DR. KENNETH S GLASS (NPI# 1184709560) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184709560 |
| Entity Type | Individual |
| Full Name | DR. KENNETH S GLASS |
| Credential | MD |
| Practice Address |
309 Middle Country Rd Ste 101 Smithtown NY 11787 |
| Mailing Address |
45 Research Way Ste 105 East Setauket NY 11733-6401 |
| Practice Telephone | 6313602200 |
| Practice Fax Number | 6313601328 |
| Mailing Telephone | 6316752125 |
| Mailing Fax Number | 6316752624 |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2016-06-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 116939 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00246819 | 05 | |
| NY | AETNA | 4265173 | 01 |
| NY | BC/BS | 317171 | 01 |
| NY | GHI | 6001991 | 01 |
| NY | CIGNA | 5522881 | 01 |
| NY | BLUE CROSS BLUE SHIELD | 317171 | 01 |
| NY | RAILROAD MEDICARE | 200008347 | 01 |
| NY | HEALTHNET | 4C2994 | 01 |
| NY | UNITEDHEALTHCARE | 488342 | 01 |
| NY | OXFORD | CS141 | 01 |
| NY | MEDICARE GROUP PTAN | W21941 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992210553 | Kenneth Glass | Driver | 4021 Keswick Dr, Danville, VA 24540-5315 | 2017-12-05 |
| 1922259076 | Kenneth William Glass | Psychologist | 309 W School House Ln, Philadelphia, PA 19144-3846 | 2008-10-07 |
| 1154415479 | Kenneth R. Glass | Optometrist | 38 Flower Ln, Opticare Inc., Jericho, NY 11753-2312 | 2006-10-03 |
| 1356822118 | Kenneth Andrew Glass | Anesthesiologist Assistant | 1000 Johnson Fy Rd Ne, Atlanta, GA 30342-1606 | 2018-08-28 |
| 1457543613 | Kenneth Glass | Dentist | 4650 W Jojoba Dr, Tucson, AZ 85745-9046 | 2007-08-13 |
| 1861508269 | Kenneth Lawrence Glass | Physical Therapist | 2270 Us Hwy 74a, Suite 341, Forest City, NC 28043 | 2006-08-21 |
| 1417934340 | Kenneth David Glass | Psychiatry & Neurology | 1101 Summit Rd, Cincinnati, OH 45237-2621 | 2005-12-30 |
| Street Address |
309 MIDDLE COUNTRY RD STE 101 |
| City | SMITHTOWN |
| State | NY |
| Zip Code | 11787 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568498616 | Hanger Prosthetics & Orthotics East, Inc. | Durable Medical Equipment & Medical Supplies | 309 Middle Country Rd, Smithtown, NY 11787-2844 | 2006-06-23 |
| 1952624181 | Mid-suffolk Neurosurgical Associates, PC | Specialist | 309 Middle Country Rd, Smithtown, NY 11787-2844 | 2010-03-02 |
| 1710156500 | Glass & Inserra, M.d P.C. | Orthopaedic Surgery | 309 Middle Country Rd, Suite 101, Smithtown, NY 11787-2844 | 2008-02-26 |
| 1174709307 | Patricia J Homeyer | Physical Therapist | 309 Middle Country Rd, Ste 202, Smithtown, NY 11787-2844 | 2008-01-17 |
| 1114002441 | Salvatore Inserra | Orthopaedic Surgery | 309 Middle Country Rd, Ste 101, Smithtown, NY 11787 | 2006-10-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558962779 | Gwendolyn Burris | Counselor | 20 Gilbert Avenue, Suite 107-a, Smithtown, NY 11787 | 2020-11-04 |
| 1467051193 | Karin M Caro | Adult Companion | 9 Three Pond Road, Smithtown, NY 11787 | 2020-10-23 |
| 1639706641 | Nimit Khara | Student in an Organized Health Care Education/Training Program | 240 Middle Country Rd A, Smithtown, NY 11787 | 2020-03-27 |
| 1003469032 | Maria Teresa Gardella | Nurse Practitioner | St. Catherine of Siena Medical Center, 50 Ny-25a, Smithtown, NY 11787 | 2019-07-18 |
| 1558922070 | Pamella Ann Grillo | Physician Assistant | 373 Ny-111 #5, Smithtown, NY 11787 | 2019-06-25 |
| 1306308127 | Sherry Hansen | Social Worker | 285 Middle Country Rd, Suite Ll5, Smithtown, NY 11787 | 2019-04-01 |
| 1932663747 | Kayla Roundsman | Counselor | 11 Route 11, Smithtown, NY 11787 | 2019-01-25 |
| 1568959856 | Moreen Johnson | Registered Nurse | Christian Nursing Registry, 17 Bank Ave, Smith Town, NY 11787 | 2018-04-23 |
| 1992217871 | Erica Zeller Licensed Clinical Social Work Pllc | Social Worker | 15 Bellemeade Ave Ste 3, Smithtown, NY 11787 | 2017-10-31 |
| 1881117802 | Oisin Vincent Keenan | Case Manager/Care Coordinator | 11 Ny-111, Smithtown, NY 11787 | 2017-07-21 |
| Find all providers in zip 11787 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568605780 | George Christian Vorys | Orthopaedic Surgery | 309 E Middle Country Rd Ste 101, Smithtown, NY 11787-2844 | 2009-04-17 |
| 1124233630 | Izhar U Haque, Md | Orthopaedic Surgery | 323 Middle Country Road, Smithtown, NY 11787 | 2007-05-10 |
| 1497833693 | Enrico S Mango | Orthopaedic Surgery | 290 E Main Street, Suite 700, Smithtown, NY 11787 | 2006-11-02 |
| 1619904240 | Mohammed Ather Mirza | Orthopaedic Surgery | 290 E Main St Ste 200, Smithtown, NY 11787-2916 | 2006-06-27 |
| 1497707012 | Izhar U Haque | Orthopaedic Surgery | 323 Middle Country Rd, Smithtown, NY 11787-2857 | 2006-05-16 |
| 1639127053 | Richard Boccio | Orthopaedic Surgery | 290 East Main Street, Suite 700, Smithtown, NY 11787 | 2006-05-05 |
| 1396747267 | John Labiak | Orthopaedic Surgery | 290 E Main St, Suite 200, Smithtown, NY 11787-2916 | 2005-08-11 |
| 1437491891 | Alex Rothfeld | Orthopaedic Surgery | 222 E Middle Country Rd Ste 340, Smithtown, NY 11787-2814 | 2013-03-25 |
| 1568781268 | Phillip Tomas Guillen | Orthopaedic Surgery | 290 E Main St Ste 200, Smithtown, NY 11787-2916 | 2010-05-20 |
| 1063684744 | M Ather Mirza PC | Orthopaedic Surgery | 290 E Main St Ste 200, Smithtown, NY 11787-2916 | 2008-04-02 |
| Find all providers in SMITHTOWN | ||||
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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.