GLENN DAVID YOCUM (NPI# 1174649727) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174649727 |
| Entity Type | Individual |
| Full Name | GLENN DAVID YOCUM |
| Other Name | GLENN D. YOCUM |
| Credential | DPM |
| Practice Address |
5407 17th Ave Nw Seattle WA 98107-3818 |
| Practice Telephone | 2067842670 |
| Practice Fax Number | 2067841590 |
| Mailing Telephone | 2067842670 |
| Mailing Fax Number | 2067841590 |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2015-09-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | PO00000223 | WA | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 1144401 | 05 | |
| WA | REGENCE BLUE SHIELD | YO0026 | 01 |
| WA | PTAN | G000105970 | 01 |
| WA | BLUE CROSS BLUE SHIELD | 00528 | 01 |
| Street Address |
5407 17TH AVE NW |
| City | SEATTLE |
| State | WA |
| Zip Code | 98107-3818 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447897707 | Kaiser Foundation Health Plan of Washington | Pharmacy | 1401 Nw 46th Street, 5th Floor, Seattle, WA 98107 | 2019-12-05 |
| 1619519493 | Charles Aljon Corpuz Agabin | Pharmacist | 1448 Nw Market Street, Suite 100, Seattle, WA 98107 | 2019-10-12 |
| 1427610682 | Dalillah Bernal Nord | Advanced Practice Midwife | 5300 Tallman Ave Nw Ste 420, Seattle, WA 98107 | 2019-07-08 |
| 1740849660 | Harmonic Healing LLC | Acupuncturist | 1551 Nw 54th Street Suite 204, Seattle, WA 98107 | 2019-06-13 |
| 1275198285 | Hsu Tsuchikawa and Wong Pllc | Clinic/Center | 1453 Nw 54th Street, Suite A, Seattle, WA 98107 | 2019-05-06 |
| 1801363502 | Bianca Marie Maggio | Physical Therapist | 5300 Tallman Ave, Outpatient Rehab Services 1-south, Seattle, WA 98107 | 2018-10-31 |
| 1831690726 | Sara Blackmur | Social Worker | 1417 Nw 54th St Ste 324, Seattle, WA 98107 | 2018-02-26 |
| 1225553159 | Jennifer Chain | Psychologist | 5306 Ballard Ave Nw Ste 212, Seattle, WA 98107 | 2017-08-11 |
| 1184148413 | John Julian Heal | Occupational Therapy Assistant | 5440 Leary Ave Nw, Unit 321, Seattle, WA 98107 | 2017-07-28 |
| 1710416169 | Heather Tracey Marie Osias | Social Worker | 2251 Nw 60th Street Apt B, Seattle, WA 98107 | 2017-06-08 |
| Find all providers in zip 98107 | ||||
| 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 |
|---|---|---|---|---|
| 1003449430 | Seniorwell Pod of Washington LLC | Podiatrist | 506 Secord Avenue, Suite 1400, Seattle, WA 98104-2329 | 2020-02-13 |
| 1194085043 | Sara Mahmood | Podiatrist | 1560 N 115th St Ste 102, Seattle, WA 98133-8414 | 2012-05-25 |
| 1700108651 | Alexis A Mckeown | Podiatrist | 1950 Alaskan Way 526, Seattle, WA 98101-1078 | 2010-02-19 |
| 1942442975 | Michaela Ostradicky | Podiatrist | 1702 Dexter Ave N, Seattle, WA 98109-3021 | 2009-04-06 |
| 1770650822 | Kim K. Lau | Podiatrist | 14213 Ambaum Blvd Sw, Seattle, WA 98166 | 2006-11-30 |
| 1649352527 | Anthony Lo | Podiatrist | 515 Minor Ave., Suite 240, Seattle, WA 98104-2133 | 2006-10-19 |
| 1790885358 | Douglas S Hale | Podiatrist | 600 Broadway Ste 220, Seattle, WA 98122-5373 | 2006-09-24 |
| 1154429249 | Stanley G Newell Dpm Ps | Podiatrist | 9501 5th Ave Ne, Seattle, WA 98115-2108 | 2006-09-20 |
| 1831297928 | Erik Christopher Lilja | Podiatrist | 400 N 34th St Ste 203, Seattle, WA 98103-8600 | 2006-09-20 |
| 1093826190 | Lotchie Marie Kerch | Podiatrist | 2919 27th Ave W, Seattle, WA 98199-2827 | 2006-08-31 |
| Find all providers in SEATTLE | ||||
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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.