MR. GLENN R SMITH (NPI# 1275505794) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275505794 |
| Entity Type | Individual |
| Full Name | MR. GLENN R SMITH |
| Credential | PA-C |
| Practice Address |
Brody Outpatient Center 600 Moye Blvd Greenville NC 27858 |
| Mailing Address |
2100 Stantonsburg Rd Po Box 6028 Greenville NC 27834-2818 |
| Practice Telephone | 2527442207 |
| Practice Fax Number | 2527443794 |
| Mailing Telephone | 2528474299 |
| Mailing Fax Number | 2528748208 |
| Enumeration Date | 2006-02-07 |
| Last Update Date | 2008-10-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
104089 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871702183 | Glenn Alan Smith | Recreation Therapist | 88 Circle Dr, Millington, NJ 07946-1708 | 2007-05-22 |
| 1881733426 | Glenn Owen Smith | Dentist | 21320 Hawthorne Blvd Ste 202, Torrance, CA 90503-5668 | 2007-02-06 |
| 1588624928 | Glenn F Smith | Chiropractor | 418 W. Meadows Dr, Freeport, IL 61032 | 2006-03-27 |
| 1861976599 | Glenn Smith | Counselor | 1 Leo Moss Dr Ste 4308, Olean, NY 14760-1100 | 2018-09-19 |
| 1447564869 | Glenn Douglas Smith | Counselor | 1313 Penn Ave N, Minneapolis, MN 55411-3047 | 2010-07-27 |
| 1508060062 | Glenn Bona Smith | Physical Therapist | 170 N 1100 E, American Fork, UT 84003-2096 | 2007-06-11 |
| 1649391467 | Glenn Smith | Dentist | 108 N Main St, Montpelier, IN 47359-1132 | 2007-04-02 |
| 1124160288 | Glenn Edward Smith | Registered Nurse | 1431 Sw 1st Avenue, Ocala, FL 34471 | 2007-02-13 |
| 1023156684 | Glenn C Smith Jr. | Pharmacist | 9080 Brooks Rd S, Windsor, CA 95492-7811 | 2007-02-02 |
| 1295842409 | Glenn A Smith | Family Medicine | 2219 Garfield St, Two Rivers, WI 54241 | 2006-08-24 |
| Street Address |
BRODY OUTPATIENT CENTER 600 MOYE BLVD |
| City | GREENVILLE |
| State | NC |
| Zip Code | 27858 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851396857 | Ghiath M Almasri | Internal Medicine | Brody Outpatient Center, 600 Moye Blvd, Greenville, NC 27858 | 2005-06-16 |
| 1558301135 | Andrew Barrett | Nurse Practitioner | Brody Outpatient Center, 600 Moye Blvd, Greenville, NC 27834 | 2006-06-08 |
| 1043260474 | East Carolina University | Pain Medicine | Brody Outpatient Center, 600 Moye Blvd, Greenville, NC 27858 | 2006-05-10 |
| 1285683060 | East Carolina Universtiy | Internal Medicine | Brody Outpatient Center, 600 Moye Blvd, Greenville, NC 27858 | 2006-05-09 |
| 1366491185 | East Carolina University | Internal Medicine | Brody Outpatient Center, 600 Moye Blvd, Greenville, NC 27858 | 2006-05-09 |
| 1225000839 | Robert Lawrence | Physician Assistant | Brody Outpatient Center, 600 Moye Blvd, Greenville, NC 27858 | 2006-02-07 |
| 1043282270 | Katherine W Pratt | Nurse Practitioner | Brody Outpatient Center, 600 Moye Blvd, Greenville, NC 28275-1069 | 2006-02-02 |
| 1578535878 | Edna Merritt | Nurse Practitioner | Brody Outpatient Center, 600 Moye Blvd, Greenville, NC 27858 | 2006-02-02 |
| 1972588549 | Karim Zaman | Pathology | Brody Outpatient Center, 600 Moye Blvd, Greenville, NC 27858 | 2005-12-07 |
