GLENN E. NELSON (NPI# 1104813237) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104813237 |
| Entity Type | Individual |
| Full Name | GLENN E. NELSON |
| Credential | DPM |
| Practice Address |
2308 N Rosemont Blvd Tucson AZ 85712-2139 |
| Practice Telephone | 5208861176 |
| Practice Fax Number | 5202908894 |
| Mailing Telephone | 5208861176 |
| Mailing Fax Number | 5202908894 |
| Enumeration Date | 2005-10-04 |
| Last Update Date | 2010-04-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
0310 | AZ | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | RAIL ROAD MEDICARE | P00198920 | 01 |
| AZ | 701004 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508833500 | Glenn Nelson | Family Medicine | 7409 Woodridge Dr, Woodridge, IL 60517-2249 | 2006-03-08 |
| 1891776449 | Glenn Nelson | Pathology | 100 Memorial Hospital Dr, Ste 1d, Mobile, AL 36608-1194 | 2005-11-10 |
| Street Address |
2308 N ROSEMONT BLVD |
| City | TUCSON |
| State | AZ |
| Zip Code | 85712-2139 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023541455 | Parth Patel | Podiatrist | 2308 N Rosemont Blvd, Tucson, AZ 85712-2139 | 2017-04-03 |
| 1396915377 | Carrie Hess | Podiatrist | 2308 N Rosemont Blvd, Tucson, AZ 85712-2139 | 2008-03-06 |
| 1487700878 | Glenn E Nelson Dpm LLC | Podiatrist | 2308 N Rosemont Blvd, Tucson, AZ 85712-2139 | 2007-01-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871104950 | Nancy Rae Klug | Registered Nurse | 2380 N Ferguson Ave., Tucson, AZ 85712 | 2020-08-12 |
| 1013525534 | James Tutu Fiske I | Nurse Practitioner | 5700 E. Pima Street Suite C., Tucson, AZ 85712 | 2020-07-21 |
| 1063031953 | Mehera Tiffanie Hormuz | Student in an Organized Health Care Education/Training Program | 5301 E. Grant Rd., Tucson, AZ 85712 | 2020-04-10 |
| 1770133282 | Elizabeth Nadeschzda Lowell | Nurse Practitioner | 4881 E Grant Road, Suite 101, Tucson, AZ 85712 | 2019-09-17 |
| 1174185649 | Pisa Asc Holdco LLC | Clinic/Center | 4741 E Camp Lowell Drive, Tucson, AZ 85712 | 2019-07-03 |
| 1548821838 | Painted Sky Healthcare, Inc. | Hospice Care, Community Based | 2980 N Swan Rd Ste 222, Tucson, AZ 85712 | 2019-06-26 |
| 1558925644 | Helen Jane Lyall | Registered Nurse | Tucson Medical Centre, 5301 E Grant Road, Tucson, AZ 85712 | 2019-04-24 |
| 1760953541 | Anna Marissa Ramirez | Nurse Practitioner | 5170 E Glenn St Ste 160, Tucson, AZ 85712 | 2018-12-05 |
| 1407343841 | Imran Ata Md Pllc | Internal Medicine | 3925 E Fort Lowell Rd Ste 105, Tucson, AZ 85712 | 2018-04-20 |
| 1003322926 | Millennium Acupuncture | Acupuncturist | 6161 E Pima St Tucson Az 85712, Apt 2074, Tucson, AZ 85712 | 2017-12-15 |
| Find all providers in zip 85712 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750803748 | Christopher Sullivan | Podiatrist | 6442 S. Speedway Blvd, Ste 102, Tucson, AZ 85710 | 2017-07-11 |
| 1801183744 | David Wayne Gooch | Podiatrist | 6565 E Carondelet Dr # 385, Tucson, AZ 85710-2117 | 2011-06-29 |
| 1235365685 | Andrea Renee Roemer | Podiatrist | 5600 W Placita Del Risco, Tucson, AZ 85745-9196 | 2009-05-29 |
| 1659514818 | Tara Fay Shirley | Podiatrist | 899 N Wilmot Road Ste E6, Tucson, AZ 85711-1714 | 2009-04-16 |
| 1386652444 | James F. Dancho | Podiatrist | 4629 S Almond St, Tucson, AZ 85730-4619 | 2006-08-04 |
| 1497786750 | Eric H Espensen | Podiatrist | 1500 N Campbell Ave, Room 4402, Tucson, AZ 85724-5872 | 2006-07-05 |
| 1821089624 | Bradley Whitaker | Podiatrist | 2163 W Orange Grove Rd, Tucson, AZ 85741-3118 | 2005-10-31 |
| 1790207363 | Patrick Law | Podiatrist | 3601 S 6th Ave, Tucson, AZ 85723 | 2017-07-14 |
| 1023541455 | Parth Patel | Podiatrist | 2308 N Rosemont Blvd, Tucson, AZ 85712-2139 | 2017-04-03 |
| 1649634320 | Mohanad Eltahir | Podiatrist | 5300 E Erickson Dr Ste 118, Tucson, AZ 85712-2809 | 2016-04-08 |
| Find all providers in TUCSON | ||||
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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.