Basic Information
Provider Information
NPI: 1649633819
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: RAPSINSKI
FirstName: GLENN
MiddleName: JAMES
NamePrefix: DR.
NameSuffix:  
Credential: MD, PHD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 4401 PENN AVENUE AOB
Address2: SUITE 5400
City: PITTSBURGH
State: PA
PostalCode: 15224
CountryCode: US
TelephoneNumber: 4126925285
FaxNumber:  
Practice Location
Address1: 4401 PENN AVE
Address2: AOB SUITE 2300
City: PITTSBURGH
State: PA
PostalCode: 152241334
CountryCode: US
TelephoneNumber: 4128648977
FaxNumber:  
Other Information
ProviderEnumerationDate: 04/04/2016
LastUpdateDate: 09/07/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 09/07/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208000000XMD466465PAN193200000X MULTI-SPECIALTY GROUPAllopathic & Osteopathic PhysiciansPediatrics 
2080P0208XMT210405PAY Allopathic & Osteopathic PhysiciansPediatricsPediatric Infectious Diseases

No ID Information.


Home