MOUNTAIN MEDICAL – NPI #1568423051
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Health Care Provider Taxonomy Code for General Practice

MOUNTAIN MEDICAL is a provider located in GLOVERSVILLE, NY. NPPES has assigned the NPI number 1568423051 to MOUNTAIN MEDICAL on April 01, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “MOUNTAIN MEDICAL” is a dba name, the actual legal business name for this organization is JOHN L GLENN MD. The primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. 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 MOUNTAIN MEDICAL below.

NPI Profile for
JOHN L GLENN MD

NPI Number
1568423051
Enumeration Date

(more than 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
JOHN L GLENN MD
Doing Business As (dba): MOUNTAIN MEDICAL
Primary location
84 EAST STATE ST
GLOVERSVILLE, NY 12078
Phone: (518) 773-8894 Fax: (518) 773-8125
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
JOHN GLENN
MEDICAL MD OWNER
Phone: (518) 773-8894
Updated
Identifiers

Identifiers for MOUNTAIN MEDICAL

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
MEDICAIDNY00890859
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
208D00000X
- General Practice (Primary)		 NY 1575271

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.