JOHN MOLLOY GLENN III (NPI# 1457779266) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457779266 |
| Entity Type | Individual |
| Full Name | JOHN MOLLOY GLENN III |
| Practice Address |
700 S Park St Madison WI 53715-1830 |
| Mailing Address |
1 University of New Mexico Msc 10 5610 Albuquerque NM 87131-0001 |
| Practice Telephone | 6082516100 |
| Mailing Telephone | 5052726487 |
| Mailing Fax Number | 5052724156 |
| Enumeration Date | 2014-03-31 |
| Last Update Date | 2019-07-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 18346 | WI | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417272030 | John Edward Glenn | Massage Therapist | 1434 29th Ave, Seattle, WA 98122-3202 | 2010-04-07 |
| 1437282191 | John Glenn Jr. | Ophthalmology | 2901 E 29th St Ste 101, Bryan, TX 77802-2691 | 2007-03-13 |
| 1780713891 | John Glenn Iv | Chiropractor | 105 Louviers Dr, Newark, DE 19711-4163 | 2007-03-05 |
| 1194765420 | John A Glenn Jr. | Family Medicine | 840 Professional Center Dr, Eastman, GA 31023-6734 | 2006-06-07 |
| 1821056433 | John L Glenn | General Practice | 84 E. State St, St. Mary's Hospital, Gloversville Fam Hlth Cntr, Gloversville, NY 12078 | 2006-05-03 |
| 1457348047 | John D Glenn | Pharmacist | 34 Nw Park Ave, Baxley, GA 31513-0049 | 2005-09-29 |
| 1043681349 | John Glenn | Physical Therapist | 1300 Braden St, Jacksonville, AR 72076-3719 | 2015-10-13 |
| 1265677942 | John B Glenn IIi | Chiropractor | 3440 Bell St, Suite 122, Amarillo, TX 79109-4142 | 2008-12-09 |
| 1225188030 | John David Glenn | Internal Medicine | 975 Sereno Dr, Vallejo, CA 94589-2441 | 2007-01-12 |
| 1043319676 | John Kenneth Glenn | Physician Assistant | 2460 Ne Griffin Oaks St, Suite D1000, Hillsboro, OR 97124-2672 | 2006-09-21 |
| Street Address |
700 S PARK ST |
| City | MADISON |
| State | WI |
| Zip Code | 53715-1830 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134123003 | Marilyn J Borst | Surgery | 700 S Park St, Madison, WI 53715-1830 | 2005-06-09 |
| 1487266714 | Charlene Jenkins | Nurse Practitioner | 700 S Park St, Madison, WI 53715-1830 | 2020-08-18 |
| 1073130480 | Amanda Mcafee | Nurse Practitioner | 700 S Park St, Madison, WI 53715-1830 | 2020-07-01 |
| 1235759150 | Edriss Drammeh | Nurse Practitioner | 700 S Park St, Madison, WI 53715-1830 | 2020-04-21 |
| 1700424777 | Elizabeth H Kuhn | Nurse Anesthetist, Certified Registered | 700 S Park St, Madison, WI 53715-1830 | 2019-12-20 |
| 1295373710 | Lauren Nicole Tobasco | Physician Assistant | 700 S Park St, Madison, WI 53715-1830 | 2019-12-16 |
| 1629610795 | Amanda L Schneider | Nurse Anesthetist, Certified Registered | 700 S Park St, Madison, WI 53715-1830 | 2019-10-10 |
| 1366092017 | Mitchell John Wilkins | Nurse Anesthetist, Certified Registered | 700 S Park St, Madison, WI 53715-1830 | 2019-09-16 |
| 1578119285 | Gary Terlizzi | Nurse Anesthetist, Certified Registered | 700 S Park St, Madison, WI 53715-1830 | 2019-08-18 |
| 1699327304 | Ann R Madden | Nurse Anesthetist, Certified Registered | 700 S Park St, Madison, WI 53715-1830 | 2019-07-12 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851807697 | Kristi M Batchelor | Nurse Practitioner | 20 S Park St Fl 4, Madison, WI 53715 | 2017-12-15 |
| 1578927026 | Petra A Kelsey | Family Medicine | 1107 Emerald St, Madison, WI 53715 | 2016-04-11 |
| 1467889238 | Group Health Cooperative of South Central Wi | Durable Medical Equipment & Medical Supplies | 740 Regent Street, Suite 106, Madison, WI 53715 | 2013-10-10 |
| 1275888760 | Sandra Beth Miller | Physician Assistant | 700 S. Park, Suite A 404, Madison, WI 53715 | 2012-07-20 |
| 1134418486 | Matthew Lochen | Emergency Medicine | 700 S. Park Street, Department of Emergency Medicine, Madison, WI 53715 | 2011-04-06 |
| 1225275720 | Eileen J Breitweiser | Social Worker | 202 South Parkt Street, Madison, WI 53715 | 2009-01-21 |
| 1225293137 | Kenneth H. Yuska, Md, Sc | Orthopaedic Surgery | 4726 East Towne Blvd., 110, Madison, WI 53715 | 2008-07-21 |
| 1063689727 | Rachel I Kornik | Dermatology | Uw Health Dept of Dermatology 1 S. Park St, Administrative Office 7th Floor, Madison, WI 53715 | 2008-05-13 |
| 1144434911 | Rebecca Sue Frye | Pharmacist | 1 South Park Street, Suite 101 Pharmacy, Madison, WI 53715 | 2007-05-10 |
| 1376755496 | Eileen C. Scrivner | Social Worker | 1008 Fish Hatchery Road, Madison, WI 53715 | 2007-05-03 |
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| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356847644 | Laura K Krecko | Surgery | Uw Hospital and Clinics 600 Highland Avenue, Madison, WI 53792-0001 | 2018-04-04 |
| 1447785332 | Patrick Beard Schwartz | Surgery | Uw Hopsitals and Clinics, 600 Highland Ave., Madison, WI 53792-0001 | 2017-04-27 |
| 1144648346 | Juan Sebastian Danobeitia | Surgery | Uw Hospital and Clinics 600 Highland Ave H4, Madison, WI 53792-0001 | 2014-04-03 |
| 1023339496 | Amir Ali Rahnemai Azar | Surgery | 3326 University Ave, Madison, WI 53705-2152 | 2010-06-18 |
| 1710132469 | Veeraiah Siripurapu | Surgery | 1041 Balch Rd Ste 350, Madison, AL 35758 | 2008-11-21 |
| 1811140049 | George Philip Steinmetz Jr. | Surgery | 2820 Marshall Court, #10, Madison, WI 53705-2270 | 2008-10-31 |
| 1164550448 | Marc A Young | Surgery | 605 Yosemite Pl, Madison, WI 53705-2443 | 2007-03-01 |
| 1205856663 | Arnulfo Abat Agbunag | Surgery | 1114 Gallatin Pike N, Madison, TN 37115-2738 | 2006-07-20 |
| 1811912488 | Maureen A Kidd | Surgery | 1619 N Stoughton Rd, Madison, WI 53704-2603 | 2006-07-13 |
| 1558307157 | Leon G Michl | Surgery | 1801 Clifty Dr, Madison, IN 47250-1627 | 2006-06-21 |
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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.