DR. GLENN A HOORT (NPI# 1629138607) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629138607 |
| Entity Type | Individual |
| Full Name | DR. GLENN A HOORT |
| Credential | DPM |
| Practice Address |
854 S. Washington Avenue Suite 430 Holland MI 49423-7141 |
| Practice Telephone | 6163926117 |
| Practice Fax Number | 6163921920 |
| Mailing Telephone | 6163926117 |
| Mailing Fax Number | 6163921920 |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2015-02-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 5901000884 | MI | Podiatric Medicine & Surgery Service Providers |
| N | 213ES0131X |
Podiatrist Specialization: Foot Surgery |
5901000884 | MI | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BLUECROSSBLUESHIELDMI | 4857005000 | 01 |
| MI | ADMINISTAR | 480000546 | 01 |
| MI | 2115198 | 05 | |
| MI | BLUE CROSS BLUE SHEILD | 485705000 | 01 |
| Street Address |
854 S. WASHINGTON AVENUE SUITE 430 |
| City | HOLLAND |
| State | MI |
| Zip Code | 49423-7141 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356996714 | Ella Rose Marx | Social Worker | 412 Century Lane, Holland, MI 49423 | 2019-08-02 |
| 1245720424 | Amanda Ann Allen | Behavior Technician | 165 Sorrento Drive, Holland, MI 49423 | 2018-05-14 |
| 1588194237 | Emily Amila Geurink | Physical Therapy Assistant | 4037 43rd St, Holland, MI 49423 | 2017-06-15 |
| 1285081737 | Kara Draayer | Nurse Anesthetist, Certified Registered | 25 W 8th St Ste 200, Holland, MI 49423 | 2016-05-14 |
| 1851776413 | Sara Ty | Occupational Therapist | 789 South Meadow Court, Holland, MI 49423 | 2015-07-24 |
| 1508243056 | Andrew Peasley | Chiropractor | 436 Century Ln., Holland, MI 49423 | 2015-05-05 |
| 1437536497 | Deborah Donnelly | Physical Therapy Assistant | 1221 16th Street, Holland, MI 49423 | 2015-04-29 |
| 1366846024 | John Nguyen | Pharmacist | 747 E 16th St, Holland, MI 49423 | 2014-10-09 |
| 1003257817 | Courtney Young | Social Worker | 96 W 15 Street Midtown Center- Arbor Circle, Holland, MI 49423 | 2013-07-09 |
| 1689014391 | Jason Pettet | Acupuncturist | 500 West 17th St., Holland, MI 49423 | 2013-06-26 |
| Find all providers in zip 49423 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396282935 | Holland Foot and Ankle Center, PC | Podiatrist | 445 120th Ave, Holland, MI 49424-2119 | 2017-01-20 |
| 1972719482 | Hariett B. Levinson Dpm PC | Podiatrist | 140 Buck Hill Dr, Holland, PA 18966-2805 | 2007-05-15 |
| 1861405235 | Irving Bradley Pinsky | Podiatrist | 221e Village Rd, Holland, PA 18966-2519 | 2006-08-15 |
| 1780661314 | Douglas L Maguire | Podiatrist | 904 S Washington Ave, Holland, MI 49423-7724 | 2005-12-24 |
| 1992794200 | Scott Leslie Vandevorde | Podiatrist | 8957 Ottogan St, Holland, MI 49423-9044 | 2005-10-19 |
| 1962660001 | Michigan Medical Patient Care | Podiatrist | 145 Columbia Ave, Holland, MI 49423-2981 | 2008-05-27 |
| 1659552214 | Holland Community Health Center | Podiatrist | 336 S River Ave, Holland, MI 49423-3326 | 2007-11-23 |
| 1356432249 | Holland Community Health Center | Podiatrist | 336 S River Ave, Holland, MI 49423-3326 | 2006-09-27 |
| 1801833512 | Ritu Mathur | Podiatrist | 3235 N Wellness Dr, #120b, Holland, MI 49424-7264 | 2006-06-01 |
| 1699752238 | Richard M Seiler | Podiatrist | 904 S Washington Ave, Holland, MI 49423-7724 | 2005-12-24 |
| Find all providers in HOLLAND | ||||
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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.