DR. JANENE R GLYN (NPI# 1518936863) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518936863 |
| Entity Type | Individual |
| Full Name | DR. JANENE R GLYN |
| Credential | MD |
| Practice Address |
1285 Nininger Rd Hastings MN 55033-1086 |
| Practice Telephone | 6514804200 |
| Mailing Telephone | 6514804200 |
| Enumeration Date | 2006-03-17 |
| Last Update Date | 2020-01-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | 8620A | WY | Allopathic & Osteopathic Physicians |
| Y | 208000000X | Pediatrics | 42887 | MN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | MEDICA | 12-00895 | 01 |
| MN | BLUE CROSS | 27F14GL | 01 |
| MN | HEALTH PARTNERS | HP31065 | 01 |
| MN | GROUP HEALTH EAU CLAIRE | 34005200 | 01 |
| MN | MEDICA URGENT CARE | 66-07835 | 01 |
| MN | MEDICAID WI | 34005200 | 01 |
| MN | RAILROAD MEDICARE | 370020464 | 01 |
| MN | PREFERRED ONE | NA9141025070 | 01 |
| MN | UCARE MINNESOTA | 127968 | 01 |
| MN | AMERICA'S PPO | 1072689 | 01 |
| MN | 190150800 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1200 College Dr, Rock Springs, WY 829015868 | 3073623711 | 3073528454 |
| Street Address |
1285 NININGER RD |
| City | HASTINGS |
| State | MN |
| Zip Code | 55033-1086 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174591275 | Jerome J Perra | Orthopaedic Surgery | 1285 Nininger Rd, Suite 107, Hastings, MN 55033-1086 | 2006-03-14 |
| 1164876942 | Gita Byraiah | Obstetrics & Gynecology | 1285 Nininger Rd, Hastings, MN 55033-1086 | 2016-04-19 |
| 1255693453 | Garret Thomas Lechtenberg | Surgery | 1285 Nininger Rd, Hastings, MN 55033-1086 | 2012-06-13 |
| 1578869293 | Allina Health System | Clinic/Center | 1285 Nininger Rd, Hastings, MN 55033-1086 | 2011-01-27 |
| 1679710248 | Maria O Stanislaw | Pediatrics | 1285 Nininger Rd, Hastings, MN 55033-1086 | 2009-01-19 |
| 1063681872 | Terry Cherner | Physical Therapist | 1285 Nininger Rd, Hastings, MN 55033-1086 | 2008-02-26 |
| 1689730491 | Tammy J John | Registered Nurse | 1285 Nininger Rd, Hastings, MN 55033-1086 | 2006-12-28 |
| 1396819751 | Sanaya Darayus Bharucha | Pediatrics | 1285 Nininger Rd, Hastings, MN 55033-1086 | 2006-11-20 |
| 1578579264 | David John Ries | Family Medicine | 1285 Nininger Rd, Hastings, MN 55033-1086 | 2006-08-01 |
| 1134177561 | Susan E. Nelson | Nurse Practitioner | 1285 Nininger Rd, Hastings, MN 55033-1086 | 2006-05-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679052898 | Juan Miguel Almonte Sanchez | Dentist | 1465 N Frontage Rd, Hastings, MN 55033 | 2018-08-08 |
| 1194126995 | Grand St Paul Cvs LLC | Durable Medical Equipment & Medical Supplies | 1411 Vermillion, Hastings, MN 55033 | 2014-09-11 |
| 1134490469 | Bernie Jerome Menge | Counselor | 1303 S Frontage Rd Ste 275, Hastings, MN 55033 | 2012-01-18 |
| 1578874814 | Kristen Kingsbury Desautel | Optometrist | 1757 N. Frontage Rd, Hastings, MN 55033 | 2010-06-30 |
| 1790944973 | Parker Chiropractic Pa | Chiropractor | 1320 S Frontage Rd, Ste 102, Hastings, MN 55033 | 2008-06-03 |
| 1518144740 | Susan Hietala Levahn | Physical Therapist | 85 Pleasant Ave, Hastings, MN 55033 | 2008-01-30 |
| 1851578215 | John Thomas Tonsager | Physical Therapist | 1285 Nininger Road, Hastings, MN 55033 | 2008-01-29 |
| 1588849889 | Laura Lynn Richardson | Occupational Therapist | 85 Pleasant Drive, Hastings, MN 55033 | 2008-01-04 |
| 1518142801 | Debra Ann Perron Mccabe | Occupational Therapist | 1175 Nininger Road, Hastings, MN 55033 | 2008-01-04 |
| 1083899892 | Christina Marie Kummer | Occupational Therapist | 85 Pleasant, Regina Medical Center Ymca Location Out Pt Clinic, Hastings, MN 55033 | 2007-12-31 |
| Find all providers in zip 55033 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487940946 | Abby St. Jacques | Pediatrics | 300 Meadow Run Dr, Hastings, MI 49058-9048 | 2011-06-23 |
| 1013929876 | Shade R Whalen | Pediatrics | 2115 N Kansas, Children & Adolescent Clinic PC, Hastings, NE 68901 | 2006-08-12 |
| 1740244144 | Amy S Beck | Pediatrics | 1375 W Green St, Hastings, MI 49058-1718 | 2006-04-13 |
| 1568942803 | Children & Adoleseant Clinic PC | Pediatrics | 2115 N Kansas Ave Ste 103, Hastings, NE 68901-2615 | 2018-08-16 |
| 1447760517 | Cherry Street Services, Inc | Pediatrics | 200 S Boltwood St, Hastings, MI 49058 | 2017-10-03 |
| 1598109175 | Nicholas Venosdel | Pediatrics | 1210 1st St W, Hastings, MN 55033-1147 | 2013-04-25 |
| 1912252909 | Southside Pediatrics PC | Pediatrics | 300 Meadow Run Dr, Hastings, MI 49058-9048 | 2012-07-17 |
| 1679710248 | Maria O Stanislaw | Pediatrics | 1285 Nininger Rd, Hastings, MN 55033-1086 | 2009-01-19 |
| 1801058243 | Daniel J Leonard Iv | Pediatrics | 2115 N Kansas Ave, Hastings, NE 68901-2640 | 2008-06-26 |
| 1346361276 | Bright Start Pediatrics, P.C. | Pediatrics | 1375 W Green St, Hastings, MI 49058-1718 | 2007-04-02 |
| Find all providers in HASTINGS | ||||
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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.