GLENN BARNES (NPI# 1134506793) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134506793 |
| Entity Type | Individual |
| Full Name | GLENN BARNES |
| Credential | D.O. |
| Practice Address |
620 Shadow Lane Las Vegas NV 89106-4194 |
| Practice Telephone | 7023888436 |
| Practice Fax Number | 7023888431 |
| Mailing Telephone | 7023888436 |
| Mailing Fax Number | 7023888431 |
| Enumeration Date | 2015-05-04 |
| Last Update Date | 2020-02-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
DO2246 | NV | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306925086 | Glenn M Barnes | Dentist | 5135 Dixie Highway, Louisville, KY 40216 | 2006-11-03 |
| 1932289469 | Glenn Allen Barnes | Chiropractor | 9021 N 51st Ave, Glendale, AZ 85302-4210 | 2006-10-17 |
| Street Address |
620 SHADOW LANE |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89106-4194 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184893133 | Tracy Tuyet Tran | Internal Medicine | 620 Shadow Lane, Valley Hospital Medical Center, Las Vegas, NV 89106-4194 | 2008-02-25 |
| 1144886151 | Pacific Vo-vitug | Internal Medicine | 620 Shadow Lane, Las Vegas, NV 89106-4194 | 2019-05-15 |
| 1184280497 | Thomas Lemuel Ilustrisimo | Internal Medicine | 620 Shadow Lane, Las Vegas, NV 89106-4194 | 2019-05-13 |
| 1649835661 | Esther Kim | Internal Medicine | 620 Shadow Lane, Las Vegas, NV 89106-4194 | 2019-05-06 |
| 1023509502 | Shivali Gupta | Orthopaedic Surgery | 620 Shadow Lane, Las Vegas, NV 89106-4194 | 2018-05-21 |
| 1710477443 | Alan Alexander Arismendez | Psychiatry & Neurology | 620 Shadow Lane, Las Vegas, NV 89106 | 2018-05-17 |
| 1437649795 | Matthew Christopher Hanewich | Internal Medicine | 620 Shadow Lane, Las Vegas, NV 89106-4194 | 2018-05-12 |
| 1679062186 | Gina Robinson | Internal Medicine | 620 Shadow Lane, Las Vegas, NV 89106-4194 | 2018-05-09 |
| 1740718535 | Priya Ramgopal Nileshwar | Internal Medicine | 620 Shadow Lane, Las Vegas, NE 89106-4194 | 2017-05-24 |
| 1073963583 | Thanh Cao | Internal Medicine | 620 Shadow Lane, Las Vegas, NV 89106-4194 | 2016-06-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417555772 | Graciela Miranda Cocorpio | Technician | 820 Rancho Ln Suite #40, Las Vegas, NV 89106 | 2020-10-09 |
| 1679101679 | A Better You Wellness Center | Counselor | 320 W Monroe Street, Las Vegas, NV 89106 | 2020-03-27 |
| 1730725177 | Mariah La'neese Jones | Rehabilitation Practitioner | 400 Shadow Lane Ste 106, Las Vegas, NV 89106 | 2019-11-20 |
| 1417592841 | Lourdes Rita Apumayta-paredes | Technician | 820 Rancho Lane, Suite #40, Las Vegas, NV 89106 | 2019-11-08 |
| 1902456551 | Marisela Pena | Technician | 820 Rancho Ln., 25, Las Vegas, NV 89106 | 2019-09-16 |
| 1992368724 | Amber Nicole Mahajan | Nurse Practitioner | 2020 Wellness Way, Suite 300, Las Vegas, NV 89106 | 2019-04-17 |
| 1568924215 | Arlandrea Tarvins | Behavioral Analyst | 1048 Miller Ave, Las Vegas, NV 89106 | 2019-04-02 |
| 1427510361 | Erik Pennell | Student in an Organized Health Care Education/Training Program | 1542 Pinto Ln, 2nd Floor, Las Vegas, NV 89106 | 2019-04-01 |
| 1245702729 | Bruce Mark Babb | Technician | 820 Rancho Lane Ste #40, Las Vegas, NV 89106 | 2018-12-21 |
| 1639649213 | Antonio Ruiz Pelfort | Technician | 1951 Stella Lake St Suite 36, Las Vegas, NV 89106 | 2018-11-27 |
| Find all providers in zip 89106 | ||||
| Taxonomy Code | 207QS0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Sports Medicine |
| A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation. |
| 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 Family Medicine, 2007. http://www.theabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215917042 | David D Moon | Family Medicine | 241 N Buffalo Dr, Bldg. 1, Las Vegas, NV 89145-0373 | 2006-01-18 |
| 1033476023 | Evensen and Trippi Mens Health Pllc | Family Medicine | 9499 W Charleston Blvd, Suite 270, Las Vegas, NV 89117-7150 | 2012-04-16 |
| 1083867329 | Michael Milligan PC | Family Medicine | 5546 S Fort Apache Rd, Suite 100, Las Vegas, NV 89148-7692 | 2008-10-30 |
| 1386896835 | University of Nv School of Medicine Mutli Specialty Group Practice So | Family Medicine | 1391 S Jones Blvd, Las Vegas, NV 89146-1200 | 2008-10-15 |
| 1851553572 | Wade R Gaal | Family Medicine | 5380 S Rainbow Blvd Ste 320, Las Vegas, NV 89118-1880 | 2008-06-25 |
| 1134394075 | Victor Benjamin Klausner | Family Medicine | 801 S Rancho Dr, Ste F-1, Las Vegas, NV 89106-3854 | 2008-04-22 |
| 1548398647 | Michael J Gunter Ltd | Family Medicine | 7455 W Washington Ave, Suite 445, Las Vegas, NV 89128-4337 | 2007-03-01 |
| 1538106497 | William A Rosenberg | Family Medicine | 2800 E Desert Inn Rd Ste 100, Las Vegas, NV 89121-3609 | 2006-06-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003130386 | Victor Klausner, Do, PC | Family Medicine | 9005 S Pecos Rd, Ste 2610, Henderson, NV 89074-7190 | 2010-03-16 |
| 1659486330 | Luis E Palacio | Family Medicine | 4791 Summit Ridge Dr, Reno, NV 89523-7917 | 2006-08-20 |
| 1689600785 | Belinda Annette Murphy Denmark | Family Medicine | 855 Sixth St, Lovelock, NV 89419 | 2006-06-23 |
| 1275538233 | Mark L Stovak | Family Medicine | 123 17th St., Ms 316, Reno, NV 89557 | 2005-06-16 |
| 1720469083 | Brett R Boyce | Family Medicine | 4700 Las Vegas Blvd N, Nellis Afb, NV 89191-6600 | 2015-06-12 |
| 1457763344 | Matthew C. Hess | Family Medicine | 4700 Las Vegas Blvd N, Nellis Afb, NV 89191 | 2014-05-27 |
| 1376833160 | Wilson Gregory Knight II | Family Medicine | 4700 Las Vegas Blvd N, Nellis Afb, NV 89191-6600 | 2011-04-13 |
| 1972751618 | Northern Nevada Medical Group, LLC | Family Medicine | 2345 E Prater Way, Suite 207, Sparks, NV 89434-9600 | 2008-09-06 |
| 1083717995 | Reno Orthopaedic Clinic Inc | Family Medicine | 10085 Double R Blvd, Suite 300, Reno, NV 89521-5860 | 2006-09-06 |
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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.