DR. GLENN H BROWN (NPI# 1780653030) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780653030 |
| Entity Type | Individual |
| Full Name | DR. GLENN H BROWN |
| Credential | M.D. |
| Practice Address |
1450 S Dobson Rd #320b Mesa AZ 85202-4712 |
| Practice Telephone | 4808359755 |
| Practice Fax Number | 4809648668 |
| Mailing Telephone | 4808359755 |
| Mailing Fax Number | 4809648668 |
| Enumeration Date | 2006-03-17 |
| Last Update Date | 2016-12-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207NS0135X |
Dermatology Specialization: Procedural Dermatology |
14201 | AZ | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467757435 | Glenn Marlon Brown | Case Manager/Care Coordinator | 4705 Republic Dr, Oklahoma City, OK 73135-3140 | 2011-01-21 |
| 1811063704 | Glenn A Brown | Clinical Neuropsychologist | 6138 Berkshire Lane, Ste 16, Dallas, TX 75225 | 2006-11-24 |
| 1164591434 | Glenn Robert Brown | Chiropractor | 170 Heritage Run Road, Indiana, PA 15701 | 2006-11-08 |
| 1114980877 | Glenn Brown | Physical Therapist | 1255 S State St, Suite 7, Dover, DE 19901-6932 | 2006-04-11 |
| 1023235843 | Glenn Torre Brown | Social Worker | 448 Lakeshore Pkwy Ste 205, Rock Hill, SC 29730-4264 | 2007-04-20 |
| 1275663577 | Glenn L Brown | Physical Therapist | 3750 E Country Field Cir, Unit A, Wasilla, AK 99654-6689 | 2007-03-06 |
| 1003995465 | Glenn Charles Brown | Pharmacist | 113 Holland Ave, Albany, NY 12208-3410 | 2006-11-03 |
| 1679586861 | Glenn Arthur Brown | Dentist | 6776 Market St, Upper Darby, PA 19082 | 2006-08-15 |
| Street Address |
1450 S DOBSON RD #320B |
| City | MESA |
| State | AZ |
| Zip Code | 85202-4712 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548256548 | Heather E. Mangam | Specialist | 1450 S Dobson Rd, Suite B221, Mesa, AZ 85202-4712 | 2005-09-25 |
| 1164875373 | Jonathan Munns | Physician Assistant | 1450 S Dobson Rd, B122, Mesa, AZ 85202-4712 | 2016-07-22 |
| 1558717447 | Center for Orthopedic Research and Education, Inc | Prosthetic/Orthotic Supplier | 1450 S Dobson Rd, Suite A302, Mesa, AZ 85202-4712 | 2016-05-10 |
| 1255732558 | Robert Steinmeyer | Physical Therapist | 1450 S Dobson Rd, Mesa, Mesa, AZ 85202-4712 | 2014-09-06 |
| 1760812770 | Audiology Distribution, LLC | Audiologist-Hearing Aid Fitter | 1450 S Dobson Rd, Suite A-203, Mesa, AZ 85202-4712 | 2013-11-13 |
| 1275967408 | Center for Orthopedic Research and Educatoin | Occupational Therapist | 1450 S Dobson Rd, Ste A302, Mesa, AZ 85202-4712 | 2013-08-23 |
| 1023358223 | John D Holmes Md PC | Obstetrics & Gynecology | 1450 S Dobson Rd, A207, Mesa, AZ 85202-4712 | 2013-02-25 |
| 1427308899 | Brook David Rogers | Physician Assistant | 1450 S Dobson Rd, Suite A302, Mesa, AZ 85202-4712 | 2012-09-13 |
| 1487900817 | Center for Orthopedic Research and Education, LLC | Durable Medical Equipment & Medical Supplies | 1450 S Dobson Rd, Suite B122, Mesa, AZ 85202-4712 | 2012-08-03 |
| 1225314115 | April Marie Hofmann | Physician Assistant | 1450 S Dobson Rd, #320b, Mesa, AZ 85202-4712 | 2011-10-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275173536 | Samuel A Wolde | Counselor | Clear View Counseling, 2651 W Guadalupe Rd, Mesa, AZ 85202 | 2020-01-14 |
