GLEN P. IMLAY (NPI# 1053364828) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053364828 |
| Entity Type | Individual |
| Full Name | GLEN P. IMLAY |
| Credential | M.D. |
| Practice Address |
98 State St Proctorville OH 45669-8163 |
| Mailing Address |
90 Jackson Pike Gallipolis OH 45631-1560 |
| Practice Telephone | 7408869403 |
| Practice Fax Number | 7404465153 |
| Mailing Telephone | 7408869403 |
| Mailing Fax Number | 7404465153 |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2020-05-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208100000X | Physical Medicine & Rehabilitation | 20826 | WV | Allopathic & Osteopathic Physicians |
| Y | 208100000X | Physical Medicine & Rehabilitation | 35-08-0873 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 2003261000 | 05 | |
| OH | 2333906 | 05 | |
| ANTHEM BCBS | 000000227912 | 01 | |
| OH | CARESOURCE MEDICAID | 310917085124 | 01 |
| RR MEDICARE | 250013535 | 01 | |
| OH | UNISON MEDICAID | 000000185246 | 01 |
| MOUNTAIN STATE BCBS | 001714143 | 01 | |
| OH | MOLINA MEDICAID | 2333906 | 01 |
| Street Address |
98 STATE ST |
| City | PROCTORVILLE |
| State | OH |
| Zip Code | 45669-8163 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427026616 | Steven J Merkel | Family Medicine | 98 State St, Proctorville, OH 45669-8163 | 2006-03-14 |
| 1114399474 | Mittra Esmaeili | Family Medicine | 98 State St, Proctorville, OH 45669-8163 | 2015-10-27 |
| 1134434830 | Alicia Renee Johnson | Physician Assistant | 98 State St, Proctorville, OH 45669-8163 | 2010-08-18 |
| 1588892194 | Michael R Black | Family Medicine | 98 State St, Proctorville, OH 45669-8163 | 2009-06-23 |
| 1285881649 | Christina R. Senior | Physical Therapist | 98 State St, Proctorville, OH 45669-8163 | 2008-08-27 |
| 1124168406 | Glenn Scott Davis | Internal Medicine | 98 State St, Proctorville, OH 45669-8163 | 2007-02-07 |
| 1114946886 | Larissa L. Horner | Physical Therapist | 98 State St, Proctorville, OH 45669-8163 | 2006-07-19 |
| 1336165638 | Tammy L. Walls | Physical Therapist | 98 State St, Proctorville, OH 45669-8163 | 2006-07-14 |
| 1659397826 | Christa Grady | Physical Therapist | 98 State St, Proctorville, OH 45669-8163 | 2006-07-14 |
| 1013948694 | Jeremy Clifton Cuzzourt | Otolaryngology | 98 State St, Proctorville, OH 45669-8163 | 2006-07-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982061180 | Garrett Wireman | Specialist/Technologist | 229 Private Road 253, Proctorville, OH 45669 | 2016-01-20 |
| 1619391380 | Cabell Huntington Hospital, Inc | Nurse Practitioner | 7718 County Rd 107, Proctorville, OH 45669 | 2014-02-14 |
| 1265732812 | Advanced Neuro Diagnostics | Chiropractor | 100 Township Road 1245, Proctorville, OH 45669 | 2010-10-29 |
| 1902080047 | Gabriel Stapleton | Pharmacist | 6306 State Rt 7, Proctorville, OH 45669 | 2007-12-26 |
| 1932221819 | Lsg Hearing Aid Center Inc | Hearing Instrument Specialist | 502 State Street, Proctorville, OH 45669 | 2007-04-04 |
| 1376695130 | A & L Home Care and Training Center, LLC | Home Health | 6129 County Road 107, Proctorville, OH 45669 | 2007-01-18 |
| 1184705519 | Thomas Lambiotte | Physical Therapist | 96 Township Rd, 369 Suite 104, Proctorville, OH 45669 | 2006-10-19 |
| 1619901410 | Kroger Limited Partnership I | Durable Medical Equipment & Medical Supplies | 6306 County Road 107, Proctorville, OH 45669 | 2006-07-10 |
| 1689600496 | Michael J. Zirille | Family Medicine | 292 Township Road 1525, Proctorville, OH 45669 | 2006-06-23 |
| 1245285758 | Liberty Circle Ear Nose & Throat Inc. | Otolaryngology | 96 Township Road 369 Suite 101, Proctorville, OH 45669 | 2006-05-23 |
| Find all providers in zip 45669 | ||||
| Taxonomy Code | 208100000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. American Osteopathic Board of Physical Medicine and Rehabilitation, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Physical Medicine and Rehabilitation. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235736307 | Olivia Marie Shenberger | Physical Medicine & Rehabilitation | 243 S Monroe Ave, Columbus, OH 43205-1776 | 2020-10-02 |
| 1245846203 | Getachew Knee Clinic | Physical Medicine & Rehabilitation | 1050 Kingsmill Parkway, Unit B, Columbus, OH 43229-1143 | 2020-09-16 |
| 1104438035 | Kevin Bryant Moss | Physical Medicine & Rehabilitation | 6050 Enterprise Pkwy, Solon, OH 44139-2762 | 2020-08-21 |
| 1982215547 | Olivia Wilson | Physical Medicine & Rehabilitation | 197 Baranof E, Westerville, OH 43081-1200 | 2020-08-16 |
| 1033729496 | Wellness Docs | Physical Medicine & Rehabilitation | 11123 Montgomery Rd Ste 105, Cincinnati, OH 45249-2390 | 2020-07-31 |
| 1902422165 | Allison Bailey Schuler | Physical Medicine & Rehabilitation | 1149 Stone Dr Ste 500, Harrison, OH 45030-2728 | 2020-06-23 |
| 1205455789 | Kelly Wynell Ellis | Physical Medicine & Rehabilitation | 5502 San Juan Dr, Toledo, OH 43612-3336 | 2020-04-14 |
| 1417513193 | Active Life Health of Cincinnati LLC | Physical Medicine & Rehabilitation | 8251 Pine Rd Ste 205, Cincinnati, OH 45236-2191 | 2019-05-17 |
| 1437715372 | Laila Elizabeth Stephenson | Physical Medicine & Rehabilitation | 137 Teaberry Cir, Chagrin Falls, OH 44022-4190 | 2019-05-16 |
| 1417513367 | Brian Joseph Kassa | Physical Medicine & Rehabilitation | 1044 Belmont Ave # Meded2s, Youngstown, OH 44504-1006 | 2019-05-16 |
| Find all providers with the same taxonomy | ||||
| City | PROCTORVILLE |
| Zip Code | 45669 |
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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.