DR. TROELS GLYSING-JENSEN (NPI# 1063400877) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063400877 |
| Entity Type | Individual |
| Full Name | DR. TROELS GLYSING-JENSEN |
| Credential | D.P.M. |
| Practice Address |
237 N Aberdeen Ave Lifecare Podiatry Wayne PA 19087-3537 |
| Practice Telephone | 6102939383 |
| Practice Fax Number | 6102930409 |
| Mailing Telephone | 6102939383 |
| Mailing Fax Number | 6102930409 |
| Enumeration Date | 2005-10-06 |
| Last Update Date | 2008-02-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | SC005575L | PA | Podiatric Medicine & Surgery Service Providers |
| N | 213E00000X | Podiatrist | E1-0000169 | DE | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1011912040001 | 05 | |
| DE | 1000035515 | 05 | |
| PA | LICENSE | SC005575L | 01 |
| DE | LICENSE | E1-0000169 | 01 |
| Street Address |
237 N ABERDEEN AVE LIFECARE PODIATRY |
| City | WAYNE |
| State | PA |
| Zip Code | 19087-3537 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013904556 | Eugene M Smolens | Podiatrist | 237 N Aberdeen Ave, Wayne, PA 19087-3537 | 2005-09-30 |
| 1902119514 | Jahangir Habib | Podiatrist | 237 N Aberdeen Ave, Wayne, PA 19087-3537 | 2010-07-24 |
| 1134175193 | Lifecare Podiatry, P.C. | Podiatrist | 237 N Aberdeen Ave, Wayne, PA 19087-3537 | 2006-05-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063037455 | Melissa Chipollini | Counselor | 487 Devon Park, Wayne, PA 19087 | 2020-06-11 |
| 1811534555 | Midlantic Urology Surgery Center, LLC | Clinic/Center | Valley Forge Office Center, Suite 100, 676-656 East Swedesford Road, Wayne, PA 19087 | 2019-12-02 |
| 1538654363 | Brightview Wayne, LLC | Alzheimer Center (Dementia Center) | 301 E. Conestoga Road, Wayne, PA 19087 | 2018-06-25 |
| 1396234076 | Life Clinic of Pa PC | Physical Therapist | 700 E. Swedesford Rd., Wayne, PA 19087 | 2018-05-08 |
| 1841717246 | Laurie Anne Griffith | Counselor | 300 King of Prussia Rd, 2nd Floor, Radnor, PA 19087 | 2017-08-25 |
| 1457871279 | Tracy Kornafel | Physical Therapist | 288 Iven Ave, Apt 1a, Wayne, PA 19087 | 2017-06-22 |
| 1366980153 | Jodi Miller | Physical Therapist | 999 Old Eagle School Rd., Suite 106, Wayne, PA 19087 | 2017-02-01 |
| 1891244844 | Elite Pt LLC | Physical Therapist | 555 E Lancaster Ave Ste 30, Saint Davids, PA 19087 | 2016-09-30 |
| 1386190015 | Patrick Hanratty | Counselor | 468 Upper Weadley Rd, Wayne, PA 19087 | 2016-09-01 |
| 1316494958 | Main Line Day, LLC | Psychologist | 487 Devon Park Drive, Suite 207, Wayne, PA 19087 | 2016-09-01 |
| Find all providers in zip 19087 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639515588 | Paul G Klein Dpm Pa | Podiatrist | 401 Hamburg Tpke Ste 110, 401 Hamburg Turnpike, Wayne, NJ 07470-2139 | 2013-05-20 |
| 1467795823 | Herbert David Janow | Podiatrist | 70 Rock Rd, Wayne, NJ 07470 | 2013-04-03 |
| 1194906479 | Affiliated Podiatrist, P.C. | Podiatrist | 35519 E Michigan Ave, Wayne, MI 48184-1682 | 2007-11-15 |
| 1528139375 | Steven Lopiano Dpm | Podiatrist | 87 Bobolink Ct, Wayne, NJ 07470-8450 | 2006-11-13 |
| 1992885446 | Paul D Cryan | Podiatrist | 295 Old Eagle School Rd, Wayne, PA 19087-2609 | 2006-10-17 |
| 1790715282 | Arthur B Kellert | Podiatrist | 35519 Michigan Ave, Wayne, MI 48184 | 2006-07-03 |
| 1104886225 | Paul Thomas Staunton | Podiatrist | 11 Windsor Pl, Wayne, NJ 07470 | 2006-03-23 |
| 1013904556 | Eugene M Smolens | Podiatrist | 237 N Aberdeen Ave, Wayne, PA 19087-3537 | 2005-09-30 |
| 1093339558 | Joshua Michael Carroll | Podiatrist | 33155 Annapolis St, Wayne, MI 48184-2405 | 2020-06-01 |
| 1417579517 | Qanita S Ali | Podiatrist | 33155 Annapolis St, Wayne, MI 48184-2405 | 2020-05-12 |
| Find all providers in WAYNE | ||||
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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.