GLENNA YOUNG (NPI# 1205827508) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205827508 |
| Entity Type | Individual |
| Full Name | GLENNA YOUNG |
| Credential | M.D. |
| Practice Address |
1125 N Porter Ave Suite 100 Norman OK 73071-6443 |
| Mailing Address |
Po Box 1387 Norman OK 73070-1387 |
| Practice Telephone | 4053641071 |
| Enumeration Date | 2005-11-04 |
| Last Update Date | 2010-04-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
13191 | OK | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 100252730B | 05 | |
| OK | RR MEDICARE | 300054737 | 01 |
| Street Address |
1125 N PORTER AVE SUITE 100 |
| City | NORMAN |
| State | OK |
| Zip Code | 73071-6443 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326039645 | Norman Radiology Services, Inc | Radiology | 1125 N Porter Ave, Suite 100, Norman, OK 73071-6443 | 2005-11-04 |
| 1780132373 | Danielle Marie Casey | Nurse Anesthetist, Certified Registered | 1125 N Porter Ave, Ste 301, Norman, OK 73071-6446 | 2016-09-13 |
| 1346663010 | Ronisha Carpenter | Physician Assistant | 1125 N Porter Ave, Suite 301, Norman, OK 73071-6446 | 2014-01-30 |
| 1003111972 | Jessica Lee Luetkemeyer | Physician Assistant | 1125 N Porter Ave, Suite 301, Norman, OK 73071-6446 | 2011-01-24 |
| 1386892230 | Norman Endoscopy Center, LLC | Clinic/Center | 1125 N Porter Ave, Suite 206, Norman, OK 73071-6446 | 2008-09-04 |
| 1487829362 | Tony Huu Tran | Student in an Organized Health Care Education/Training Program | 1125 N Porter Ave, Suite 301, Norman, OK 73071-6446 | 2008-04-23 |
| 1780880252 | Serena Mitroo | Internal Medicine | 1125 N Porter Ave, Norman, OK 73071-6446 | 2007-06-22 |
| 1609929660 | Internal Medicine & Geriatric Practice, PC | Internal Medicine | 1125 N Porter Ave, 200, Norman, OK 73071-6443 | 2007-01-20 |
| 1467527044 | Kumar Ennamuri Md PC | Internal Medicine | 1125 N Porter Ave, Suite 101, Norman, OK 73071-6446 | 2006-11-21 |
| 1275604811 | Lisa B Connery Md Pllc | Family Medicine | 1125 N Porter Ave, Suite 205, Norman, OK 73071-6446 | 2006-11-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952913741 | Jeanne Marie Tomlinson | Occupational Therapist | 2701 Weymouth Way, Norman, OK 73071 | 2020-08-21 |
| 1780215947 | Denise Kay Kliewer | Occupational Therapy Assistant | 1412 Spoonwood Dr, Norman, OK 73071 | 2020-01-27 |
| 1689182511 | Eric Melvin Green | Case Manager/Care Coordinator | 2038 24th Ave. Se, Norman, OK 73071 | 2018-01-12 |
| 1841726320 | Summer Dental Norman | Dentist | 1240 Alameda St., Norman, OK 73071 | 2017-05-03 |
| 1336503606 | Full Circle Adult Day Center, Inc | Clinic/Center | 1304 E. Lindsey Plaza Drive, Norman, OK 73071 | 2016-04-12 |
| 1538524616 | Ashley White | Case Manager/Care Coordinator | 805 East Robinson, Norman, OK 73071 | 2015-12-16 |
| 1396119111 | Joseph Fleming Pllc | Dentist | 1515 E. Rock Creek Road, Suite 140, Norman, OK 73071 | 2015-11-17 |
| 1881025104 | Jill Blayney | Counselor | 909 Alameda, # 2607, Norman, OK 73071 | 2013-12-12 |
| 1578800504 | Cherie Albert | Counselor | 900 E Alameda, Norman, OK 73071 | 2013-01-10 |
| 1437430618 | Rose Rock Dental Pllc | Dentist | 1049 12th Ave. Ne, Suite 100, Norman, OK 73071 | 2011-09-01 |
| Find all providers in zip 73071 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| 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 Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336689298 | Rose Gideon | Radiology | 3904 Hidden Hill Rd, Norman, OK 73072-3006 | 2017-02-26 |
| 1497738629 | Kathy L Wyant | Radiology | 1125 N Porter, Suite 100, Norman, OK 73071-6446 | 2005-11-22 |
| 1326039645 | Norman Radiology Services, Inc | Radiology | 1125 N Porter Ave, Suite 100, Norman, OK 73071-6443 | 2005-11-04 |
| 1134316169 | Nrhs Radiology Associates | Radiology | 901 N Porter Ave, Norman, OK 73071-6404 | 2007-10-03 |
| 1306966007 | Sanjay K Narotam | Radiology | 901 N Porter Ave, Norman, OK 73071-6404 | 2007-03-29 |
| 1376682179 | P & S Healthcare Systems Inc | Radiology | 900 N Porter Ave, Suite 104, Norman, OK 73071-6425 | 2007-02-06 |
| 1982653424 | Gautam Dehadrai | Radiology | 901 N Porter Ave, Norman, OK 73071-6404 | 2006-05-10 |
| 1790766582 | Justine Dautenhahn | Radiology | 1125 N Porter Ave, Suite 100, Norman, OK 73071-6443 | 2005-11-08 |
| 1154302941 | Lynne Ozinga | Radiology | 1125 N Porter Ave, Suite 100, Norman, OK 73071-6443 | 2005-11-08 |
| 1962493270 | Chadwick Webber | Radiology | 901 N Porter Ave, Norman, OK 73071-6404 | 2005-11-04 |
| Find all providers in NORMAN | ||||
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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.