JOHN L. GLENN MD – NPI #1821056433
General Practice

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

JOHN GLENN is a physician located in GLOVERSVILLE, NY. NPPES has assigned the NPI number 1821056433 to JOHN GLENN on May 03, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. 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 16 years ago on Sep 02, 2010. 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 JOHN GLENN below.

NPI Profile for
JOHN L. GLENN

NPI Number
1821056433
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
JOHN L. GLENN
Credentials
MD
Primary location
84 E. STATE ST
ST. MARY'S HOSPITAL, GLOVERSVILLE FAM HLTH CNTR
GLOVERSVILLE, NY 12078
Phone: (518) 773-8894 Fax: (518) 773-8125
Mailing address
427 GUY PARK AVE - PRIMARY & SPECIALTY CARE DEPT.
ST. MARY'S HOSPITAL AT AMSTERDAM
AMSTERDAM, NY 12010
Phone: (518) 841-7430 Fax: (518) 841-7121
Sole Proprietor
No
Updated
Identifiers

Identifiers for JOHN GLENN

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.

Additional Information

Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
JOHN GLENN is affiliated with the following medical group(s):
  • HOSPITAL
    • NATHAN LITTAUER HOSPITAL
      99 EAST STATE ST
      GLOVERSVILLE, NY 12078
    • ST MARY'S HEALTHCARE
      427 GUY PARK AVENUE
      AMSTERDAM, NY 12010
  • HOME HEALTH AGENCY
    • COMMUNITY HEALTH CENTER CHHA
      2 - 8 WEST MAIN STREET
      JOHNSTOWN, NY 12095

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Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.