GEORGE RUSSELL GLENN (NPI# 1396239125) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396239125 |
| Entity Type | Individual |
| Full Name | GEORGE RUSSELL GLENN |
| Credential | MD PHD |
| Practice Address |
Internal Medicine Clinic 1801 Sunset Drive Columbia SC 29203 |
| Practice Telephone | 8034344153 |
| Practice Fax Number | 8034344160 |
| Mailing Telephone | 8034344153 |
| Mailing Fax Number | 8034344160 |
| Enumeration Date | 2018-06-15 |
| Last Update Date | 2018-06-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | LL52703 | SC | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093769804 | George Chester Glenn IIi | Pediatrics | 1686 Skyland Drive, Suite 201, Spartanburg, SC 29307 | 2006-05-19 |
| 1730500141 | George Fleming Glenn | Perfusionist | 7220 N Lindbergh Blvd, Hazelwood, MO 63042-2019 | 2014-01-02 |
| 1922126036 | George Harold Glenn | Optometrist | Reynolds Road, Johnson City, NY 13790-0000 | 2007-03-27 |
| Street Address |
INTERNAL MEDICINE CLINIC 1801 SUNSET DRIVE |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29203 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114587524 | Ahmar Sheram Hashmi | Internal Medicine | Internal Medicine Clinic, 1801 Sunset Drive, Columbia, SC 29203 | 2019-06-18 |
| 1558921965 | Jesse Eugene Thompson | Internal Medicine | Internal Medicine Clinic, 1801 Sunset Drive, Columbia, SC 29203 | 2019-06-18 |
| 1548820483 | Shayan Noorani | Internal Medicine | Internal Medicine Clinic, 1801 Sunset Drive, Columbia, SC 29203 | 2019-06-13 |
| 1154980993 | Elizabeth Grace Ramsey | Internal Medicine | Internal Medicine Clinic, 1801 Sunset Drive, Columbia, SC 29203 | 2019-06-06 |
| 1598324337 | Philip Jabee Riddle Jr. | Internal Medicine | Internal Medicine Clinic, 1801 Sunset Drive, Columbia, SC 29203 | 2019-06-06 |
| 1225697063 | Griffin William Schultz | Internal Medicine | Internal Medicine Clinic, 1801 Sunset Drive, Columbia, SC 29203 | 2019-06-06 |
| 1952960791 | Joshua Michael Schoen | Internal Medicine | Internal Medicine Clinic, 1801 Sunset Drive, Columbia, SC 29203 | 2019-06-06 |
| 1770142515 | Courtney Brooke Stuart | Internal Medicine | Internal Medicine Clinic, 1801 Sunset Drive, Columbia, SC 29203 | 2019-06-06 |
| 1578122362 | Ross James Taylor | Internal Medicine | Internal Medicine Clinic, 1801 Sunset Drive, Columbia, SC 29203 | 2019-06-06 |
| 1386202430 | Brian Nathaniel Kluge | Internal Medicine | Internal Medicine Clinic, 1801 Sunset Drive, Columbia, SC 29203 | 2019-06-04 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609475284 | Matthew Leon Brigmon | Surgery | 2 Richland Medical Park, Suite 300, Columbia, SC 29203 | 2020-10-23 |
| 1730706839 | John James Gannon | Family Medicine | Prisma Health Medical Group Family Medicine, 3209 Colonial Drive, Columbia, SC 29203 | 2020-07-06 |
| 1790302362 | Klariz Teves Tucker | Internal Medicine | Internal Medcine Center, 1801 Sunset Drive, Columbia, SC 29203 | 2020-06-30 |
| 1811514482 | Esther Ruth Swan | Psychiatry & Neurology | Prisma Health General Psychiatry Center, 15 Medical Park, Ste 141, Columbia, SC 29203 | 2020-06-30 |
| 1447877014 | Jordan Kaitlyn Merrels | Psychiatry & Neurology | Prisma Health Medical Group General Psychiatry, 15 Medical Park, Ste 141, Columbia, SC 29203 | 2020-06-30 |
| 1306463187 | Jessica Leigh Watson | Psychiatry & Neurology | Prisma Health General Psychiatry, 15 Medical Park, Ste 141, Columbia, SC 29203 | 2020-06-29 |
| 1053938852 | Garrison Glenn Rice | Family Medicine | Prisma Health Medical Group Family Medical Center, 3209 Colonial Drive, Columbia, SC 29203 | 2020-06-29 |
| 1053938977 | Rachel Ellen Harper | Obstetrics & Gynecology | The Womens Center, 1801 Sunset Drive, Columbia, SC 29203 | 2020-06-26 |
| 1609493592 | Elizabeth Marie Kern | Orthopaedic Surgery | Prisma Health Medical Group Orthopedic Center, 2 Medical Park, Ste 105, Columbia, SC 29203 | 2020-06-26 |
| 1891312799 | Kathryn Victoria Steverson | Psychiatry & Neurology | Prisma Health Medical Group Psychiatry Center, 15 Medical Park, Ste 141, Columbia, SC 29203 | 2020-06-26 |
| Find all providers in zip 29203 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740808815 | Thai Quoc Nguyen | Internal Medicine | University Hospital Ma421 Med Sciences Bldg, Columbia, MO 65212-0001 | 2020-07-06 |
| 1649898784 | Peter Egwom | Internal Medicine | University Hospital One Hospital Drive Dc.043.00, Columbia, MO 65212-0001 | 2020-07-06 |
| 1790302362 | Klariz Teves Tucker | Internal Medicine | Internal Medcine Center, 1801 Sunset Drive, Columbia, SC 29203 | 2020-06-30 |
| 1851918346 | Maxwell Isaac | Internal Medicine | University Hospital 1 Hospital Drive Dc 043.00, Columbia, MO 65212-0001 | 2020-06-30 |
| 1285251983 | Shannon Ejiofor | Internal Medicine | University Hospital One Hospital Drive Dc043.00, Columbia, MO 65212-0001 | 2020-06-29 |
| 1336766278 | Jordan Stauffer | Internal Medicine | University Hospital One Hospital Dr, Columbia, MO 65212-0001 | 2020-06-26 |
| 1972120814 | Pak Ho Au | Internal Medicine | University Hospital One Hospital Dr Dc043.00, Columbia, MO 65212-0001 | 2020-06-26 |
| 1700402849 | Michael Allan Goble | Internal Medicine | Internal Medical Center, 1801 Sunset Drive, Columbia, SC 29203 | 2020-06-24 |
| 1740806389 | Alan Verl Godfrey | Internal Medicine | University of Missouri Hospital 1 Hospital Dr, Columbia, MO 65212-0001 | 2020-06-19 |
| 1003432642 | Gregory Gaskey | Internal Medicine | University of Missouri Hospital One Hospital Drive, Columbia, MO 65212-0001 | 2020-06-19 |
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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.