| 1912549171 | Lauren Barbara Loges | Occupational Therapist | 2225 E. Southern Avenue, Mesa, AZ 85202 | 2019-10-09 |
| 1245724822 | Medsource Orthotics & Prosthetics, Inc | Prosthetic/Orthotic Supplier | 1450 S Dobson Rd Ste B326, Mesa, AZ 85202 | 2018-06-18 |
| 1457843310 | Jay Douglas Baumgardner | Physical Therapist | 1941 W. Guadalupe Rd. Suite 109, Mesa, AZ 85202 | 2018-06-05 |
| 1144746215 | Alyson Fix | Physician Assistant | 1432 S Dobson Rd Ste 304, Mesa, AZ 85202 | 2017-08-20 |
| 1194108852 | Robert Dale Labrum | Counselor | 1255 W Baseline Rd Ste B-258, Mesa, AZ 85202 | 2015-06-30 |
| 1114325677 | John David Shull Jr. | Physician Assistant | 1520 S Dobson Rd Ste 305, Mesa, AZ 85202 | 2014-12-16 |
| 1316356207 | Embry Womens Health LLC | Nurse Practitioner | 2204 S Dobson Road, Suite 203, Mesa, AZ 85202 | 2014-08-05 |
| 1619312899 | Fiza Naueed Khan | Internal Medicine | 1400 South Dobson Road, Attn: Bmg Hospitalists Team/amanda Gump, Mesa, AZ 85202 | 2013-05-01 |
| 1487903373 | Jodi Lynn Mealer | Pharmacist | 1951 W. Baseline Rd., Mesa, AZ 85202 | 2012-09-06 |
| Find all providers in zip 85202 | ||||
| Taxonomy Code | 207NS0135X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | Procedural Dermatology |
| Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers). |
| Notes: Source: American Board of Dermatology, 2007, www.abderm.org [1/1/2008: definition added, source added, title changed] Additional Resources: Some ABMS board certified dermatologists have completed a one-year ACGME approved fellowship in Procedural Dermatology, which has been offered since 2003. At this time the ABD does not offer subspecialty certification in Procedural Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548634348 | La Peau Dermatology LLC | Dermatology | 5424 E Southern Ave, Suite 103, Mesa, AZ 85206-3621 | 2015-11-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871051383 | Skin Deep Aesthetics, LLC | Dermatology | 1714 W Guadalupe Rd Ste 201, Gilbert, AZ 85233-2943 | 2019-03-05 |
| 1982819397 | Tamra Whiteley-myers Md PC | Dermatology | 5190 E Farness Dr Ste 110, Tucson, AZ 85712-2142 | 2007-05-11 |
| 1871653840 | Cynthia Jean Modny | Dermatology | 2402 E San Miguel Ave, Phoenix, AZ 85016-2815 | 2006-12-11 |
| 1518928878 | Mark A Meyers | Dermatology | 715 S Beeline Hwy, Ste A, Payson, AZ 85541-5344 | 2006-03-28 |
| 1235128851 | Andrew S. Tedesco | Dermatology | 6648 E Carondelet Dr, Tucson, AZ 85710-2119 | 2005-10-17 |
| 1861498297 | Keith Andrew Mackenzie | Dermatology | 3190 Clearwater Dr, Prescott, AZ 86305-7131 | 2005-06-21 |
| 1083066450 | Arizona Skin and Laser Therapy Institue, Ltd | Dermatology | 16620 N 40th St, Suite C-3, Phoenix, AZ 85032-3348 | 2016-07-08 |
| 1972861326 | Ryan Mark Proctor | Dermatology | 3015 Hway 95, Suite 110, Bullhead City, AZ 86442-4334 | 2012-04-23 |
| 1427340389 | Brenda Latowsky M.d. P.l.c. | Dermatology | 12251 N 32nd St, Phoenix, AZ 85032-7189 | 2011-05-11 |
| 1003112327 | Northern Arizona Dermatology Center, PC | Dermatology | 501 N Navajo, Page, AZ 86040 | 2011-02-03 |
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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.