MATTHEW M GLENN (NPI# 1225080419) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225080419 |
| Entity Type | Individual |
| Full Name | MATTHEW M GLENN |
| Credential | MD |
| Practice Address |
9100 Andermatt Drive Suite 2 Lincoln NE 68526-0000 |
| Mailing Address |
9100 Andermatt Dr Ste 2 Lincoln NE 68526-6700 |
| Practice Telephone | 4024234200 |
| Practice Fax Number | 4024234201 |
| Mailing Telephone | 4024234218 |
| Mailing Fax Number | 4024234201 |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2019-09-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 20176 | NE | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | BCBS | 01547 | 01 |
| NE | BCBS NE - PRIMUS | 45426 | 01 |
| NE | MEDICARE PTAN | NA3283001 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 9100 Andermatt Drive, Suite 1, Lincoln, NE 685260000 | 4024342730 | 4024343970 |
| 3901 Pine Lake Rd, Suite 211, Lincoln, NE 685165497 | 4024234200 | 4024234201 |
| 9100 Andermatt Drive, Suite 2, Lincoln, NE 685260000 | 4024234200 | 4024234201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003089749 | Matthew Glenn | Physical Therapist | 5896 Dixie Hwy Ste B, Clarkston, MI 48346-4503 | 2008-04-02 |
| 1801889126 | Matthew A. Glenn | Emergency Medicine | 631 N Broad Street Ext, Grove City, PA 16127-4603 | 2005-08-23 |
| Street Address |
9100 ANDERMATT DRIVE SUITE 2 |
| City | LINCOLN |
| State | NE |
| Zip Code | 68526-0000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609889336 | Scott E Schmidt | Emergency Medicine | 9100 Andermatt Drive, Suite 1, Lincoln, NE 68526-0000 | 2006-08-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881251189 | Jennifer Demesquita Harrison | Nurse Practitioner | Alivation Health, 8550 Cuthills Circle, Lincoln, NE 68526 | 2019-05-22 |
| 1265954648 | Grant Essink | Dentist | 7822 South 96th Bay, Lincoln, NE 68526 | 2017-07-07 |
| 1528405719 | Charles Weston Whitten | Anesthesiology | 4546 S 86th St Ste B, Lincoln, NE 68526 | 2013-05-28 |
| 1912055112 | Hemantha Kumar Koduri | Internal Medicine | 4445 S 86th St Ste 100, Lincoln, NE 68526 | 2007-01-06 |
| 1306909585 | Melanie J Fulton | Dentist | 4525 So 86th, Ste A, Lincoln, NE 68526 | 2006-12-18 |
| 1952359812 | Kathleen Ann Packard | Pharmacist | 7440 S 91st Street, Lincoln, NE 68526 | 2006-05-04 |
| 1861932444 | Amber Walter | Advanced Practice Midwife | 9110 Andermatt Drive, Ste 2, Lincoln, NE 68526 | 2017-03-02 |
| 1801205794 | Danielle Melissa Kollasch | Physician Assistant | 8550 Cuthills Circle, Lincoln, NE 68526 | 2014-08-05 |
| 1891132700 | Michaela Irene Kadavy | Counselor | 4545 S 86th St, Lincoln, NE 68526 | 2013-05-31 |
| 1578827614 | Sams West Inc | Technician/Technologist | 8480 Andermatt Dr, Lincoln, NE 68526 | 2012-07-03 |
| Find all providers in zip 68526 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740898907 | Physician Management Services of Nebraska, LLC | Family Medicine | 2222 S 16th St Ste 435, Lincoln, NE 68502-3793 | 2020-07-14 |
| 1508486416 | Bluestem Health | Family Medicine | 1500 S 48th St Ste 412, Lincoln, NE 68506-1278 | 2020-04-21 |
| 1356812788 | Holy Family Medical Associates, LLC | Family Medicine | 7121 Stephanie Ln Ste 105, Lincoln, NE 68516-5324 | 2018-12-11 |
| 1295217735 | Angela Zavala | Family Medicine | 4130 Pioneer Woods Dr Ste 2, Lincoln, NE 68506-7552 | 2018-08-31 |
| 1477043800 | Kyle Thomas Gibbens | Family Medicine | 4600 Valley Rd Ste 210, Lincoln, NE 68510-4892 | 2018-05-10 |
| 1821513722 | Good Faith Family Medicine, LLC | Family Medicine | 8055 O Street Suite 100, Lincoln, NE 68510 | 2017-08-11 |
| 1023531936 | Doctors of Women, LLC | Family Medicine | 8055 O St Ste 100, Lincoln, NE 68510-2575 | 2017-07-23 |
| 1881049526 | Family Health & Wellness Center, P.C. | Family Medicine | 2900 S 70th St Ste 310, Lincoln, NE 68506-3690 | 2016-05-02 |
| 1114397254 | Primarycare Housecalls PC | Family Medicine | 5601 S 59th St, Lincoln, NE 68516-2306 | 2015-10-01 |
| 1639584436 | Martha Miller | Family Medicine | 1020 Daniel Dr, Lincoln, CA 95648-8539 | 2014-07-01 |
| Find all providers in LINCOLN | ||||
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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.