GLENN E. JEFFERSON, JR. MD – NPI #1326121286
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

GLENN JEFFERSON, JR. is a physician located in LEWISTON, ID. NPPES has assigned the NPI number 1326121286 to GLENN JEFFERSON, JR. on October 23, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 10 years ago on Mar 08, 2016. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for GLENN JEFFERSON, JR. below.

NPI Profile for
GLENN E. JEFFERSON, JR.

NPI Number
1326121286
Enumeration Date

(more than 19 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
GLENN E. JEFFERSON, JR.
Credentials
MD
Primary location
2315 8TH ST
LEWISTON, ID 83501-7301
Phone: (208) 746-1383 Fax: (208) 746-6348
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Identifiers

Identifiers for GLENN JEFFERSON, JR.

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

See identifiers
DescriptionIssuerStateIdentifier
OTHERBLUE CROSSIDDF540
OTHERDMERCID1119637
OTHERHEALTHY CONNECTIONSID1326121286
OTHERLABOR & INDUSTRIESWA31254
OTHERRAILROAD MEDICAREID80094289
OTHERREGENCE BLUESHIELD OF IDAHOID1326121286
MEDICAIDID1326121286
MEDICAIDWA1007806
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)
ID M4593

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.