MICHAEL G GLENN (NPI# 1255354080) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255354080 |
| Entity Type | Individual |
| Full Name | MICHAEL G GLENN |
| Credential | MD |
| Practice Address |
1100 9th Ave Seattle WA 98101-2756 |
| Mailing Address |
1100 9th Ave Ms M4-pa Seattle WA 98101-2756 |
| Practice Telephone | 2062236600 |
| Mailing Telephone | 2065155811 |
| Mailing Fax Number | 2065155886 |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2013-08-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | MD00023724 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | LABOR & INDUSTRY | 0039572 | 01 |
| WA | BLUE SHIELD | GL3329 | 01 |
| WA | ALASKA MEDICAID | MD7224 | 01 |
| WA | IDAHO MEDICAID | 004104300 | 01 |
| WA | 8105280 | 05 | |
| WA | AETNA/USHC SPECIALIST | US0862705 | 01 |
| WA | RAILROAD MEDICARE | 040008993 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750425179 | Michael Glenn | Counselor | 37 Tanager St, Arlington, MA 02476-5734 | 2007-02-18 |
| 1083753578 | Michael L Glenn | Psychiatry & Neurology | 26 Farragut Ave, Medford, MA 02155-4012 | 2007-02-05 |
| 1841341955 | Michael Earl Glenn | Physical Therapist | 2511 Fairlane Dr, Suite C 100, Montgomery, AL 36116-1649 | 2007-01-15 |
| 1639144439 | Michael Craig Glenn | Chiropractor | 650 Joel Dr, Blanchfield Army Community Hospital, Ft. Campbell, KY 42223-5349 | 2006-02-23 |
| Street Address |
1100 9TH AVE |
| City | SEATTLE |
| State | WA |
| Zip Code | 98101-2756 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770585002 | Carolyn A Searles | Nurse Practitioner | 1100 9th Ave, C6-gs, Seattle, WA 98101-2756 | 2005-05-31 |
| 1134728967 | Xiaodi Feng | Physician Assistant | 1100 9th Ave, Seattle, WA 98101-2756 | 2020-10-22 |
| 1841898574 | Allison Elizabeth Wong | Genetic Counselor, MS | 1100 9th Ave, Seattle, WA 98101-2756 | 2020-10-14 |
| 1558978346 | Amy Frick | Dietitian, Registered | 1100 9th Ave, Seattle, WA 98101-2756 | 2020-09-25 |
| 1942814736 | Chelsea Jackson | Registered Nurse | 1100 9th Ave, Seattle, WA 98101-2756 | 2020-08-31 |
| 1033737317 | Rachel Kathleen Gibbons | Pharmacist | 1100 9th Ave, Seattle, WA 98101-2756 | 2020-07-13 |
| 1649896275 | Christian James West | Nurse Practitioner | 1100 9th Ave, Seattle, WA 98101-2756 | 2020-06-19 |
| 1124643341 | Carter Gisriel | Nurse Anesthetist, Certified Registered | 1100 9th Ave, Seattle, WA 98101-2756 | 2020-06-12 |
| 1578186680 | Lisa Anne Leitzelar | Social Worker | 1100 9th Ave, Seattle, WA 98101-2756 | 2020-05-22 |
| 1922628809 | Yekaterina Shchapina | Registered Nurse | 1100 9th Ave, Seattle, WA 98101-2756 | 2020-04-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659987485 | David James Sanders | Internal Medicine | 1100 Ninth Avenue: Attention David Sanders, G2-pmr, Seattle, WA 98101 | 2020-09-17 |
| 1295356483 | Yvette Marie Sampson | Peer Specialist | Josephinum C/o Crew, 1902 2nd Ave., Seattle, WA 98101 | 2020-04-29 |
| 1699313353 | Eunyoung Kim | Pharmacist | 925 Seneca Street, H3-pi, Seattle, WA 98101 | 2019-12-12 |
| 1407405657 | Maryanne Wambui Mirie | Registered Nurse | Josephinum 1902 2 Nd Ave, C/o Crew ., Seattle, WA 98101 | 2019-09-10 |
| 1437714854 | Bossakara Sokhom | Student in an Organized Health Care Education/Training Program | 925 Seneca St. Mailstop H8-gme, Seattle, WA 98101 | 2019-05-01 |
| 1841752516 | Hai Quan Ngoc Truong | Student in an Organized Health Care Education/Training Program | 925 Seneca St, H8-gme, Seattle, WA 98101 | 2019-04-02 |
| 1134689318 | Kaitlin Alyse Geck | Student in an Organized Health Care Education/Training Program | 928 Seneca St, Mail Sop: H8-gme, Seattle, WA 98101 | 2019-03-22 |
| 1659860088 | Jaime Mauricio Jimenez | Student in an Organized Health Care Education/Training Program | Virginia Mason 925 Seneca St, Mail Sop: H8-gme, Seattle, WA 98101 | 2018-05-01 |
| 1184156861 | Benjamin Perin | Student in an Organized Health Care Education/Training Program | 925 Seneca Street, H8-gme, Virginia Mason, Seattle, WA 98101 | 2017-03-31 |
| 1316478258 | John Robert Coleman | Anesthesiology | 1100 9th Ave Ms: M4-pfs, Seattle, WA 98101 | 2017-03-22 |
| Find all providers in zip 98101 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689007320 | Aria Jafari | Otolaryngology | 1959 Ne Pacific St # 356515, Seattle, WA 98195-3729 | 2013-08-16 |
| 1457628497 | Robin Lee Downey | Otolaryngology | 4020 Aurora Ave N Apt 410, Seattle, WA 98103-7882 | 2011-11-18 |
| 1043453533 | Sapna Ashok Patel | Otolaryngology | 600 Broadway Ste 280, Seattle, WA 98122-5371 | 2009-04-13 |
| 1588858534 | Deborah Susan Alt | Otolaryngology | 3451 22nd Ave W, Unit B, Seattle, WA 98199-2308 | 2007-09-04 |
| 1366590820 | Nilesh S. Shah | Otolaryngology | 1536 N 115th St Ste 340, Seattle, WA 98133-8412 | 2007-01-08 |
| 1376626796 | Agnes Kau Wah Yue | Otolaryngology | 1801 Nw Market Street, Suite 410, Seattle, WA 98107-3909 | 2006-10-21 |
| 1487757332 | Marc Dante Coltrera | Otolaryngology | Dept. Oto-hns, University of Washington, 1959 Ne Pacific, Seattle, WA 98195 | 2006-09-06 |
| 1609834258 | Constantine W Palaskas | Otolaryngology | 1221 Madison St Ste 1410, Seattle, WA 98104-3555 | 2006-05-03 |
| 1326005968 | Jonathan Chinn | Otolaryngology | 1551 Nw 54th, Ste 101, Seattle, WA 98107 | 2006-04-27 |
| 1518943646 | Joseph Christopher Sniezek | Otolaryngology | 1221 Madison St, Suite 1523, Seattle, WA 98104-3588 | 2005-12-20 |
| 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.