DR. GLEN R. VAN LOON (NPI# 1053356675) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053356675 |
| Entity Type | Individual |
| Full Name | DR. GLEN R. VAN LOON |
| Credential | MD PH.D. |
| Practice Address |
619 Old Symsonia Rd Ste C Benton KY 42025-1365 |
| Mailing Address |
619 Old Symsonia Rd Ste C Benton KY 42025-5042 |
| Practice Telephone | 2705272560 |
| Practice Fax Number | 2705277882 |
| Mailing Telephone | 2705272560 |
| Mailing Fax Number | 2705277882 |
| Enumeration Date | 2006-06-18 |
| Last Update Date | 2010-03-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
21862 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 64218621 | 05 | |
| KY | BLUE CROSS ID | 000000049499 | 01 |
| Street Address |
619 OLD SYMSONIA RD STE C |
| City | BENTON |
| State | KY |
| Zip Code | 42025-1365 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639121882 | Diane Kolenich | Nurse Practitioner | 619 Old Symsonia Rd, Benton, KY 42025-5094 | 2006-05-16 |
| 1962873109 | Marshall County Hospital District | Clinic/Center | 619 Old Symsonia Rd, Benton, KY 42025-5094 | 2015-10-14 |
| 1215115183 | Kyle Daryl Egner | Chiropractor | 619 Old Symsonia Rd, Benton, KY 42025-5042 | 2008-02-04 |
| 1285812081 | Egner Chiropractic and Rehabilitation Center, Pllc | Chiropractor | 619 Old Symsonia Rd, Benton, KY 42025-5042 | 2008-02-04 |
| 1689778250 | Marshall County Hospital District | Family Medicine | 619 Old Symsonia Rd, Benton, KY 42025-5094 | 2006-09-12 |
| 1891707642 | William Powell | Family Medicine | 619 Old Symsonia Rd, Benton, KY 42025-5094 | 2006-08-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073862843 | Elisha Dougherty | Pharmacist | 1004 Big Bear Hwy, Benton, KY 42025 | 2012-09-07 |
| 1730310285 | Benton Chiropractic, Pllc | Chiropractor | 141 Commerce Blvd, Benton, KY 42025 | 2009-07-31 |
| 1689813594 | Murray Calloway County Public Hospital | Internal Medicine | 543 Powell St, Benton, KY 42025 | 2009-02-17 |
| 1912159864 | William J Barabas | Physical Therapist | 244 Us Hwy 68 East, Benton, KY 42025 | 2008-10-22 |
| 1447419031 | Mary Jane Darnell | Occupational Therapy Assistant | 2607 Main Street, Benton, KY 42025 | 2008-06-09 |
| 1710176540 | Karen Diane Reed | Counselor | 198 Old Symsonia Road, Suite 107, Benton, KY 42025 | 2007-10-17 |
| 1255475794 | Community Alternatives Kentucky, Inc. | Home Health | 402 Caky Drive, Benton, KY 42025 | 2007-02-17 |
| 1477605988 | Marshall County Medical Associates | Family Medicine | 145 Vine Street, Benton, KY 42025 | 2007-01-17 |
| 1376604256 | Marshall County Assn. for Exceptional Children and Adults, Inc | Day Training, Developmentally Disabled Services | 198 Old Symsonia Road, Benton, KY 42025 | 2006-12-13 |
| 1023111929 | Benton Health Care, LLC | Nurse Practitioner | 414 East 12th Street, Benton, KY 42025 | 2006-09-06 |
| Find all providers in zip 42025 | ||||
| Taxonomy Code | 207RE0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Endocrinology, Diabetes & Metabolism |
| An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154746600 | Owensboro Health Medical Group, Inc | Internal Medicine | 811 E Parrish Ave Ste 101, Owensboro, KY 42303-3258 | 2014-02-20 |
| 1679816292 | Laura Hamilton Adams | Internal Medicine | 800 Rose St. Mn- 524, Lexington, KY 40536 | 2013-04-02 |
| 1063777316 | Baptist Physicians Lexington, Inc | Internal Medicine | 3084 Lakecrest Circle, Suite 100, Lexington, KY 40513 | 2012-07-11 |
| 1376783092 | Robert Charles Frederich Jr. | Internal Medicine | 1030 S Broadway, Suite 5, Lexington, KY 40504-2681 | 2009-02-21 |
| 1619162880 | Diabetes & Endocrine Specialists Pllc | Internal Medicine | 330 Townepark Cir Ste 100, Louisville, KY 40243-2352 | 2007-09-11 |
| 1053526038 | Lina Yassine | Internal Medicine | 751 Greenridge Ln, Louisville, KY 40207-1307 | 2007-05-11 |
| 1427137223 | Nisha Roy Varghese | Internal Medicine | 330 Townepark Cir, Suite 100, Louisville, KY 40243-2352 | 2006-11-03 |
| 1114026879 | Delhi Associates | Internal Medicine | 3 Audubon Plaza Dr Ste 430, Louisville, KY 40217-1319 | 2006-09-21 |
| 1275543175 | Clemente V. Zulueta, Jr., Md, Pllc | Internal Medicine | 95 Jackson Hts, Ste 201, Jackson, KY 41339-6500 | 2006-08-09 |
| 1316953920 | Harold Edward Bays | Internal Medicine | 3288 Illinois Ave, Suite 101, Louisville, KY 40213-1014 | 2006-08-01 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.