GLENN R SLOCUM (NPI# 1588614564) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588614564 |
| Entity Type | Individual |
| Full Name | GLENN R SLOCUM |
| Credential | M.D. |
| Practice Address |
74 Harvey Ct Irvine CA 92617-4070 |
| Practice Telephone | 9497256437 |
| Mailing Telephone | 9497256437 |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2015-04-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
45137 | AZ | Allopathic & Osteopathic Physicians |
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
G74578 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | BLUE SHIELD | 00G745780 | 01 |
| RAILROAD MEDICARE | P00449079 | 01 | |
| CA | 00G745780 | 05 |
| Street Address |
74 HARVEY CT |
| City | IRVINE |
| State | CA |
| Zip Code | 92617-4070 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124547260 | Christopher Michael Amato | Physical Therapist | 69313 Verano Place, Irvine, CA 92617 | 2017-09-09 |
| 1790333227 | Discovery Genomics, Inc. | Clinical Medical Laboratory | 130 Theory Ste 150, Irvine, CA 92617-3028 | 2019-08-28 |
| 1346861457 | Lydia Romanovna Kirillova | Student in an Organized Health Care Education/Training Program | 1001 Health Sciences Rd, Irvine, CA 92617-3054 | 2020-04-29 |
| 1003444969 | Danielle Zezoff | Student in an Organized Health Care Education/Training Program | 1001 Health Sciences Rd, Irvine, CA 92617-3054 | 2020-03-27 |
| 1508491630 | Keaton William Cooley-rieders | Registered Nurse | 1001 Health Sciences Rd, Irvine, CA 92617-3054 | 2020-03-09 |
| 1538793302 | Emily Frisch | Student in an Organized Health Care Education/Training Program | 1001 Health Sciences Rd, Irvine, CA 92617-3054 | 2020-03-02 |
| 1528692449 | Katherine Moran | Student in an Organized Health Care Education/Training Program | 1001 Health Sciences Rd, Irvine, CA 92617-3054 | 2020-02-29 |
| 1164913539 | Mohammad Riazi Esfahani | Ophthalmology | 850 Health Sciences Rd, Irvine, CA 92617-3058 | 2018-05-22 |
| 1699126425 | Aman Mittal | Ophthalmology | 850 Health Sciences Rd, Irvine, CA 92617-3058 | 2016-06-22 |
| 1346501137 | Kevin Jwo | Ophthalmology | 850 Health Sciences Rd, Irvine, CA 92617-3058 | 2012-06-07 |
| Find all providers in zip 92617 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| 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 Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528522620 | Alvarado Radiology Group Inc, A Professional Corporation | Radiology | 38 Paperbark, Irvine, CA 92620-3442 | 2019-01-23 |
| 1245722354 | Bay Area Radiology, PC | Radiology | 25 Silver Cres, Irvine, CA 92603-3605 | 2018-06-04 |
| 1932607702 | Century Radiology Medical Group, Inc | Radiology | 32 Chadwick, Irvine, CA 92618-6900 | 2018-01-26 |
| 1740730597 | Florida United Radiology, Lc | Radiology | 79 Purple Jasmine, Irvine, CA 92620-3377 | 2016-10-05 |
| 1942607916 | Online Radiology Medical Group, Inc. | Radiology | 115 Coral Rose, Irvine, CA 92603-0177 | 2014-11-19 |
| 1699171678 | Online Radiology Medical Group, Inc. | Radiology | 26 Roseville, Irvine, CA 92602-2030 | 2014-11-18 |
| 1841600764 | Saif Siddiqi Md Inc | Radiology | 28 Canyon Ter, Irvine, CA 92603-0227 | 2014-04-30 |
| 1346565587 | Maximilian Khatibi | Radiology | 112 Estancia, Irvine, CA 92602-1100 | 2010-03-31 |
| 1225053036 | Amir Ali Fassihi | Radiology | 34 Arcade, Irvine, CA 92603-0120 | 2006-07-13 |
| 1689652653 | William Ira Feske | Radiology | 3395 Michelson Dr, Apt 3418, Irvine, CA 92612-4438 | 2006-01-09 |
| Find all providers in IRVINE | ||||
Please comment or provide details below to improve the information on GLENN R SLOCUM.
| 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.