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DR. MARK R GLICK MD
NPI 1912984030
Internal Medicine - Cardiovascular Disease in Lebanon, PA

Active since December 29, 2005
775 NORMAN DR, LEBANON, PA 17042(717) 274-5500(717) 202-0130 Get Directions Write a Review

NPPES record last updated: September 6, 2016. Verified against the NPPES registry weekly; last sync: September 13, 2026.

About Dr. Mark R Glick Md NPPES

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

DR. MARK R GLICK MD (NPI 1912984030) is an individual cardiovascular disease provider in Lebanon, Pennsylvania, licensed in Pennsylvania (MD037414E) and active in the NPI registry since December 2005.

NPPES Registry Identity

NPI1912984030
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameDR. MARK R GLICKCredential: MD
Location Address775 NORMAN DRLebanon, PA 17042-7497
Mailing Address775 Norman DrLebanon, PA 17042-7497 · (717) 274-5500 · Fax (717) 202-0130
Phone(717) 274-5500
Fax(717) 202-0130
Sole ProprietorNo
Enumeration DateDecember 29, 2005
Last NPPES UpdateSeptember 6, 2016
✔ NPI 1912984030 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in PA · MD037414E
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
775 NORMAN DR, Lebanon, PA 17042
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Other Identifiers 4

OtherPO1680949PA · Railroad Medicare
Medicare PIN146295PA
Medicare UPINC31791PA
Medicaid0011222870004PA

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.

MR. NEIL BAKSH CRNP
Nurse Practitioner
775 NORMAN DR
LEBANON, PA 17042
Lebanon County (717) 274-5500
ALEXIS MARIE CAMPBELL PA-C
Physician Assistant
775 NORMAN DR
LEBANON, PA 17042
Lebanon County (717) 274-5500
MATTHEW HEFFERNAN
Internal Medicine (Cardiovascular Disease)
775 NORMAN DR
LEBANON, PA 17042
Lebanon County (717) 274-5500
DR. TYLER FUGATE D.O.
Internal Medicine (Cardiovascular Disease)
775 NORMAN DR
LEBANON, PA 17042
Lebanon County (717) 274-5500
MELISSA BALDWIN CRNP
Nurse Practitioner (Gerontology)
775 NORMAN DR
LEBANON, PA 17042
Lebanon County (717) 272-8173
DR. PATRICE A. MCKENNEY MD
Internal Medicine (Cardiovascular Disease)
775 NORMAN DR
LEBANON, PA 17042
Lebanon County (717) 274-5500
DR. SAMUEL KOLMAN MD
Internal Medicine (Cardiovascular Disease)
775 NORMAN DR
LEBANON, PA 17042
Lebanon County (717) 274-5500
ADRIENNE S TOPIC M.D.
Internal Medicine (Cardiovascular Disease)
775 NORMAN DR
LEBANON, PA 17042
Lebanon County (717) 274-5500

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 Mark Glick's NPI number?

The NPI number for Mark Glick is 1912984030. It was assigned to this individual provider in the NPPES registry on December 29, 2005.

Where is Mark Glick located?

Mark Glick practices at 775 Norman Dr, Lebanon, PA 17042. The listed phone number is (717) 274-5500.

What is Mark Glick's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

When was this NPI record last updated?

The NPPES record for Mark Glick was last updated on September 6, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.