JEFFREY A. GLEZER (NPI# 1184610263) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184610263 |
| Entity Type | Individual |
| Full Name | JEFFREY A. GLEZER |
| Credential | MD |
| Practice Address |
1405 W Park St Suite 301a Urbana IL 61801-2367 |
| Mailing Address |
1750 E Lake Shore Dr Suite 200 Decatur IL 62521-3803 |
| Practice Telephone | 2175315466 |
| Practice Fax Number | 2173372436 |
| Mailing Telephone | 2174286300 |
| Mailing Fax Number | 2172336068 |
| Enumeration Date | 2005-09-23 |
| Last Update Date | 2007-11-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | IL | Allopathic & Osteopathic Physicians |
| Street Address |
1405 W PARK ST SUITE 301A |
| City | URBANA |
| State | IL |
| Zip Code | 61801-2367 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396730388 | Albert Charles Lo | Specialist | 1405 W Park St, Urbana, IL 61801-2367 | 2005-09-15 |
| 1457815532 | Amy M Hall | Nurse Practitioner | 1405 W Park St, Urbana, IL 61801-2367 | 2019-01-23 |
| 1497121024 | Raine Center for Plastic Surgery, PC | Plastic Surgery | 1405 W Park St, Suite 206, Urbana, IL 61801-2367 | 2015-08-18 |
| 1093069015 | Joanna L Vannarath | Nurse Practitioner | 1405 W Park St, Suite 303, Urbana, IL 61801-2367 | 2012-10-29 |
| 1568688109 | Renal Research Institute LLC | Clinic/Center | 1405 W Park St, Suite 100, Urbana, IL 61801-2344 | 2007-04-18 |
| 1649367855 | Reynaldo E Tirona, M.d,, Ltd. | Internal Medicine | 1405 W Park St, Urbana, IL 61801-2344 | 2006-10-07 |
| 1902912678 | Talmage J Raine | Plastic Surgery | 1405 W Park St, Ste 206, Urbana, IL 61801-2365 | 2006-08-22 |
| 1770549420 | Frank J Lutrin | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1405 W Park St, Suite 303, Urbana, IL 61801 | 2006-04-21 |
| 1932161619 | Ronald M Cossman | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1405 W Park St, Suite 303, Urbana, IL 61801-2367 | 2006-04-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417566084 | Avani Sushilkumar Mohta | Internal Medicine | Carle Foundation Hospital, 611 W. Park Street, Urbana, IL 61801 | 2020-07-29 |
| 1922617133 | Recovery Concepts Urbana, LLC | Clinic/Center | 710 W. Killarney St., Urbana, IL 61801 | 2020-07-24 |
| 1447877089 | Muhammad Khalid Abbas | Internal Medicine | 611 W Park St Urbana, Urbana, IL 61801 | 2020-06-30 |
| 1003430166 | Conlan Joseph Pierce | Surgery | 601 W Park St, Urbana, IL 61801 | 2020-06-04 |
| 1568090900 | Luke Andrew Fenlon | Student in an Organized Health Care Education/Training Program | Carle Forum Lower Level, Mc-474, 611 West Park Street, Urbana, IL 61801 | 2020-03-31 |
| 1912559691 | Ali Baltaji | Internal Medicine | 101 N Busey Apt 7, Urbana, IL 61801 | 2019-07-12 |
| 1821510918 | Pallavi Pradeep | Internal Medicine | Imrp, Carle Foundation Hospital, 611 W Park Street, Urbana, IL 61801 | 2017-07-11 |
| 1093236002 | Angela Lynn Devaney | Speech-Language Pathologist | 1400 W Park, Presence Covenant Medical Center, Urbana, IL 61801 | 2017-06-29 |
| 1346775236 | Jennifer Garcia | Student in an Organized Health Care Education/Training Program | Carle Foundation Hospital, 611 W. Park Street, Urbana, IL 61801 | 2017-04-27 |
| 1467992537 | Amber Kristine Davis | Speech-Language Pathologist | 1400 W. Park, Presence Health Medical Center, Urbana, IL 61801 | 2017-03-08 |
| Find all providers in zip 61801 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003430166 | Conlan Joseph Pierce | Surgery | 601 W Park St, Urbana, IL 61801 | 2020-06-04 |
| 1043478555 | Yongsoo Kwon | Surgery | 1800 Glenwood Oaks Ct, Urbana, IL 61801-6013 | 2008-05-30 |
| 1457527509 | Thomas Boenig | Surgery | 401 W. Park St.. #2, Urbana, IL 61801-1790 | 2008-05-07 |
| 1831193416 | Mark L Saxton | Surgery | 611 W Park St, Urbana, IL 61801-2529 | 2005-06-10 |
| 1720698756 | Justin Matthew Felix | Surgery | 611 W Park St, Urbana, IL 61801-2529 | 2020-08-04 |
| 1255959318 | Corbin Reid Mah | Surgery | 611 W Park St, Urbana, IL 61801-2529 | 2020-07-06 |
| 1093332652 | Knika Sethi | Surgery | 611 W Park St, Urbana, IL 61801-2529 | 2020-06-30 |
| 1831716406 | Kelly Sun Schulte | Surgery | 611 W Park St, Urbana, IL 61801-2529 | 2020-06-30 |
| 1821615618 | Meghan Merklein | Surgery | 611 W Park St, Urbana, IL 61801-2529 | 2020-06-29 |
| 1639795883 | Mohit Bhalla | Surgery | 611 W Park St, Urbana, IL 61801-2529 | 2020-06-23 |
| Find all providers in URBANA | ||||
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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.