GLEN HALVORSON MD PLLC (NPI# 1982067179) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982067179 |
| Entity Type | Organization |
| Organization Name | GLEN HALVORSON MD PLLC |
| Practice Address |
4550 E Bell Rd Ste 150 Phoenix AZ 85032-9306 |
| Practice Telephone | 6027953649 |
| Practice Fax Number | 6027953996 |
| Mailing Telephone | 6027953674 |
| Mailing Fax Number | 6027953996 |
| Enumeration Date | 2016-04-04 |
| Last Update Date | 2017-02-17 |
| Authorized Official Name | DR. GLEN A HALVORSON (OWNER) |
| Authorized Official Telephone | 6027953649 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208100000X | Physical Medicine & Rehabilitation | 13423 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | STATE LICENSE | 13423 | 01 |
| AZ | 235780 | 05 |
| Street Address |
4550 E BELL RD STE 150 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85032-9306 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386647733 | Richard Kent Peairs | Orthopaedic Surgery | 4550 E Bell Rd, Blg 8 Unit 276, Phoenix, AZ 85032-9306 | 2005-05-31 |
| 1164978698 | Arizona Sports Chiropractic | Clinic/Center | 4550 E Bell Rd, Ste. 152 Bldg. 6, Phoenix, AZ 85032-9306 | 2016-08-25 |
| 1508271917 | Fadi Naioom | Dentist | 4550 E Bell Rd, Suite #178, Phoenix, AZ 85032-9306 | 2014-06-24 |
| 1932519048 | Spinefit Pllc | Chiropractor | 4550 E Bell Rd, Ste 152 Bldg 6, Phoenix, AZ 85032-9306 | 2014-04-29 |
| 1881015162 | Clarrissa Gober | Nurse Practitioner | 4550 E Bell Rd, Suite 170, Phoenix, AZ 85032-9306 | 2014-01-03 |
| 1962754846 | Quan Liang | Acupuncturist | 4550 E Bell Rd, Ste 284, Phoenix, AZ 85032-9306 | 2012-10-03 |
| 1235493297 | Deborah S Belcher | Registered Nurse | 4550 E Bell Rd, Ste 172, Phoenix, AZ 85032-9385 | 2012-06-25 |
| 1942573621 | Kelly Johnson | Counselor | 4550 E Bell Rd, Suite 147, Phoenix, AZ 85032-9306 | 2012-02-11 |
| 1982974598 | Kaitlin Zimmerman | Physical Therapist | 4550 E Bell Rd, Ste: 270, Phoenix, AZ 85032-9306 | 2012-01-12 |
| 1558639260 | Susan Grundy | Counselor | 4550 E Bell Rd, Phoenix, AZ 85032-9306 | 2011-12-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689298838 | Eboni Nicole Morris | Psychologist | 166001 N. 40th St., Suite 210, Phoenix, AZ 85032 | 2020-06-03 |
| 1326688573 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 3227 E Bell Road, Suite 170, Room P1, Phoenix, AZ 85032 | 2020-01-15 |
| 1740836642 | Integrated Medical Services Inc | Internal Medicine | 3815 W Bell Rd, Ste 3200, Phoenix, AZ 85032 | 2019-08-15 |
| 1639739576 | Sarah Martin | Physical Therapy Assistant | Ridgecrest Healthcare, 16640 North 38th Street, Phoenix, AZ 85032 | 2019-06-13 |
| 1750846168 | Conte Sport Performance Therapy LLC | Physical Therapist | 18413 N. Cave Creed Rd, Suite 8, Phoenix, AZ 85032 | 2019-02-11 |
| 1659848208 | Pacific Dental Services Foundation | Physician Assistant | 4559 E. Bell Road, Ste 106, Phoenix, AZ 85032 | 2018-10-31 |
| 1083100812 | Phoenix Interventional Pain Management, Pllc | Anesthesiology | 3815 E Bell Rd Ste 3500a, Phoenix, AZ 85032 | 2018-07-04 |
| 1770074635 | Np Professional LLC | Clinic/Center | 3329 E Bell Rd Ste A1, Phoenix, AZ 85032 | 2018-05-25 |
| 1932600020 | North Phoenix Asc LLC | Clinic/Center | 3329 E Bell Rd Ste A2-a5, Phoenix, AZ 85032 | 2018-02-23 |
| 1396263307 | Cheryl Anne Miller | Registered Nurse | 15002 N. 32nd St., Phoenix, AZ 85032 | 2017-08-30 |
| Find all providers in zip 85032 | ||||
| Taxonomy Code | 208100000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices. |
| 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 Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. American Osteopathic Board of Physical Medicine and Rehabilitation, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Physical Medicine and Rehabilitation. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437767969 | Trenton Fogelson | Physical Medicine & Rehabilitation | 3201 W Peoria Ave Ste D800, Phoenix, AZ 85029-4600 | 2020-07-21 |
| 1023579653 | Sheryl Lynn Viltrakis | Physical Medicine & Rehabilitation | 1321 E Thunderhill Pl, Phoenix, AZ 85048-6201 | 2019-03-27 |
| 1659764173 | Luke W Garcia Do Pllc | Physical Medicine & Rehabilitation | 9515 W. Camelback Rd., #126, Phoenix, AZ 85037 | 2015-03-09 |
| 1457755845 | Regenerative Spine & Joint, Pllc | Physical Medicine & Rehabilitation | 2338 W Sleepy Ranch Rd, Phoenix, AZ 85085-7038 | 2014-10-15 |
| 1003101635 | Samantha Arrow | Physical Medicine & Rehabilitation | 1661 E Camelback Rd Ste 152, Phoenix, AZ 85016-3921 | 2011-06-11 |
| 1265672067 | Luke W Garcia I | Physical Medicine & Rehabilitation | 530 E Mcdowell Rd Ste 107-428, Suite 107-428, Phoenix, AZ 85004-1549 | 2009-03-06 |
| 1508013707 | Arizona Pain and Rehabilitation Associates | Physical Medicine & Rehabilitation | 11011 S 48th St Ste 220, Phoenix, AZ 85044-1788 | 2008-08-19 |
| 1053583450 | Mountainside Wellness Center Inc | Physical Medicine & Rehabilitation | 4909 E Chandler Blvd Ste 502, Phoenix, AZ 85048-0863 | 2008-03-26 |
| 1285812214 | Arizona Pain Management and Rehabilitation, Pllc | Physical Medicine & Rehabilitation | 13835 N Tatum Blvd Ste 9326, Phoenix, AZ 85032-0409 | 2008-01-31 |
| 1316003338 | John Geoffrey Sollenberger | Physical Medicine & Rehabilitation | 44 W Monroe St, #1907, Phoenix, AZ 85003-4553 | 2006-12-28 |
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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.