Stephan Glicken, MD
NPI 1225144041 · Pediatrics Physician · Hazleton, PA
Enrolled with Medicare as Practitioner - Pediatric Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Stephan Glicken, MD is a Pediatrics Physician provider in Hazleton, PA (NPI 1225144041).
Provider details
- NPI number
- 1225144041
- Entity type
- Individual
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 75192 (MA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 420 South Jackson StPediatric FloorPottsville, PA 17901Phone: (570) 621-5493Fax: (570) 621-5605
Registry dates
- Enumerated
- 2006-08-22
- Last updated
- 2020-02-13
- Certified
- 2020-02-13
Frequently asked questions
- What is Stephan Glicken's NPI number?
- Stephan Glicken's National Provider Identifier (NPI) is 1225144041, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Stephan Glicken's specialty?
- Stephan Glicken is listed in the NPPES registry with a primary specialty of Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Stephan Glicken located?
- Stephan Glicken's practice location on file with NPPES is 564 W Broad St, Hazleton, PA 18201-6108.
- What is Stephan Glicken's phone number?
- The practice phone number listed in the NPPES registry for Stephan Glicken is (570) 501-6400.
- Does Stephan Glicken accept Medicare?
- Stephan Glicken is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Stephan Glicken's NPI active?
- Yes — Stephan Glicken's NPI (1225144041) is active in the NPPES registry as of the last update on 2020-02-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.