GLENN ALLEN GEHRKE (NPI# 1073696977) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073696977 |
| Entity Type | Individual |
| Full Name | GLENN ALLEN GEHRKE |
| Credential | MD |
| Practice Address |
8001 Centerview Pkwy Ste 215 Cordova TN 38018-4276 |
| Mailing Address |
67 Lakeview Dr Paducah KY 42001-5619 |
| Practice Telephone | 9012495905 |
| Practice Fax Number | 9012495940 |
| Mailing Telephone | 2705548373 |
| Mailing Fax Number | 2705548987 |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2019-04-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207L00000X | Anesthesiology | 4301080570 | MI | Allopathic & Osteopathic Physicians |
| N | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
4301080570 | MI | Allopathic & Osteopathic Physicians |
| N | 208VP0000X |
Pain Medicine Specialization: Pain Medicine |
24839 | MS | Allopathic & Osteopathic Physicians |
| N | 208VP0000X |
Pain Medicine Specialization: Pain Medicine |
53805 | TN | Allopathic & Osteopathic Physicians |
| N | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
24839 | MS | Allopathic & Osteopathic Physicians |
| Y | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
53805 | TN | Allopathic & Osteopathic Physicians |
| N | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
4301080570 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RAILROAD MEDICARE | P01704491 | 01 | |
| TN | BLUE CROSS BLUE SHIELD | 6066289 | 01 |
| TN | Q022062 | 05 | |
| MS | 07274365 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4121 Shrestna Dr., Bay City, MI 48706 | 9896866900 | 9896866911 |
| Street Address |
8001 CENTERVIEW PKWY STE 215 |
| City | CORDOVA |
| State | TN |
| Zip Code | 38018-4276 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184938201 | Octavian Sharp | Nurse Practitioner | 8001 Centerview Pkwy Ste 215, Cordova, TN 38018-4276 | 2010-07-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588264428 | Shaquia Janai Harris | Behavior Technician | 1079 N Houston Levee Road, Cordova, TN 38018 | 2020-10-29 |
| 1366041493 | Cynthia Brantley | Behavior Technician | 1079 N Houston Levee Rd, Cordova, TN 38018 | 2020-10-20 |
| 1558901736 | At Home Physical Rehabilitation Group, LLC | Physical Therapy Assistant | 856 Willow Tree Circle, Cordova, TN 38018 | 2020-01-15 |
| 1538703038 | Scott Eric Balogh | Psychiatry & Neurology | 65 Germantown Court, Suite 203, Cordova, TN 38018 | 2019-10-29 |
| 1851871305 | Joanna H Fussell | Behavioral Analyst | 8066 Walnut Run Suite 102, Cordova, TN 38018 | 2018-08-15 |
| 1841736097 | A Guardian Care Group | Home Health | 10164 Green Moss, Cordova, TN 38018 | 2017-01-12 |
| 1497127146 | Functional Independence, Inc. | Home Health | 270 German Oak Dr., Memphis, TN 38018 | 2015-10-21 |
| 1679984363 | Tiffany Masters Redfern | Obstetrics & Gynecology | 521 Riveredge Dr W, Cordova, TN 38018 | 2014-05-15 |
| 1295073427 | Mitchell Wyman Alvarez | Optometrist | 2075 N. Germantown Pkwy, Memphis, TN 38018 | 2013-01-23 |
| 1578827531 | Chiung Feng Hsu | Dentist | 831 Timber Creek Dr #1, Cordova, TN 38018 | 2012-06-25 |
| Find all providers in zip 38018 | ||||
| Taxonomy Code | 208VP0014X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pain Medicine |
| Specialization | Interventional Pain Medicine |
| Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326526930 | Spectrum Pain Clinics Inc. | Pain Medicine | 8132 Cordova Rd, Cordova, TN 38016-6005 | 2018-08-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699257444 | Comprehensive Neurology Center Pllc | Pain Medicine | 5651 Frist Blvd Ste 413, Hermitage, TN 37076-2058 | 2018-08-29 |
| 1508245515 | Cameron Kluth | Pain Medicine | 101 Med Tech Pkwy Ste 200, Johnson City, TN 37604-4001 | 2015-05-22 |
| 1215354253 | Robert Winslow Caughey | Pain Medicine | 300 Steam Plant Rd Ste 410, Gallatin, TN 37066-3065 | 2014-03-27 |
| 1750680328 | Roane County Interventional Pain Management LLC | Pain Medicine | 1468 Gateway Ave, Rockwood, TN 37854-4143 | 2011-03-22 |
| 1194856773 | Gregory Richard Bowers | Pain Medicine | 1510 Hatcher Ln, Suite 1, Columbia, TN 38401-4813 | 2007-03-08 |
| 1912938291 | Robert Alan Coles | Pain Medicine | 1012 Executive Dr, Hixson, TN 37343-3993 | 2006-07-05 |
| 1952396384 | Giovanni Faccia | Pain Medicine | 230 E James M Campbell Blvd Ste 102, Columbia, TN 38401-0504 | 2005-09-12 |
| 1639644917 | Comprehensive Neurology Center, Pllc | Pain Medicine | 415 Henslee Dr, Dickson, TN 37055-2166 | 2018-10-12 |
| 1659855252 | Southern Pain and Regenerative Medicine PC | Pain Medicine | 1720 E Reelfoot Ave Ste 200, Union City, TN 38261-6049 | 2018-09-19 |
| 1376026310 | Southern Pain and Regenerative Medicine PC | Pain Medicine | 176 Briarwood St Ste B, Camden, TN 38320-1456 | 2018-09-14 |
| Find all providers with the same taxonomy | ||||
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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.