DR. GLEN R BAIR (NPI# 1417907114) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417907114 |
| Entity Type | Individual |
| Full Name | DR. GLEN R BAIR |
| Credential | M.D. |
| Practice Address |
690 N Cofco Center Ct Ste 290 Phoenix AZ 85008-6474 |
| Mailing Address |
Po Box 29870 Phoenix AZ 85038-9870 |
| Practice Telephone | 6026313161 |
| Practice Fax Number | 6026313162 |
| Mailing Telephone | 6027723800 |
| Mailing Fax Number | 6027723801 |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2011-11-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 8968 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 204488 | 05 | |
| AZ | HEALTHNET | 3Z3921 | 01 |
| Street Address |
690 N COFCO CENTER CT STE 290 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85008-6474 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215933635 | Douglas P Hartzler | Orthopaedic Surgery | 690 N Cofco Center Ct, Ste 290, Phoenix, AZ 85008-6474 | 2005-06-21 |
| 1902251077 | Advanced Hand and Wrist Specialists | Surgery | 690 N Cofco Center Ct, Suite 190, Phoenix, AZ 85008-6462 | 2016-04-26 |
| 1568714152 | Orthopedic Specialists of North America, Pllc | Orthopaedic Surgery | 690 N Cofco Center Ct, Ste 190, Phoenix, AZ 85008-6462 | 2012-10-08 |
| 1841510898 | Keith Alan Jarbo | Orthopaedic Surgery | 690 N Cofco Center Ct, Suite 290, Phoenix, AZ 85008-6462 | 2010-06-01 |
| 1831414051 | Shreepal M Shah | Pediatrics | 690 N Cofco Center Ct, Suite 230, Phoenix, AZ 85008-6462 | 2010-03-30 |
| 1598088601 | Orthopedic Specialists of North America, Pllc | Orthopaedic Surgery | 690 N Cofco Center Ct, Suite 270, Phoenix, AZ 85008-6462 | 2010-03-03 |
| 1134453020 | Kathryn Marie Dektor | Physical Therapist | 690 N Cofco Center Ct, Ste 290, Phoenix, AZ 85008-6462 | 2009-09-24 |
| 1275716011 | Arizona Hand and Wrist Specialists | Orthopaedic Surgery | 690 N Cofco Center Ct, Suite 190, Phoenix, AZ 85008-6462 | 2007-12-16 |
| 1194915918 | Daniel Schlecht | Physician Assistant | 690 N Cofco Center Ct, Suite 290, Phoenix, AZ 85008-6462 | 2007-07-27 |
| 1174738785 | Dht Hand Therapy Limited Partnership | Durable Medical Equipment & Medical Supplies | 690 N Cofco Center Ct, Suite 260, Phoenix, AZ 85008-6462 | 2007-05-14 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821607060 | Am Apnea and Tmj LLC | Durable Medical Equipment & Medical Supplies | 2303 N. 44thst., Suite 14-1008, Phoenix, AZ 85008 | 2020-07-23 |
| 1194341131 | Abdulbaril Olandapo Olagunju | Student in an Organized Health Care Education/Training Program | 2601 E Roosevelt Street, Valleywise Health, Phoenix, AZ 85008 | 2020-06-24 |
| 1376164632 | Abdul Rahman Raed Mustafa Halawa | Student in an Organized Health Care Education/Training Program | 2601 E Roosevelt St Valleywise Health, Phoenix, AZ 85008 | 2020-04-28 |
| 1245869460 | Zachary Masuda | Student in an Organized Health Care Education/Training Program | Valleywise Health Medical Center, 2601 E Roosevelt St, Phoenix, AZ 85008 | 2020-04-08 |
| 1942840145 | Cana Behavior LLC | Physical Therapist | 2412 N 36 Pl, Phoenix, AZ 85008 | 2020-01-15 |
| 1871158188 | Fred Gardezy | Student in an Organized Health Care Education/Training Program | Maricopa Integrated Health System 2601 E. Roosevelt St., Phoenix, AZ 85008 | 2019-05-02 |
| 1225692346 | Navkaran Singh Girgla | Student in an Organized Health Care Education/Training Program | 2601 East Roosevelt St., Phoenix, AZ 85008 | 2019-04-24 |
| 1316412323 | Southwest Human Developement | Early Intervention Provider Agency | 2850 N 24h Street, Phoenix, AZ 85008 | 2018-10-05 |
| 1558885970 | Mona Ridhwan Ziems | Midwife | 1919 N 31st St, Phoenix, AZ 85008 | 2017-07-27 |
| 1093244451 | Shana Cynamon | Audiologist | 1801 N 37th Pl, Phoenix, AZ 85008 | 2017-06-08 |
| Find all providers in zip 85008 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| 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 Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134609746 | Arizona Arthritis and Rheumatology Associates | Orthopaedic Surgery | 9520 W Palm Ln Ste 220, Phoenix, AZ 85037-4403 | 2018-08-14 |
| 1124547682 | Consulting Options, LLC | Orthopaedic Surgery | 5110 North 44th Street, Suite L200, Phoenix, AZ 85018 | 2017-09-15 |
| 1467829184 | Az Sports Clinic, LLC | Orthopaedic Surgery | 7797 W. Paradise Lane Suite 130, Phoenix, AZ 85382-3588 | 2015-08-28 |
| 1275911620 | Scott Howard Conant | Orthopaedic Surgery | 475 N 5th St, Phoenix, AZ 85004-2157 | 2015-05-18 |
| 1831500172 | Paramjit Singh | Orthopaedic Surgery | 9305 W Thomas Rd Ste 305, Phoenix, AZ 85037-3366 | 2014-05-08 |
| 1831537414 | Seth Andrew Christensen | Orthopaedic Surgery | 18444 N 25th Ave Ste 310, Phoenix, AZ 85023-1266 | 2013-06-05 |
| 1679819304 | Integrated Medical Services Inc | Orthopaedic Surgery | 4550 E Bell Rd Ste 280, Phoenix, AZ 85032-9384 | 2012-12-28 |
| 1235494741 | Benjamin Albert | Orthopaedic Surgery | 6950 E Chauncey Ln Ste 100, Phoenix, AZ 85054-5179 | 2012-07-10 |
| 1629349469 | Alfred Franklin D'anca | Orthopaedic Surgery | 4019 Trails End Ct, Phoenix, MD 21131-1860 | 2012-01-25 |
| 1922399088 | Patricia Ann Drace | Orthopaedic Surgery | 1919 E Thomas Rd Fl 2, Phoenix, AZ 85016 | 2011-04-25 |
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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.