DAVID J GLEMBOCKI (NPI# 1043288657) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043288657 |
| Entity Type | Individual |
| Full Name | DAVID J GLEMBOCKI |
| Credential | MD |
| Practice Address |
11130 N Tatum Blvd Suite 100 Phoenix AZ 85028-1662 |
| Practice Telephone | 6024941817 |
| Practice Fax Number | 6024947103 |
| Mailing Telephone | 6024941817 |
| Mailing Fax Number | 6024947103 |
| Enumeration Date | 2006-03-09 |
| Last Update Date | 2016-04-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
30978 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 796766 | 05 |
| Street Address |
11130 N TATUM BLVD SUITE 100 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85028-1662 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174521926 | Southwest Skin Specialists LLC | Dermatology | 11130 N Tatum Blvd, Suite 100, Phoenix, AZ 85028-1630 | 2005-07-13 |
| 1992811947 | Shanon Ione Heck | Dermatology | 11130 N Tatum Blvd, Suite 100, Phoenix, AZ 85028-1662 | 2006-08-22 |
| 1356364624 | Benjamin Wallace Lesueur | Dermatology | 11130 N Tatum Blvd, #100, Phoenix, AZ 85028 | 2006-07-26 |
| 1265455539 | Joseph Michael Giancola | Dermatology | 11130 N Tatum Blvd, #100, Phoenix, AZ 85028-1662 | 2006-07-26 |
| 1174546444 | Miriam Paulette Cummings | Dermatology | 11130 N Tatum Blvd, #100, Phoenix, AZ 85028 | 2006-07-26 |
| 1083637359 | Amanda Carroll Rainwater | Dermatology | 11130 N Tatum Blvd, #100, Phoenix, AZ 85028 | 2006-07-26 |
| 1598788457 | Julie K Salmon | Dermatology | 11130 N Tatum Blvd, #100, Phoenix, AZ 85028 | 2006-07-25 |
| 1679596530 | Howard Jay Luber | Dermatology | 11130 N Tatum Blvd, #100, Phoenix, AZ 85028 | 2006-07-25 |
| 1629047345 | Neel Patel | Dermatology | 11130 N Tatum Blvd, Ste. 100, Phoenix, AZ 85028-1662 | 2006-03-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235626565 | Celice Korsten | Psychologist | 11020 N. Tatum Blvd., Ste. 100, Phoenix, AZ 85028 | 2018-04-23 |
| 1720591605 | Michele Kaplan | Counselor | 11640 N Tatum Blvd #3096, Phoenix, AZ 85028 | 2017-11-14 |
| 1154840304 | Faustino M. Gonzalez, Md PC | Anesthesiology | 11811 N. Tatum Blvd, Suite 3031, Phoenix, AZ 85028 | 2017-09-19 |
| 1679092514 | Savior Palliative Care LLC | Family Medicine | 4530 E Shea Blvd Ste 175, Phoenix, AZ 85028 | 2017-09-12 |
| 1437688892 | Harmony Behavioral Health | Behavioral Analyst | 3008 E Sierra St, Phoenix, AZ 85028 | 2017-06-08 |
| 1275949224 | Alexander D Garza | Podiatrist | 3101 E Shea Blvd Ste 220, Phoenix, AZ 85028 | 2014-07-09 |
| 1720418379 | Alyssa Hale | Occupational Therapy Assistant | 4600 East Shea Boulevard, Suite 101, Phoenix, AZ 85028 | 2013-11-19 |
| 1932534476 | Stephen Howard Garber | Otolaryngology | 9607 N. 43rd Way, Phoenix, AZ 85028 | 2013-09-03 |
| 1366798050 | Irna Lynn Shamos | Clinical Neuropsychologist | 4516 East Onyx Avenue, Arizona Psychological Diagnostics, Plc, Phoenix, AZ 85028 | 2012-07-31 |
| 1285930925 | Cathy Ann Payne | Nurse Practitioner | 11209 N Tatum Blvd Ste 260, Phoenix, AZ 85028 | 2011-01-27 |
| Find all providers in zip 85028 | ||||
| Taxonomy Code | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609434794 | Peak Diagnostic Services LLC | Pathology | 3033 N 44th St Ste 200, Phoenix, AZ 85018-7244 | 2019-06-03 |
| 1407164486 | Aztec Pathology LLC | Pathology | 2538 E University Dr Ste 100, Phoenix, AZ 85034-6925 | 2010-09-23 |
| 1063666543 | Renuka Pathi | Pathology | 22216 N 36th St, Phoenix, AZ 85050-7396 | 2008-11-10 |
| 1942465026 | Jeffrey Thomas Henderson | Pathology | 1300 N 12th St Ste 300, Phoenix, AZ 85006-2813 | 2008-07-28 |
| 1982703757 | Christina Irene Fredenberg | Pathology | 9250 No. 3rd St., Suite 4000, Phoenix, AZ 85020 | 2006-09-21 |
| 1942316161 | Western Pathology Associates, Ltd. | Pathology | 9250 N. 3rd St, Suite 4000, Phoenix, AZ 85020 | 2006-08-21 |
| 1881651701 | Clarke David Kareus Lambe | Pathology | 9250 N 3rd St., Ste 4000, Phoenix, AZ 85020 | 2006-04-26 |
| 1699744169 | Thaddeus Khachaturian | Pathology | 15612 N 32nd St, Ste. #3, Phoenix, AZ 85032-3859 | 2006-03-16 |
| 1891765897 | Mark Kartub | Pathology | 1800 E Van Buren St, Phoenix, AZ 85006-3742 | 2006-01-24 |
| 1871575746 | Thomas V Colby | Pathology | 424 S 56th St Ste 120, Phoenix, AZ 85034-2177 | 2005-11-16 |
| Find all providers in PHOENIX | ||||
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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.