GLENN D. JOHNSON M.D. – NPI #1063441434
Otolaryngology

An otolaryngologist who treats diseases of the ear and temporal bone, including disorders of hearing and balance. The additional training in otology and neurotology emphasizes the study of embryology, anatomy, physiology, epidemiology, pathophysiology, pathology, genetics, immunology, microbiology and the etiology of diseases of the ear and temporal bone.

GLENN JOHNSON is an otolaryngologist located in LEBANON, NH. NPPES has assigned the NPI number 1063441434 to GLENN JOHNSON on June 30, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207YX0901X from the Health Care Provider Taxonomy code set, which is classified as Otolaryngology, specializing in Otology & Neurotology

The NPI profile was previously updated about 19 years ago on Jul 08, 2007. 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 JOHNSON below.

NPI Profile for
GLENN D. JOHNSON

NPI Number
1063441434
Enumeration Date

(about 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
GLENN D. JOHNSON
Credentials
M.D.
Primary location
DARTMOUTH-HITCHCOCK MEDICAL CENTER
ONE MEDICAL CENTER DRIVE
LEBANON, NH 03756-0001
Phone: (603) 650-8124 Fax: (603) 650-7898
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Identifiers

Identifiers for GLENN JOHNSON

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.

DescriptionIssuerStateIdentifier
MEDICAIDNH00000094
MEDICAIDVT0006900
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
207YX0901X
- Otolaryngology / Otology & Neurotology (Primary)
NH 6028

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.