GLEN FITTERMAN (NPI# 1518021377) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518021377 |
| Entity Type | Individual |
| Full Name | GLEN FITTERMAN |
| Credential | MD |
| Practice Address |
700 Old Country Road Suite 204 Plainview NY 11803 |
| Practice Telephone | 5169315800 |
| Practice Fax Number | 5169311273 |
| Mailing Telephone | 5169315800 |
| Mailing Fax Number | 5169311273 |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2008-06-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 177452 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
700 OLD COUNTRY ROAD SUITE 204 |
| City | PLAINVIEW |
| State | NY |
| Zip Code | 11803 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306025358 | Robyn A. Cotler | Dietitian, Registered | 700 Old Country Road, Plainview, NY 11803 | 2007-10-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730797010 | Lynn Marie Viscusi | Chiropractor | 1163 Old Country Road, Plainview, NY 11803 | 2020-07-22 |
| 1649798240 | Audrey Demas | Early Intervention Provider Agency | 255 Executive Drive Suite Ll 105/108, Plainview, NY 11803 | 2017-09-03 |
| 1649798521 | Danielle J Walowitz | Specialist | 19 Pearl Drive, Plainview, NY 11803 | 2017-08-31 |
| 1437676178 | Jaclyn Heather Rosenblum | Speech-Language Pathologist | 2 Edgewood Gate, Plainview, NY 11803 | 2017-08-24 |
| 1548784531 | Giselle Cortez | Registered Nurse | 53 Belmont Avenue, Plainview, NY 11803 | 2017-08-01 |
| 1528500808 | Michelle Tamarez | Nurse Practitioner | 131 E. Ames Ct, Plainview, NEW YORK 11803 | 2016-11-17 |
| 1649656646 | Marjorie Elise Tirsun | Specialist | 10 Crestwood Drive, Plainview, NY 11803 | 2015-08-03 |
| 1295110872 | Elizabeth Scisci | Dentist | 146a Manetto Hill Rd Ste 100, Plainview, NY 11803 | 2015-07-24 |
| 1114332905 | Alberto Roman Cabezas | Internal Medicine | Sanchez, Curridabat, SAN JOSE 11803 | 2014-06-30 |
| 1568883148 | Chiropractic Doc Spine, PC | Chiropractor | 42 Ruby Ln, Plainview, NY 11803 | 2013-12-26 |
| Find all providers in zip 11803 | ||||
| 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 |
|---|---|---|---|---|
| 1144466319 | Brett Michael Keck | Surgery | 700 Old Country Rd Ste 204, Plainview, NY 11803-4932 | 2008-12-18 |
| 1982617635 | Vincent W Ansanelli | Surgery | 100 Manetto Hill Road, Suite 210, Plainview, NY 11803 | 2006-08-14 |
| 1629012000 | Bobby W Smith | Surgery | 1605 W 5th St, Plainview, TX 79072-7834 | 2006-06-15 |
| 1386685964 | Alan T Slepian | Surgery | 146a Manetto Hill Rd Ste 102, Plainview, NY 11803-1323 | 2006-06-08 |
| 1225090939 | Paresh K Rajajoshiwala | Surgery | 2504 Xenia St Ste 102, Plainview, TX 79072-1818 | 2006-04-06 |
| 1538623053 | Kelly Irene Santangelo | Surgery | 888 Old Country Rd, Plainview, NY 11803-4914 | 2019-01-29 |
| 1881072841 | Dayton Wong | Surgery | 2504 Xenia St, Plainview, TX 79072-1818 | 2015-05-11 |
| 1538462460 | Alan T Slepian, Md, Facs, PC | Surgery | 146a Manetto Hill Rd, Suite 102, Plainview, NY 11803-1323 | 2010-12-15 |
| 1407021769 | Glen Fitterman, Md, PC | Surgery | 700 Old Country Rd, Suite 204, Plainview, NY 11803-4932 | 2008-04-28 |
| 1750587176 | Vincent W Ansanelli PC | Surgery | 100 Manetto Hill Road, Suite 210, Plainview, NY 11803 | 2007-06-22 |
| Find all providers in PLAINVIEW | ||||
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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.