JOHN GLAZER (NPI# 1285636126) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285636126 |
| Entity Type | Individual |
| Full Name | JOHN GLAZER |
| Credential | D.O. |
| Practice Address |
10524 E Highway 92 Hereford AZ 85615 |
| Mailing Address |
101 Cole Ave Bisbee AZ 85603-1327 |
| Practice Telephone | 5203660300 |
| Practice Fax Number | 5203660440 |
| Mailing Telephone | 5204326481 |
| Enumeration Date | 2005-08-11 |
| Last Update Date | 2020-09-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
007561 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 400232 | 05 | |
| AZ | MEDICARE | Z216210 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 101 Cole Ave, Bisbee, AZ 856031327 | 5204325383 | 5204325082 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184980641 | John Chapin Glazer | Psychologist | 300 S Jackson St, Suite 520, Denver, CO 80209-3176 | 2012-04-09 |
| 1528026101 | John P. Glazer | Psychiatry & Neurology | 123 Andover Rd, Westbrook, ME 04092-3848 | 2006-05-03 |
| Street Address |
10524 E HIGHWAY 92 |
| City | HEREFORD |
| State | AZ |
| Zip Code | 85615 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316940786 | Brian Loyd Miles | Family Medicine | 10524 E Highway 92, Hereford, AZ 85615-8371 | 2005-05-31 |
| 1083001242 | Erik Arellano Sr. | Family Medicine | 10524 E Highway 92, Hereford, AZ 85615-8371 | 2015-04-24 |
| 1225438104 | Bisbee Hospital Association | Clinic/Center | 10524 E Highway 92, Hereford, AZ 85615-8371 | 2014-08-28 |
| 1629417431 | Julie Marie Hutchinson | Nurse Practitioner | 10524 E Highway 92, Hereford, AZ 85615 | 2013-06-14 |
| 1700138328 | Lorena Warren | Nurse Practitioner | 10524 E Highway 92, Hereford, AZ 85615-8371 | 2012-10-05 |
| 1730175084 | Aaron J Patton | Physician Assistant | 10524 E Highway 92, Hereford, AZ 85615 | 2005-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447763677 | Diana Deray Jones | Registered Nurse | Palominas Elementary School, 6849 E. Hwy 92, Hereford, AZ 85615 | 2017-11-09 |
| 1558751800 | Goldenoaks | Assisted Living Facility | 8099 Geoffrion St, Hereford, AZ 85615 | 2015-01-26 |
| 1649536251 | Joel Childs | Respite Care | 9367 Chippewa Drive, Hereford, AZ 85615 | 2012-04-09 |
| 1275835167 | Anne M Castello | Behavioral Analyst | 9345 S. Reynolds Rd., Hereford, AZ 85615 | 2010-11-26 |
| 1609916774 | Evelyn Becker | Psychologist | 10385 E. Highway 92, Hereford, AZ 85615 | 2007-02-07 |
| 1568539625 | Steven Richard Germann | Respite Care | 10056 S. Corgi Lane, Hereford, AZ 85615 | 2006-11-30 |
| 1477620532 | Kathleen Christine Valencia | Respite Care | 10330 S. Palominas Road, Hereford, AZ 85615 | 2006-11-30 |
| 1942485040 | Leisa Diane Wilson Boyer | Contractor | 10385 E Hwy 92, Palominas School Dist, Hereford, AZ 85615 | 2008-01-08 |
| 1952426769 | Sandra West | Registered Nurse | 10385 E Hwy 92, Hereford, AZ 85615 | 2007-03-20 |
| 1306061700 | Kelly Michelle Ceniceros | Registered Nurse | 6849 E. Hwy 92, Hereford, AZ 85615-0038 | 2007-04-13 |
| Find all providers in zip 85615 | ||||
| Taxonomy Code | 207QA0505X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Adult Medicine |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194326876 | Nicole Francisca Roberts | Family Medicine | 1449 S Monterey St, Gilbert, AZ 85233-8436 | 2020-11-08 |
| 1508496167 | Claudia Macias | Family Medicine | 4350 N 19th Ave Ste 3, Phoenix, AZ 85015-4602 | 2020-01-23 |
| 1992353312 | Az Premier Mobile Providers | Family Medicine | 2737 E Arizona Biltmore Cir Unit 30, Phoenix, AZ 85016-2170 | 2019-08-28 |
| 1558916247 | Shiny Susan Thomas | Family Medicine | 7615,east Baseline Road, Mesa, AZ 85209 | 2019-08-08 |
| 1508338732 | Erin Leah Mickelson | Family Medicine | 1542 Marvin Gardens Ln, Prescott, AZ 86301-5528 | 2018-12-28 |
| 1437698107 | Edward A Carrington Md Pllc | Family Medicine | 2600 E Southern Ave Ste F4, Tempe, AZ 85282-7626 | 2017-02-14 |
| 1396123733 | Vital Health Care LLC | Family Medicine | 7707 W Deer Valley Rd Ste 115, Peoria, AZ 85382-2101 | 2015-05-18 |
| 1609267038 | Annual Wellness Centers LLC | Family Medicine | 116 Lake Havasu Ave S Ste 103, Lake Havasu City, AZ 86403-0811 | 2015-02-06 |
| 1518386929 | Valor Health Services, LLC | Family Medicine | 2990 N Campbell Avenue, Suite 230, Tucson, AZ 85719 | 2014-04-14 |
| 1972940237 | Arizona City Health Associates, Inc. | Family Medicine | 13060 South Sunland Gin Road, Arizona City, AZ 85123 | 2013-05-28 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on JOHN GLAZER.
| 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.