MR. JASON A. GLENN (NPI# 1861791386) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861791386 |
| Entity Type | Individual |
| Full Name | MR. JASON A. GLENN |
| Credential | MD |
| Practice Address |
1200 6th Ave N Saint Cloud MN 56303-2735 |
| Mailing Address |
1200 6th Ave N Saint Cloud MN 56303-2736 |
| Practice Telephone | 3202523342 |
| Practice Fax Number | 3202523501 |
| Mailing Telephone | 3202523342 |
| Mailing Fax Number | 3202523501 |
| Enumeration Date | 2011-03-23 |
| Last Update Date | 2018-10-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 64498 | MN | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | 4301111469 | MI | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407995848 | Jason Glenn | Optometrist | 10232 Westport Rd, Louisville, KY 40241-2148 | 2007-02-05 |
| 1962420547 | Jason A. Glenn | Physician Assistant | 1965 S Fremont Ave Ste 130, Springfield, MO 65804-2252 | 2006-07-18 |
| Street Address |
1200 6TH AVE N |
| City | SAINT CLOUD |
| State | MN |
| Zip Code | 56303-2735 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902805518 | Paul Charles Peterson | Emergency Medicine | 1200 6th Ave N, Saint Cloud, MN 56303-2735 | 2005-07-15 |
| 1871127290 | Kayla Girgen | Dietitian, Registered | 1200 6th Ave N, Saint Cloud, MN 56303-2735 | 2020-02-25 |
| 1023640034 | Faith Kelly Dammann | Physician Assistant | 1200 6th Ave N, Saint Cloud, MN 56303-2736 | 2020-02-07 |
| 1538707377 | Alissa Wigen | Physician Assistant | 1200 6th Ave N, Saint Cloud, MN 56303-2735 | 2019-12-11 |
| 1639713290 | Jordan Lajoie | Nurse Practitioner | 1200 6th Ave N, Saint Cloud, MN 56303-2735 | 2019-11-06 |
| 1528602430 | Hannah Elise Osterndorf | Dietitian, Registered | 1200 6th Ave N, Saint Cloud, MN 56303-2735 | 2019-11-04 |
| 1558919100 | Mergitu Megersa Gemeda | Physician Assistant | 1200 6th Ave N, Saint Cloud, MN 56303-2736 | 2019-08-27 |
| 1659927879 | Jennifer Marie Bretscher | Physician Assistant | 1200 6th Ave N, Saint Cloud, MN 56303-2735 | 2019-08-13 |
| 1366094302 | Laura Verley | Registered Nurse | 1200 6th Ave N, Saint Cloud, MN 56303-2736 | 2019-07-10 |
| 1063074235 | Briana Gray | Pharmacist | 1200 6th Ave N, Internal Medicine, Saint Cloud, MN 56303-2735 | 2019-07-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841800463 | Daniel P Lahr | Radiologic Technologist | St Cloud Va Health Care System, 4801 Veterans Drive, St Cloud, MN 56303 | 2020-08-07 |
| 1730798398 | County of Stearns | Case Management | 705 Courthouse Square, St Cloud, MN 56303 | 2020-07-29 |
| 1669007126 | Aflah Transportation LLC | Non-emergency Medical Transport (VAN) | 3316 3rd Street North, Suite 129, Saint Cloud, MN 56303 | 2020-03-05 |
| 1609420942 | Stephanie Lynne Metzger | Nurse Practitioner | Centracare Clinic Riverc Ampus/nephrology, 1200 Sixth Ave North, St. Cloud, MN 56303 | 2019-07-25 |
| 1306406947 | Willow Tree Acupuncture LLC | Acupuncturist | 203 Cooper Ave N Suite 160, St. Cloud, MN 56303 | 2019-06-17 |
| 1821553520 | Alan Melvin Hoeper | Nurse Anesthetist, Certified Registered | Centracare Clinic Anesthesiology, 3701 12th St N, Suite 202, St. Cloud, MN 56303 | 2019-02-06 |
| 1437644465 | Brianna Larissa Justin | Speech-Language Pathologist | St. Cloud Hospital, 1406 6th Avenue N, St. Cloud, MN 56303 | 2018-06-22 |
| 1780186486 | Simplicity Health Pa | Family Medicine | 1511 Northway Dr Ste 103, Saint Cloud, MN 56303 | 2018-03-08 |
| 1639682925 | Dereje Beyene | Respiratory Therapist, Certified | 1406 15th Street North, Saint Cloud, MN 56303 | 2017-11-09 |
| 1740792761 | Lisa Ann Horner | Nurse Practitioner | 1555 Northway Drive #110, Centracare Complex Care Clinic, St Cloud, MN 56303 | 2017-10-31 |
| Find all providers in zip 56303 | ||||
| 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 |
|---|---|---|---|---|
| 1477538460 | Robert Nicholas Capobianco | Surgery | 1330 Budinger Ave Ste 206, Saint Cloud, FL 34769-4137 | 2005-12-13 |
| 1447645916 | Wade Paulson | Surgery | 1200 6th Ave N, Saint Cloud, MN 56303-2735 | 2015-04-01 |
| 1174866644 | Daniel Benjamin Pickett | Surgery | 1200 6th Ave N, Saint Cloud, MN 56303 | 2013-04-02 |
| 1336444553 | St Cloud Physician Management LLC | Surgery | 1551 Budinger Ave, Saint Cloud, FL 34769-4140 | 2011-01-19 |
| 1518285816 | Damon Marc Campbell | Surgery | 1200 6th Ave N, Saint Cloud, MN 56303-2735 | 2010-05-11 |
| 1558596007 | Grant Oyat Lee | Surgery | 1406 6th Ave N, Saint Cloud, MN 56303-1900 | 2009-05-27 |
| 1730344664 | Andrea Marie Kales | Surgery | 1200 6th Ave N, Centracare Clinic, Saint Cloud, MN 56303-2735 | 2008-07-21 |
| 1396906533 | Nancy Sue Longfors | Surgery | 1200 6th Ave N, Saint Cloud, MN 56303-2735 | 2008-06-20 |
| 1720252455 | Daren Sherman Danielson | Surgery | 1200 6th Ave N, Saint Cloud, MN 56303-2735 | 2008-04-14 |
| 1497855035 | Roger Lee Frerichs | Surgery | 4801 Veterans Dr, Saint Cloud, MN 56303-2015 | 2006-09-24 |
| Find all providers in SAINT CLOUD | ||||
| City | SAINT CLOUD |
| Zip Code | 56303 |
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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.