JOHN PATRICK GLEYSTEEN (NPI# 1770876344) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770876344 |
| Entity Type | Individual |
| Full Name | JOHN PATRICK GLEYSTEEN |
| Credential | MD |
| Practice Address |
1325 Eastmoreland Ave Ste 260 Memphis TN 38104-7549 |
| Mailing Address |
P O Box 1000 Dept 457 Memphis TN 38148-0001 |
| Practice Telephone | 9012726051 |
| Practice Fax Number | 9012666443 |
| Mailing Telephone | 9012726051 |
| Mailing Fax Number | 9012666443 |
| Enumeration Date | 2011-05-16 |
| Last Update Date | 2019-12-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | 56203 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 223244001 | 05 | |
| MS | 03936334 | 05 | |
| TN | BCBS | 6120219 | 01 |
| TN | Q031018 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1211 Union Ave Ste 300, Memphis, TN 381046655 | 9016093525 | 9012666415 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932144193 | John J Gleysteen | Surgery | 619 19th St S, Birmingham, AL 35249-1900 | 2006-06-19 |
| Street Address |
1325 EASTMORELAND AVE STE 260 |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38104-7549 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457368771 | Scott Eric Strome | Otolaryngology | 1325 Eastmoreland Ave Ste 260, Memphis, TN 38104-7549 | 2006-08-01 |
| 1295228468 | Carla Jean Anderson | Physician Assistant | 1325 Eastmoreland Ave Ste 260, Memphis, TN 38104-7549 | 2018-06-12 |
| 1255822078 | Abigail Tiefel | Speech-Language Pathologist | 1325 Eastmoreland Ave Ste 260, Memphis, TN 38104 | 2018-05-29 |
| 1265852305 | Charissa N Kahue | Otolaryngology | 1325 Eastmoreland Ave Ste 260, Memphis, TN 38104-7549 | 2014-04-16 |
| 1558628107 | Sandra Stinnett | Otolaryngology | 1325 Eastmoreland Ave Ste 260, Memphis, TN 38104 | 2012-04-20 |
| 1366709164 | Robert James Yawn | Otolaryngology | 1325 Eastmoreland Ave Ste 260, Memphis, TN 38104-7549 | 2012-04-18 |
| 1568611911 | Vanessa D. Kendrick | Audiologist | 1325 Eastmoreland Ave Ste 260, Memphis, TN 38104-7549 | 2008-09-10 |
| 1609072842 | Courtney Brooke Shires | Otolaryngology | 1325 Eastmoreland Ave Ste 260, Memphis, TN 38104-7549 | 2007-06-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952900367 | Christy White | Recreation Therapist | 1030 Jefferson Ave (rt117), Memphis, TN 38104 | 2020-10-19 |
| 1821615873 | Altiana Carter | Optometrist | 650 New York St, Memphis, Tn 38104, Memphis, TN 38104 | 2020-06-25 |
| 1952898413 | Family To Family Adult Care Service | Chore Provider | 1331 Union Ave Suite 1028, Mempnis, TN 38104 | 2018-04-19 |
| 1326544800 | Kimberly Vestoria Mcclinton | Nurse Practitioner | 2200 Union Ave 1, Memphis, TN 38104 | 2018-04-03 |
| 1649799339 | Benjamin Duhart Jr. | Pharmacist | 1265 Union Avenue- Methodist University Hospital, Ground Floor Pharmacy Administration, Memphis, TN 38104 | 2017-09-13 |
| 1134644982 | Amy Michelle Wise | Nurse Practitioner | 1325 Eastmoreland Ave Ste 500, Memphis, TN 38104 | 2017-08-13 |
| 1316468572 | Jinger Cathey | Social Worker | 1330 Jefferson Ave, Memphis, TN 38104 | 2017-06-28 |
| 1336669183 | Charma May Kavuncu | Social Worker | 1407 Union Ave Ste 1100, Memphis, TN 38104 | 2017-06-22 |
| 1003345398 | Angelica J Dennis | Nurse Practitioner | 1265 Union, Memphis, TN 38104 | 2017-06-08 |
| 1609302546 | Cheryl Beene | Nurse Practitioner | 1211 Union Ave Ste 475, Memphis, TN 38104 | 2017-05-11 |
| Find all providers in zip 38104 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841378403 | Rande Harris Lazar | Otolaryngology | 791 Estate Place, Memphis, TN 38120 | 2006-11-01 |
| 1457368771 | Scott Eric Strome | Otolaryngology | 1325 Eastmoreland Ave Ste 260, Memphis, TN 38104-7549 | 2006-08-01 |
| 1457394611 | Mark P Clemons | Otolaryngology | 6616 Kirby Center Cove, Memphis, TN 38115 | 2006-06-14 |
| 1215932397 | Christopher James Hall | Otolaryngology | 5625 Poplar Ave, Memphis, TN 38119-3816 | 2005-06-16 |
| 1265852305 | Charissa N Kahue | Otolaryngology | 1325 Eastmoreland Ave Ste 260, Memphis, TN 38104-7549 | 2014-04-16 |
| 1760800742 | Hani Rayess | Otolaryngology | 7675 Wolf River Cir Ste 202, Memphis, TN 38138 | 2014-04-07 |
| 1184061509 | Shete Ear Nose & Throat Clinic, Pllc | Otolaryngology | 5100 Sanderlin Ave, Suite 1200, Memphis, TN 38117-4387 | 2013-05-24 |
| 1669725297 | Family Ear Nose & Throat Care of The Mid-south, Pllc | Otolaryngology | 6616 Kirby Center Cv, Memphis, TN 38115-4313 | 2012-10-19 |
| 1558628107 | Sandra Stinnett | Otolaryngology | 1325 Eastmoreland Ave Ste 260, Memphis, TN 38104 | 2012-04-20 |
| 1366709164 | Robert James Yawn | Otolaryngology | 1325 Eastmoreland Ave Ste 260, Memphis, TN 38104-7549 | 2012-04-18 |
| Find all providers in MEMPHIS | ||||
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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.