GLENN A WINSLOW (NPI# 1255332102) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255332102 |
| Entity Type | Individual |
| Full Name | GLENN A WINSLOW |
| Credential | MD |
| Practice Address |
3000 15th Avenue South Great Falls MT 59405 |
| Mailing Address |
1400 29th St S Great Falls MT 59405-5353 |
| Practice Telephone | 4064542171 |
| Practice Fax Number | 4067713021 |
| Mailing Telephone | 4064542171 |
| Mailing Fax Number | 4067713021 |
| Enumeration Date | 2005-08-02 |
| Last Update Date | 2010-02-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0120X |
Surgery Specialization: Pediatric Surgery |
8297 | MT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MT | 0101252 | 05 |
| Street Address |
3000 15TH AVENUE SOUTH |
| City | GREAT FALLS |
| State | MT |
| Zip Code | 59405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245396159 | Julie Joan Bliss | Physical Therapist | 3000 15th Avenue South, Great Falls, MT 59405 | 2006-12-28 |
| 1134280100 | Lisa Camille O Brien | Social Worker | 3000 15th Avenue South, Great Falls, MT 59405 | 2006-12-13 |
| 1609877471 | John T Molloy | Internal Medicine | 3000 15th Avenue South, Great Falls, MT 59405 | 2005-08-03 |
| 1144221011 | Gregg D Pike | Orthopaedic Surgery | 3000 15th Avenue South, Great Falls, MT 59405 | 2005-08-02 |
| 1437150331 | Karl A Guter | Internal Medicine | 3000 15th Avenue South, Great Falls, MT 59405 | 2005-08-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902446180 | Reilly Kunz | Physical Therapist | 2621 15th Ave South, Great Falls, MT 59405 | 2020-01-15 |
| 1336617224 | Brandi Noel Sauer | Behavior Technician | 1601 2nd Ave North Suite 518, Great Falls, MT 59405 | 2018-11-08 |
| 1982103446 | Traci Raines Aprn Pllc | Nurse Practitioner | 120 Marillyn Dr, Great Falls, MT 59405 | 2018-02-09 |
| 1003332818 | Great Falls Health Supplies | Durable Medical Equipment & Medical Supplies | 1720 10th Ave., South, Suite 4-151, Great Falls, MT 59405 | 2017-08-15 |
| 1518489426 | Jessica Lynn Keller | Specialist/Technologist | 720 46th Street South, Great Falls, MT 59405 | 2017-07-12 |
| 1235678475 | Vanessa Claudia Hernandez | Occupational Therapist | 2621 15 Ave So, Great Falls, MT 59405 | 2017-02-21 |
| 1871039339 | Morgan Laux Olsen | Specialist/Technologist | 1301 20th St S, Great Falls, MT 59405 | 2017-01-09 |
| 1558807198 | Greg Robert Lipton | Occupational Therapist | 2621 15th Ave So, Great Falls, MT 59405 | 2017-01-06 |
| 1386180925 | Jessica Lee Krahn | Physical Therapist | 2621 15th Ave So., Great Falls, MT 59405 | 2017-01-06 |
| 1811430150 | Juli Brandvold | Massage Therapist | 2400 4th Ave S., Great Falls, MT 59405 | 2016-11-18 |
| Find all providers in zip 59405 | ||||
| Taxonomy Code | 2086S0120X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Pediatric Surgery |
| A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437129046 | Scott William Lucas | Surgery | 3000 15th Ave S, Great Falls, MT 59405 | 2006-01-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770716201 | Gavin Alexander Falk | Surgery | 1333 Surgical Services Drive, Northwest Montana Surgical Associates, Kalispell, MT 59901 | 2009-09-01 |
| 1740413061 | Federico Gian Filippo Seifarth | Surgery | 1333 Surgical Services Way, Kalispell, MT 59901-4844 | 2009-09-03 |
| 1144230368 | Anne Manktelow | Surgery | 2835 Fort Missoula Road, Ste 306 Pediatric Surgery of Montana, Missoula, MT 59804 | 2006-08-09 |
| City | GREAT FALLS |
| Zip Code | 59405 |
Please comment or provide details below to improve the information on GLENN A WINSLOW.
| 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.