updated: June 18, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 18, 2024, Jun 1, 2023 (2 updates tracked since 2023).

About Stephen Glennon Md NPPES

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

STEPHEN GLENNON MD (NPI 1629761994) is an individual student in an organized health care education/training program in Philadelphia, Pennsylvania, licensed in Pennsylvania (MT232242) and active in the NPI registry since June 2023. He maintains a secondary practice location in Iowa City.

NPPES Registry Identity

NPI1629761994
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameSTEPHEN GLENNONCredential: MD
Location Address10800 KNIGHTS RDPhiladelphia, PA 19114-4200
Mailing Address10800 Knights RdPhiladelphia, PA 19114-4200 · (215) 612-4000
Phone(215) 612-4000
Sole ProprietorNo
Enumeration DateJune 1, 2023
Last NPPES UpdateJune 18, 20242 updates tracked since enumeration
NPPES CertifiedJune 18, 2024
✔ NPI 1629761994 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in PA · MT232242
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedNeurological SurgeryTaxonomy 207T00000X · License R-12779 (IA)
10800 KNIGHTS RD, Philadelphia, PA 19114
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Secondary Practice Location 1

Location 1200 Hawkins DrIowa City, IA 52242-1009 · Phone (131) 935-6223

Other Providers at the Same Location NPPES 20

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

MANSI SHETH DO
Student in an Organized Health Care Education/Training Program
10800 KNIGHTS RD
PHILADELPHIA, PA 19114
Philadelphia County (215) 612-5161
CHERYL LYNNE GEE-MAURER CRNP
Nurse Practitioner (Primary Care)
10800 KNIGHTS RD
PHILADELPHIA, PA 19114
Philadelphia County (215) 612-4000
HEATHER MOORE RN
Nurse Anesthetist, Certified Registered
10800 KNIGHTS RD
PHILADELPHIA, PA 19114
Philadelphia County (215) 612-4000
IAN LUMSDEN PA-C
Surgery (Trauma Surgery)
10800 KNIGHTS RD
PHILADELPHIA, PA 19114
Philadelphia County (215) 612-4064
PETER J GRELLA
Student in an Organized Health Care Education/Training Program
10800 KNIGHTS RD
PHILADELPHIA, PA 19114
Philadelphia County (215) 612-5161
DR. KRISHNA KOTHAMASU DO
Student in an Organized Health Care Education/Training Program
10800 KNIGHTS RD
PHILADELPHIA, PA 19114
Philadelphia County (215) 612-4000
GRETCHEN DAWN OVERTON DPM
Student in an Organized Health Care Education/Training Program
10800 KNIGHTS RD
PHILADELPHIA, PA 19114
Philadelphia County (215) 612-5161
MS. BONNIE VITTI-HUOT PA-C
Physician Assistant
10800 KNIGHTS RD
PHILADELPHIA, PA 19114
Philadelphia County (215) 612-4000

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 Stephen Glennon's NPI number?

The NPI number for Stephen Glennon is 1629761994. It was assigned to this individual provider in the NPPES registry on June 1, 2023.

Where is Stephen Glennon located?

Stephen Glennon practices at 10800 Knights Rd, Philadelphia, PA 19114. The listed phone number is (215) 612-4000.

What is Stephen Glennon's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Stephen Glennon was last updated on June 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.