GLENN M. IHDE, MD, PA (NPI# 1114177599) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114177599 |
| Entity Type | Organization |
| Organization Name | GLENN M. IHDE, MD, PA |
| Practice Address |
515 W Mayfield Rd Suite 402 Arlington TX 76014-2083 |
| Mailing Address |
1745 Stainback Rd Red Oak TX 75154-3207 |
| Practice Telephone | 8174673000 |
| Practice Fax Number | 8174673001 |
| Mailing Telephone | 8174673000 |
| Mailing Fax Number | 8174673001 |
| Enumeration Date | 2008-09-23 |
| Last Update Date | 2011-10-03 |
| Authorized Official Name | DR. GLENN MICHAEL IHDE II (PRESIDENT) |
| Authorized Official Telephone | 8174673000 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | K6010 | TX | Other Service Providers |
| Street Address |
515 W MAYFIELD RD SUITE 402 |
| City | ARLINGTON |
| State | TX |
| Zip Code | 76014-2083 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962407007 | Himalaya E. Lele | Surgery | 515 W Mayfield Rd, Suite 311, Arlington, TX 76014-2083 | 2005-06-16 |
| 1730589185 | Chaney Grunow | Physician Assistant | 515 W Mayfield Rd, Suite 102, Arlington, TX 76014-2083 | 2014-09-03 |
| 1821418575 | Aurora Denise Lopez | Obstetrics & Gynecology | 515 W Mayfield Rd, Arlington, TX 76014-2083 | 2014-04-21 |
| 1851716617 | Laboratory Corporation of America | Clinical Medical Laboratory | 515 W Mayfield Rd, Suite 102, Arlington, TX 76014-2083 | 2014-03-03 |
| 1194099622 | Trinity Vein Institute Pllc | Radiology | 515 W Mayfield Rd, Ste 407, Arlington, TX 76014-2083 | 2012-03-01 |
| 1578836516 | Siva Paruchuri | Specialist/Technologist, Other | 515 W Mayfield Rd, Suite 300, Arlington, TX 76014-2083 | 2012-02-22 |
| 1447541594 | Deepna Deepak Jaiswal | Internal Medicine | 515 W Mayfield Rd, Ste 102, Arlington, TX 76014-2083 | 2011-04-25 |
| 1982908166 | Kr First Assist, LLC | Clinical Nurse Specialist | 515 W Mayfield Rd, Suite 402, Arlington, TX 76014-2083 | 2011-01-03 |
| 1215242961 | Advanced Vascular Surgery of Arlington, Pllc | Surgery | 515 W Mayfield Rd, Suite 240, Arlington, TX 76014-2083 | 2010-08-18 |
| 1245559806 | Kimberly Rae Besancon | Clinical Nurse Specialist | 515 W Mayfield Rd, Suite 402, Arlington, TX 76014-2083 | 2010-05-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629454574 | Melissa Higgins | Physical Therapist | 3050 Center St, Suite 140, Arlington, TX 76014 | 2015-08-03 |
| 1801228739 | A&i Pharmacy LLC | Pharmacy | 100 West Pioneer Pkwy #113b, Arlington, TX 76014 | 2013-08-02 |
| 1275972382 | Dentacare Dental of Collins Pa | Dentist | 2440 S Collins Street, Suite #140, Arlington, TX 76014 | 2013-06-21 |
| 1770826596 | Terry Ngoc Le | Internal Medicine | 3305 Meredith Dr, Arlington, TX 76014 | 2013-03-29 |
| 1407127194 | Top Rx Pharmacy | Pharmacy | 2381 S Collins St, Arlington, TX 76014 | 2012-01-26 |
| 1528344173 | Central Park Dental | Dentist | 3101 S. Center St, Suite #151, Arlington, TX 76014 | 2011-10-27 |
| 1902036239 | Prime Surgical Services | Physician Assistant | 3216 Winston Terrace #411, Arlington, TX 76014 | 2009-07-21 |
| 1588892251 | Yolanda Meashell Snell | Physician Assistant | 3216 Winston Terrace, 411, Arlington, TX 76014 | 2009-07-01 |
| 1780810259 | Cornerstone Pain Management | Anesthesiology | 501 N. Rita Ln, Suite 101, Arlington, TX 76014 | 2009-06-10 |
| 1053551580 | Citimed East | Family Medicine | 3310 S. Watson Road, Arlington, TX 76014 | 2009-02-24 |
| Find all providers in zip 76014 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538681788 | Andrea Paulette Redic | Specialist | 2141 N Collins St Ste 503, Arlington, TX 76011-2812 | 2017-07-10 |
| 1649705112 | Gregory Morgan Rose | Specialist | 2025 Randy Snow Rd Apt 227, Arlington, TX 76011-8921 | 2017-04-21 |
| 1407381023 | Rest Easy Hair Clinic | Specialist | 3710 168th Street N.e. B101, Arlington, WA 98223 | 2017-04-21 |
| 1497201164 | Mayrena Isamar Hernandez | Specialist | 7201 Lake Jackson Dr, Arlington, TX 76002-4070 | 2016-08-31 |
| 1396192126 | Paul Aaron Petty | Specialist | 1715 N George Mason Dr Ste 503, Arlington, VA 22205-3669 | 2016-05-23 |
| 1174990535 | Angenique Miles-lewis | Specialist | 3901 W Arkansas Ln Ste 116, Arlington, TX 76016-1400 | 2015-09-01 |
| 1831575778 | Rais Ul Ghani | Specialist | 922 Winterwood Ct, Arlington, TX 76017-6139 | 2015-08-03 |
| 1760888598 | Sarah Walsh | Specialist | 1301 S Cleveland St Apt 357, Arlington, VA 22204-4872 | 2014-11-05 |
| 1962806869 | A New Weigh Center Corp | Specialist | 306 E Randol Mill Rd Ste 136, Arlington, TX 76011-5841 | 2014-10-21 |
| 1508274614 | Neurodiagnostic Consultants, L.L.C. | Specialist | 1102 Orchard Drive, Arlington, TX 76012 | 2014-08-01 |
| Find all providers in ARLINGTON | ||||
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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.