DR. LARRY R GLAZERMAN (NPI# 1356397574) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356397574 |
| Entity Type | Individual |
| Full Name | DR. LARRY R GLAZERMAN |
| Credential | MD |
| Practice Address |
625 N Shipley St Wilmington DE 19801-2228 |
| Practice Telephone | 3026557296 |
| Practice Fax Number | 3026551907 |
| Mailing Telephone | 3026557296 |
| Mailing Fax Number | 3026551907 |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2015-06-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | C1-0011359 | DE | Allopathic & Osteopathic Physicians |
| N | 207V00000X | Obstetrics & Gynecology | ME102634 | FL | Allopathic & Osteopathic Physicians |
| N | 207V00000X | Obstetrics & Gynecology | MD019651E | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 000326900 | 05 | |
| PA | 0735550 | 05 | |
| PA | AETNA PPO | 4265977 | 01 |
| PA | RAILROAD MEDICARE | 160047167 | 01 |
| PA | HIGHMARK BLUE SHIELD | 037452 | 01 |
| PA | KEYSTONE CENTRAL | 037452 | 01 |
| FL | BLUE CROSS BLUE SHIELD | 64329 | 01 |
| Street Address |
625 N SHIPLEY ST |
| City | WILMINGTON |
| State | DE |
| Zip Code | 19801-2228 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386118164 | Alison Kingcade | Family Medicine | 625 N Shipley St, Wilmington, DE 19801-2228 | 2019-01-15 |
| 1225553365 | Andrea Passo Schmerin | Physician Assistant | 625 N Shipley St, Wilmington, DE 19801-2228 | 2017-08-10 |
| 1548522626 | Martha Ayre Simmons | Family Medicine | 625 N Shipley St, Wilmington, DE 19801 | 2012-06-13 |
| 1437337433 | Hilary L Hochman | Physician Assistant | 625 N Shipley St, Wilmington, DE 19801-2228 | 2008-02-01 |
| 1417019597 | Planned Parenthood of Delaware | Pharmacy Technician | 625 N Shipley St, Wilmington, DE 19801-2228 | 2006-12-14 |
| 1851473193 | Raushanah L Broadard | Physician Assistant | 625 N Shipley St, Wilmington, DE 19801-2228 | 2006-10-19 |
| 1417970344 | Alison Miller | Physician Assistant | 625 N Shipley St, Wilmington, DE 19801-2228 | 2006-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386126068 | Meghan Cullen | Specialist/Technologist | 401 Garasches Lane, Wilmington, DE 19801 | 2018-08-30 |
| 1497257851 | Jevs Human Services | Psychologist | 300 Delaware Avenue, Suite 210, Wilmington, DE 19801 | 2018-03-01 |
| 1134627144 | Limen House, Inc | Substance Abuse Rehabilitation Facility | 1104 N. Adams Street / Triad, Wilmington, DE 19801 | 2018-01-24 |
| 1538698980 | Triad Ministry Inc | Community/Behavioral Health | 1104 N. Adams Street, Wilmington, DE 19801 | 2017-06-08 |
| 1649706086 | Fhr -act Program | Health Maintenance Organization | 103a Rogers Rd., Wilmington, DE 19801 | 2017-05-04 |
| 1275080707 | Suzanne Isenberg | Social Worker | 103 Rogers Roaad, Wilmington, DE 19801 | 2016-09-01 |
| 1467815191 | Jenna Leigh Laughlin | Internal Medicine | 501 W 14th St., Wilmington, DE 19801 | 2016-03-31 |
| 1962830430 | Antoinette L. Rodriguez | Counselor | 500 W 10th St., Connections Community Support Programs Inc., Wilmington, DE 19801 | 2013-10-21 |
| 1104173509 | Connections Community Support Programs, Inc. | Clinic/Center | 500 W. 10th Street, Wilmington, DE 19801 | 2012-08-06 |
| 1366719916 | Richard Mclaughlin | Counselor | 109 W. 7th St, Crossroads of Delaware, Wilmington, DE 19801 | 2011-11-28 |
| Find all providers in zip 19801 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| 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 Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467975672 | James Louis Price IIi | Obstetrics & Gynecology | 7830 Masonboro Sound Rd, Wilmington, NC 28409-2671 | 2017-07-19 |
| 1194093724 | Margo Kanaga | Obstetrics & Gynecology | 2301 Pennsylvania Ave, Wilmington, DE 19806-1344 | 2011-12-10 |
| 1669709002 | Robert Louis Hickok Jr. | Obstetrics & Gynecology | 900 Cecil Rd, Wilmington, DE 19807-2818 | 2009-11-05 |
| 1295913226 | Sandra Sue Retzky | Obstetrics & Gynecology | 146 Marcella Rd, Wilmington, DE 19803-3451 | 2008-01-31 |
| 1992914071 | Obstetrics & Gynecology of New Castle Co | Obstetrics & Gynecology | 1401 Washington Street, Wilmington, DE 19801 | 2007-05-22 |
| 1861525925 | St. Francis Hospital Inc. | Obstetrics & Gynecology | 532 Greenhill Ave, Wilmington, DE 19805-1851 | 2007-03-14 |
| 1104979467 | Stephen L Brewbaker | Obstetrics & Gynecology | 1726 New Hanover Medical Park Dr, Wilmington, NC 28403-5344 | 2007-01-19 |
| 1477635332 | Kirsten M Smith | Obstetrics & Gynecology | 3706 Kennett Pike, Wilmington, DE 19807-2157 | 2006-10-20 |
| 1891876009 | Walter Kobasa Jr. | Obstetrics & Gynecology | 1941 Limestone Rd Ste 217, Wilmington, DE 19808-5400 | 2006-10-17 |
| 1124033865 | Planned Parenthood of Delaware, Inc. | Obstetrics & Gynecology | 625 N Shipley St., Wilmington, DE 19801 | 2006-07-30 |
| Find all providers in WILMINGTON | ||||
| City | WILMINGTON |
| Zip Code | 19801 |
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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.