DR. JEFFREY D GLAZER (NPI# 1467415778) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467415778 |
| Entity Type | Individual |
| Full Name | DR. JEFFREY D GLAZER |
| Credential | MD |
| Practice Address |
2215 Portland Ave Louisville KY 40212-1033 |
| Practice Telephone | 8122188926 |
| Practice Fax Number | 8122188930 |
| Mailing Telephone | 8122188926 |
| Mailing Fax Number | 8122188930 |
| Enumeration Date | 2006-04-08 |
| Last Update Date | 2016-11-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
25111 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | MEDICARE PTAN - SOUTHWEST | K205685 | 01 |
| KY | MEDICARE PTAN - PHOENIX | K205684 | 01 |
| KY | MEDICARE PTAN - PORTLAND | K205681 | 01 |
| KY | MEDICARE PTAN - IROQUOIS | K205683 | 01 |
| KY | MEDICARE PTAN-AMERICANA | K205680 | 01 |
| KY | 64251119 | 05 | |
| KY | MEDICARE PTAN- EAST BROADWAY | K205682 | 01 |
| KY | MEDICARE PTAN- FAIRDALE | K205686 | 01 |
| Street Address |
2215 PORTLAND AVE |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40212-1033 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003810920 | Julia E Richerson | Pediatrics | 2215 Portland Ave, Louisville, KY 40212-1033 | 2005-06-09 |
| 1609431097 | Pamela Lynn Ratcliffe | Social Worker | 2215 Portland Ave, Louisville, KY 40212-1033 | 2019-05-01 |
| 1518453075 | Dana Renee Singletary | Nurse Practitioner | 2215 Portland Ave, Louisville, KY 40212-1033 | 2018-07-09 |
| 1881105823 | Emily B Franck | Nurse Practitioner | 2215 Portland Ave, Louisville, KY 40212-1033 | 2017-10-17 |
| 1952754749 | Bradley Randall Congleton | Dentist | 2215 Portland Ave, Louisville, KY 40212-1033 | 2016-07-18 |
| 1164874160 | Patricia Guzman Rojas | Family Medicine | 2215 Portland Ave, Louisville, KY 40212-1033 | 2016-07-01 |
| 1750738936 | Paula W. Minervino | Nurse Practitioner | 2215 Portland Ave, Louisville, KY 40212-1033 | 2016-05-18 |
| 1043670391 | Rod Ali Erfani | Dentist | 2215 Portland Ave, Louisville, KY 40212 | 2016-02-29 |
| 1013389022 | Izegbea M. Cannon | Nurse Practitioner | 2215 Portland Ave, Louisville, KY 40212-1033 | 2015-10-29 |
| 1659742914 | Tonia Marie Snyder-myers | Nurse Practitioner | 2215 Portland Ave, Louisville, KY 40212-1033 | 2015-10-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003433111 | Shanita Flanagan | Home Health Aide | 4519 Southwestern Parkway, Louisville, KY 40212 | 2020-07-06 |
| 1184118887 | Denise Goldsmith-kelley | Licensed Practical Nurse | 2611 Northwestern Pkwy, Louisville, KY 40212 | 2018-06-18 |
| 1477605426 | Market St Dental Office Psc | Dentist | 2410 West Market St, Louisville, KY 40212 | 2007-01-18 |
| 1528118601 | Portland Dental Psc | Clinic/Center | 465 North 26th Street, Louisville, KY 40212 | 2007-01-11 |
| 1790393643 | Quality Home Care Services, LLC | In Home Supportive Care | 4519 Southwestern Parkway, Same, Louisville, KY 40212 | 2020-07-16 |
| 1659884872 | New Leaf Clinic | Clinic/Center | 2910 W Jefferson St, Louisville, KY 40212 | 2017-11-09 |
| 1164754008 | Deborah J Moreau | Nurse Practitioner | 234 Amy Ave, Louisville, KY 40212 | 2010-02-03 |
| 1982617387 | Julie R Aull | Physician Assistant | 234 Amy Ave, Louisville, KY 40212 | 2006-08-15 |
| 1255816401 | Restoration Center Inc. | Respite Care | 2611 Northwestern Pkwy, Louisville, KY 40212-1029 | 2018-10-03 |
| 1386038040 | Lufield Dialysis LLC | Clinic/Center | 2118 Portland Ave, Louisville, KY 40212-1032 | 2015-03-20 |
| Find all providers in zip 40212 | ||||
| Taxonomy Code | 207VG0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902906092 | George M Kudmani | Obstetrics & Gynecology | 9822 3rd Street Rd, Suite 306, Louisville, KY 40272-2847 | 2006-09-25 |
| 1134147325 | Susan P Hertweck | Obstetrics & Gynecology | 3991 Dutchmans Ln Ste 303, Louisville, KY 40207-4723 | 2006-07-17 |
| 1386617298 | Charles B Shane | Obstetrics & Gynecology | 205 Sycamore Hills Ct, Louisville, KY 40245-5095 | 2006-02-10 |
| 1124011556 | Karen H Reed | Obstetrics & Gynecology | 2355 Poplar Level Rd Ste 304, Louisville, KY 40217-1388 | 2005-08-31 |
| 1306287388 | Maggie L Dwiggins | Obstetrics & Gynecology | 3991 Dutchmans Ln Ste 303, Louisville, KY 40207 | 2013-07-08 |
| 1225303977 | George Kudmani Psc | Obstetrics & Gynecology | 9702 Stonestreet Rd, Suite 306, Louisville, KY 40272-6819 | 2012-03-14 |
| 1255657771 | Lousville Urogynecology Pllc | Obstetrics & Gynecology | 4121 Dutchmans Ln, Suite 401, Louisville, KY 40207-4707 | 2010-04-08 |
| 1861724072 | Donald B Katz Md LLC | Obstetrics & Gynecology | 4121 Dutchmans Ln, Suite 101, Louisville, KY 40207-4707 | 2010-02-12 |
| 1912160797 | Jessica A Shepherd | Obstetrics & Gynecology | 401 E Chestnut St, Suite 410, Louisville, KY 40202-5700 | 2008-07-02 |
| 1215067780 | Charles B Shane Md Psc | Obstetrics & Gynecology | 4001 Kresge Way, Suite 315, Louisville, KY 40207-4640 | 2007-03-06 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40212 |
Please comment or provide details below to improve the information on DR. JEFFREY D GLAZER.
| 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.