GLEN GEORGER (NPI# 1578676565) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578676565 |
| Entity Type | Individual |
| Full Name | GLEN GEORGER |
| Credential | MD |
| Practice Address |
904 Wollard Blvd Richmond MO 64085-2229 |
| Mailing Address |
12810 N Bellflower Ct Platte City MO 64079-7808 |
| Practice Telephone | 8164705432 |
| Mailing Telephone | 8165100702 |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2019-03-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 108171 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | 100344120A | 05 | |
| KS | 100344120D | 05 | |
| BCBS | 25663033 | 01 | |
| KS | 100344120B | 05 | |
| KS | 100344120C | 05 | |
| MO | 208516211 | 05 | |
| RAILROAD MEDICARE | 930079462 | 01 |
| Street Address |
904 WOLLARD BLVD |
| City | RICHMOND |
| State | MO |
| Zip Code | 64085-2229 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245220052 | Ray County Memorial Hospital | Medicare Defined Swing Bed Unit | 904 Wollard Blvd, Richmond, MO 64085-2229 | 2005-10-24 |
| 1295336428 | Devanne Landwehr | Pharmacist | 904 Wollard Blvd, Richmond, MO 64085-2229 | 2020-11-04 |
| 1639543242 | Lindsay Collins | Pharmacist | 904 Wollard Blvd, Richmond, MO 64085-2229 | 2015-11-19 |
| 1558741496 | Trisha Jackson | Dietitian, Registered | 904 Wollard Blvd, Richmond, MO 64085-2229 | 2015-06-05 |
| 1366875379 | Robert E Burton | Pharmacist | 904 Wollard Blvd, Richmond, MO 64085-2229 | 2013-08-13 |
| 1376986901 | James Brian Smith | Family Medicine | 904 Wollard Blvd, Richmond, MO 64085-2229 | 2013-04-13 |
| 1013233774 | Ray County Memorial Hospital | Hospice Care, Community Based | 904 Wollard Blvd, Richmond, MO 64085-2229 | 2010-04-20 |
| 1326270786 | Meritas Health Corporation | Internal Medicine | 904 Wollard Blvd, Richmond, MO 64085-2229 | 2009-08-19 |
| 1043340094 | Daniel R Mrosak Md PC | Surgery | 904 Wollard Blvd, Richmond, MO 64085-2229 | 2007-03-07 |
| 1235191321 | Lei Guan | Emergency Medicine | 904 Wollard Blvd, Ray County Memorial Hospital, Richmond, MO 64085-2229 | 2006-04-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851855027 | Martin Lee Mccrary | Counselor | 108 Wn Main, Richmond, MO 64085 | 2019-01-22 |
| 1265885792 | Special Needs Services of Ray County | Case Manager/Care Coordinator | 810 E Main Street, Richmond, MO 64085 | 2016-07-20 |
| 1669849170 | Sandra Gayle Johnson | Speech-Language Pathologist | 749 Driskill Drive, Richmond, MO 64085 | 2015-09-01 |
| 1386059533 | Missouri Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 320 E Lexington St, Richmond, MO 64085 | 2014-06-26 |
| 1114357761 | Duffett Holdings LLC | Pharmacy | 508 Johnny Walker Lane, Suite B, Richmond, MO 64085 | 2013-11-18 |
| 1841319928 | Jeanne M De Motte | Emergency Medicine | 904 Wollard Blvd., Richmond, MO 64085 | 2007-03-28 |
| 1285785022 | Steven Wesley Fawks | Dentist | 205 Spartan Dr, Richmond, MO 64085 | 2007-01-16 |
| 1215088968 | Steven W Fawks Dds PC | Dentist | 205 S Spartan Dr, Richmond, MO 64085 | 2007-01-16 |
| 1891892980 | Ray County Health Department | Public Health or Welfare | 820 East Lexington Street, Richmond, MO 64085 | 2006-09-20 |
| 1275557878 | Jamie Sue Honeycutt | Family Medicine | 420 Wollard Blvd, Richmond, MO 64085 | 2006-07-27 |
| Find all providers in zip 64085 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265950372 | True North Health Navigation LLC | Emergency Medicine | 301 Virginia St Unit 609, Richmond, VA 23219-4172 | 2017-09-08 |
| 1649791179 | Medexpress Urgent Care Texas, P.a. | Emergency Medicine | 4050 Fm 762 Road, Richmond, TX 77469-5880 | 2017-07-06 |
| 1245765247 | John Coles Wiggins IIi | Emergency Medicine | Emergency Medicine (division of Ultrasound), 1250 E Marshall St, Richmond, VA 23298-5051 | 2017-04-27 |
| 1225563679 | Medexpress Urgent Care, PC - Virginia | Emergency Medicine | 4903 Nine Mile Rd, Richmond, VA 23223-5738 | 2017-04-24 |
| 1124573514 | Medexpress Urgent Care, PC - Virginia | Emergency Medicine | 8040 W Broad St, Richmond, VA 23294-4218 | 2016-08-16 |
| 1922448810 | Aaron S Wasserman | Emergency Medicine | 1100 Reid Hospital, Richmond, IN 47374-1157 | 2013-06-25 |
| 1649617523 | Daniel A Knott | Emergency Medicine | 5855 Bremo Rd Ste 210, Richmond, VA 23226-1922 | 2013-05-31 |
| 1982049425 | Amy Nicole Whiffin | Emergency Medicine | 1201 Broad Rock Blvd. Emergency Department, Richmond, VA 23249 | 2013-05-09 |
| 1972860138 | Tuckahoe Creek Emergency Physicians LLC | Emergency Medicine | 12720 Tuckahoe Creek Court, Richmond, VA 23238-1121 | 2012-04-12 |
| 1891077210 | Paul Zelensky | Emergency Medicine | Vcuhs Dept of Med, Palliative and Hospice, 1250 E Marshall Street, Richmond, VA 23298 | 2011-09-12 |
| Find all providers in RICHMOND | ||||
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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.