DR. MATTHEW DAVID GLYNN (NPI# 1417971102) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417971102 |
| Entity Type | Individual |
| Full Name | DR. MATTHEW DAVID GLYNN |
| Credential | MD |
| Practice Address |
920 Sw Lane St Suite 200 Topeka KS 66606-1543 |
| Practice Telephone | 7852330500 |
| Practice Fax Number | 7852330660 |
| Mailing Telephone | 7852330500 |
| Mailing Fax Number | 7852330660 |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2008-05-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | 0429018 | KS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | BLUE CROSS BLUE SHIELD | 102449 | 01 |
| KS | 100391250B | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225508765 | Matthew Robert Glynn | Physician Assistant | 314 W 14th St Fl 5, New York, NY 10014-5002 | 2018-11-27 |
| Street Address |
920 SW LANE ST SUITE 200 |
| City | TOPEKA |
| State | KS |
| Zip Code | 66606-1543 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881616845 | Topeka Ear, Nose and Throat, P.a. | Speech-Language Pathologist | 920 Sw Lane St, Suite 200, Topeka, KS 66606-2549 | 2006-07-25 |
| 1194174490 | Jessica Grace Gaughan | Audiologist | 920 Sw Lane St, Ste 200, Topeka, KS 66606-2549 | 2016-06-07 |
| 1427319680 | Tammy Lynn Gonzales | Audiologist | 920 Sw Lane St, #200, Topeka, KS 66606-2549 | 2012-06-05 |
| 1669731311 | Conni Beth Rodriguez | Audiologist-Hearing Aid Fitter | 920 Sw Lane St, Suite #200, Topeka, KS 66606-2549 | 2012-05-15 |
| 1871864140 | Ann Louise Turk | Audiologist | 920 Sw Lane St, Suite #200, Topeka, KS 66606-1543 | 2012-01-19 |
| 1649551961 | Jessica B Whalen | Audiologist | 920 Sw Lane St, Ste #200, Topeka, KS 66606-1543 | 2011-08-31 |
| 1801023007 | Topeka Ear, Nose, and Throat,pa | Audiologist | 920 Sw Lane St, Suite 200, Topeka, KS 66606-1543 | 2009-06-15 |
| 1003948514 | Mary A Wade | Audiologist | 920 Sw Lane St, Suite 200, Topeka, KS 66606-2549 | 2007-03-10 |
| 1790864973 | Julie Lynn Neuenswander | Audiologist | 920 Sw Lane St, Suite 200, Topeka, KS 66606-1543 | 2006-11-06 |
| 1689763104 | Tyler Curtis Grindal | Otolaryngology | 920 Sw Lane St, Suite #200, Topeka, KS 66606-1543 | 2006-10-12 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942843198 | Ashley Biggs | Nurse Practitioner | 823 Sw Mulvane, Ste 200, Topeka, KS 66606 | 2019-10-21 |
| 1952969925 | Danielle Marie Spencer | Physician Assistant | 823 Sw Mulvane, Ste 330, Topeka, KS 66606 | 2019-06-04 |
| 1174084545 | Samantha Brummell | Social Worker | 3707 Sw 6th, Topeka, KS 66606 | 2019-03-28 |
| 1659810372 | Jayme Jo Mejia | Nurse Practitioner | 200 Sw Frazier Circle, Topeka, KS 66606 | 2017-02-14 |
| 1497122139 | Andrew Q Etheridge | Case Manager/Care Coordinator | 325 Sw Frazier, Family Service & Guidance Center, Topeka, KS 66606 | 2015-08-28 |
| 1962817254 | Kelsie Maxwell | Clinic/Center | 1315 Sw 6th Ave Suite B, Topeka, KS 66606 | 2014-06-25 |
| 1548684202 | Kimberly Ann Spencer | Counselor | 1500 Sw 10th Avenue, Topeka, KS 66606 | 2014-02-14 |
| 1730501859 | Ryan Kemp-pappan | Counselor | Valeo Behavioral Health Care, 330 Sw Oakley Ave, Topeka, KS 66606 | 2014-01-08 |
| 1750710935 | Dia L Orear | Nurse Practitioner | 1700 Sw 7th Street, 2nd Floor, Topeka, KS 66606 | 2013-11-07 |
| 1609174523 | Elizabeth Husted | Community Health Worker | 5301 Sw 7th St., Topeka, KS 66606 | 2011-03-01 |
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| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| 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 Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154437747 | Song Ping Lee | Otolaryngology | 823 Mulvane, Suite 250, Topeka, KS 66606 | 2006-08-23 |
| 1689763104 | Tyler Curtis Grindal | Otolaryngology | 920 Sw Lane St, Suite #200, Topeka, KS 66606-1543 | 2006-10-12 |
| 1790881613 | Robert Viron Lane | Otolaryngology | 920 Sw Lane St, Suite #200, Topeka, KS 66606-1543 | 2006-09-16 |
| 1619071891 | Scot David Hirschi | Otolaryngology | 920 Sw Lane St, Suite 200, Topeka, KS 66606-1543 | 2006-09-11 |
| 1881618577 | Michael Douglas Franklin | Otolaryngology | 920 Sw Lane St, Suite # 200, Topeka, KS 66606-1543 | 2006-07-26 |
| 1508880295 | Douglas Edward Barnes | Otolaryngology | 920 Sw Lane St, Suite 200, Topeka, KS 66606-1543 | 2006-07-26 |
| 1780624106 | Fredric B Gnau | Otolaryngology | 2200 Sw Gage Blvd, Topeka, KS 66622-0001 | 2006-06-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417451642 | Heather Schopper | Otolaryngology | 3901 Rainbow Blvd # Ms 1060, Kansas City, KS 66160 | 2018-03-21 |
| 1811305576 | Roland Dean Williams | Otolaryngology | 6517 Aberdeen Rd, Mission Hills, KS 66208-1822 | 2014-07-25 |
| 1336570019 | Mario J Guastello | Otolaryngology | 2308 Arno Rd, Mission Hills, KS 66208-2251 | 2013-12-06 |
| 1356783286 | Susan B. Allen Memorial Hospital | Otolaryngology | 700 W Central Ave Ste 202, El Dorado, KS 67042-2186 | 2013-07-19 |
| 1477998284 | Carson Tyler Williams | Otolaryngology | 5370 College Blvd Ste 100, Overland Park, KS 66211-1891 | 2013-05-07 |
| 1821376435 | Javier Cremer | Otolaryngology | 8901 W 74th St Ste 145, Merriam, KS 66204-2271 | 2011-07-31 |
| 1619294972 | Forrest Haroy Kendall Jr. | Otolaryngology | 2505 West 71st Street, Prairie Village, KS 66208 | 2010-04-27 |
| 1871821876 | Richard J Cummings | Otolaryngology | 1258 Burning Tree Drive, Wichita, KS 67230-1410 | 2009-12-02 |
| 1710116215 | Konstantinos Kourelis | Otolaryngology | Dept of Otolaryngology Head and Neck Surgery, 3901 Rainbow Boulevard, Kansas City, KS 66160-0001 | 2009-07-07 |
| 1205070612 | Gabriel Omar De La Garza | Otolaryngology | 700 W Central Ave Suite 200, Eldorado, KS 67042 | 2009-04-29 |
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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.