MR. CLIFFORD RAY COLGLAZIER (NPI# 1285631721) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285631721 |
| Entity Type | Individual |
| Full Name | MR. CLIFFORD RAY COLGLAZIER |
| Credential | MD |
| Practice Address |
945 Washington Ave Grant NE 69140-3044 |
| Mailing Address |
Po Box 97 Grant NE 69140-0097 |
| Practice Telephone | 3083522122 |
| Practice Fax Number | 3083522281 |
| Mailing Telephone | 3083522122 |
| Enumeration Date | 2005-06-30 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | NE14390 | NE | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | NE14390 | 05 | |
| NE | BLUE CROSS | 02717 | 01 |
| Street Address |
945 WASHINGTON AVE |
| City | GRANT |
| State | NE |
| Zip Code | 69140-3044 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235683087 | Julie Kuskie | Nurse Practitioner | 945 Washington Ave, Grant, NE 69140-3044 | 2016-08-10 |
| 1770580227 | Ruth Demmel | Family Medicine | 945 Washington Ave, Grant, NE 69140-3044 | 2005-06-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649248220 | John Matthew Byrd | Family Medicine | 912 Central Avenue, Grant, NE 69140 | 2006-03-09 |
| 1366543365 | Colglazier Clinic | Clinic/Center | 945 Washington Avenue, Grant, NE 69140-0097 | 2006-09-25 |
| 1508969189 | Marvin Allen Swan | Dentist | 242 Central Ave, Grant, NE 69140-0863 | 2006-09-07 |
| 1528255668 | First Insight Eyecare, LLC | Optometrist | 115 W 3rd, Grant, NE 69140-0950 | 2007-10-03 |
| 1255340717 | Jorje Jette Geisert | Pharmacist | 218 Central Ave, Grant, NE 69140-3016 | 2006-08-05 |
| 1740526151 | J&j Pharms. LLC | Pharmacy | 218 Central Ave, Grant, NE 69140-3016 | 2012-12-13 |
| 1073648663 | J & J Pharmacies LLC | Pharmacy | 218 Central Ave, Grant, NE 69140-3016 | 2007-02-22 |
| 1619912045 | County of Perkins | Ambulance | 342 Central Ave, Grant, NE 69140-3021 | 2006-06-19 |
| 1619979010 | Pamela L Murphy | Nurse Anesthetist, Certified Registered | 900 Lincoln Ave, Grant, NE 69140-3095 | 2005-08-15 |
| 1710316237 | Banner Health Physicians Colorado LLC | Clinic/Center | 900 Lincoln Ave, Grant, NE 69140-3095 | 2013-11-05 |
| Find all providers in zip 69140 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225658495 | Grand Island Regional Medical Center | General Practice | 3533 Prairieview St., Grand Island, NE 68802-5225 | 2020-04-17 |
| 1447723325 | Infinite Options LLC | General Practice | 17650 Wright St Ste 5, Omaha, NE 68130-2800 | 2019-01-03 |
| 1194202358 | Lmmc Lincoln, LLC | General Practice | 300 N 44th St Ste 102, Lincoln, NE 68503-3415 | 2018-07-20 |
| 1649629478 | Marathon Health, Inc. | General Practice | 108 West 17th Street, C/o Cargill Employee Health Center, Schuyler, NE 68661-1304 | 2016-06-13 |
| 1356605117 | Laura Marie Peterson | General Practice | 8330 Cheney Ridge Rd Apt 439, Lincoln, NE 68516-3820 | 2012-06-26 |
| 1013283431 | Daniel J Gross | General Practice | 1501 Jackson St Ste 100, Omaha, NE 68102-3146 | 2012-03-29 |
| 1043583560 | Virgil V Ottun | General Practice | 81084 Round Valley Rd, Sargent, NE 68874-3119 | 2012-02-14 |
| 1255644787 | Joseph Kennedy Costello Iv | General Practice | 224 N. 49th St. #4a, Omaha, NE 68132 | 2010-07-26 |
| 1326369075 | Gbgh | General Practice | 12309 Gold Street, Omaha, NE 68144-2760 | 2010-06-17 |
| 1477875649 | James Bane | General Practice | 11106 N 61st St, Omaha, NE 68152-1470 | 2010-02-15 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MR. CLIFFORD RAY COLGLAZIER.
| 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.