| 1942292644 | Howard D Homesley | Obstetrics & Gynecology | Brody Outpatient Center, 600 Moye Blvd, Greenville, NC 27858 | 2005-08-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740890797 | Kari Melissa Carr | Counselor | 4410 Health Sciences Building, Greenville, NC 27858 | 2020-08-05 |
| 1518584705 | Apriann Marchelle Sutton | Social Worker | 2050 Eastgate Dr., # E, Greenville, NC 27858 | 2020-07-03 |
| 1174145338 | Matthew Charles Whited | Psychologist | Pass Clinic Rawl Building Room 311, East Carolina University, Greenville, NC 27858 | 2020-05-11 |
| 1760025043 | Brooke Elizabeth Wallace | Occupational Therapist | 740 Greenville Blvd, Ste 400 #133, Greenville, NC 27858 | 2019-10-19 |
| 1770141699 | Andrew Pickett | Specialist/Technologist | 130b Scales Field House, Ecu, Greenville, NC 27858 | 2019-06-05 |
| 1659836591 | Advanced Regenerative Care, Pllc | Physical Medicine & Rehabilitation | 504 C Red Banks Road, Greenville, NC 27858 | 2019-02-05 |
| 1316410996 | East Carolina Acupuncture Inc | Acupuncturist | 211 Commerce Street, Suite A, Greenville, NC 27858 | 2019-01-07 |
| 1922597368 | Kevin Westbrook | Respiratory Therapist, Registered | 513 Abington Court, Greenville, NC 27858 | 2018-05-01 |
| 1871090167 | Faith Based Counseling Services, LLC | Counselor | 235 Commerece Street, Greenville, NC 27858 | 2018-04-12 |
| 1639677800 | Marcus Brian Ward, Dmd, Pa | Clinic/Center | 3912 East 10th St., Greenville, NC 27858 | 2018-01-23 |
| Find all providers in zip 27858 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104116664 | Jennifer C Whitmire | Physician Assistant | St Francis Cardiovascular, 317 St. Francis Dr. Ste 120, Greenville, SC 29601-3900 | 2011-04-18 |
| 1306143219 | Alexis Pierino Goss | Physician Assistant | 101 Heart Drive Mailstop 654, Ecu Physicians Family Medicine, Greenville, NC 27834-4300 | 2011-02-13 |
| 1477888196 | Johnny Johnson | Physician Assistant | 4211 Joe Ramsey Blvd, Suite 100, Greenville, TX 75401 | 2009-10-14 |
| 1205915360 | Dannie Burton Jonas | Physician Assistant | 505 Greenville Blvd Se, Greenville, NC 27858-6736 | 2006-11-02 |
| 1952324246 | Toni Smith-whiteeagle | Physician Assistant | 5005 Live Oak St, Greenville, TX 75402 | 2006-07-26 |
| 1699719682 | Gary Marc Trube | Physician Assistant | 800 Moye Blvd, Greenville, NC 27834-3777 | 2006-06-16 |
| 1255384335 | Dean A Schrader | Physician Assistant | 8333 Crestview Dr, Greenville, MI 48838-8133 | 2006-05-18 |
| 1043262983 | Katherine Johnson Anderson | Physician Assistant | 215 Halton Rd, Greenville, SC 29607-3509 | 2006-05-17 |
| 1891767398 | Allen J Sours Jr. | Physician Assistant | Physician's Prime Care, 3535 S. Memorial Dr. Suite C, Greenville, NC 27834-6766 | 2006-02-07 |
| 1053383273 | Zenith Nelson | Physician Assistant | Leo Jenkins Cancer Center, 600 Moye Blvd, Greenville, NC 27858 | 2006-02-02 |
| Find all providers in GREENVILLE | ||||
| City | GREENVILLE |
| Zip Code | 27858 |
Please comment or provide details below to improve the information on MR. GLENN R SMITH.
| 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.