DR. GLENN MICHAEL SHIPLEY (NPI# 1588728596) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588728596 |
| Entity Type | Individual |
| Full Name | DR. GLENN MICHAEL SHIPLEY |
| Credential | D.O. |
| Practice Address |
3401 N University Ave Lubbock TX 79415-1734 |
| Mailing Address |
266 Greenview Terrace Macon GA 31220 |
| Practice Telephone | 8067413609 |
| Practice Fax Number | 8067413604 |
| Mailing Telephone | 4784758664 |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2083P0500X |
Preventive Medicine Specialization: Preventive Medicine/Occupational Environmental Medicine |
058643 | GA | Allopathic & Osteopathic Physicians |
| Street Address |
3401 N UNIVERSITY AVE |
| City | LUBBOCK |
| State | TX |
| Zip Code | 79415-1734 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649363326 | Health and Human Services Commission | Psychiatry & Neurology | 3401 N University Ave, Lubbock, TX 79415-1734 | 2006-10-02 |
| 1548861669 | Cristi Tipton | Pharmacist | 3401 N University Ave, Lubbock, TX 79415-1734 | 2020-11-04 |
| 1932607066 | Marlon Daron Womack | Nurse Practitioner | 3401 N University Ave, Lubbock, TX 79415-1734 | 2018-01-23 |
| 1487074472 | Allan Thomas Hanretta | Psychiatry & Neurology | 3401 N University Ave, Lubbock, TX 79415-1734 | 2014-04-17 |
| 1982765301 | Resurreccion Barranda | Family Medicine | 3401 N University Ave, Lubbock, TX 79415 | 2006-12-12 |
| 1679640411 | Ricardo Rodriguez | Family Medicine | 3401 N University Ave, Lubbock, TX 79415 | 2006-11-29 |
| 1104990365 | Health and Human Services Commission | Pharmacy | 3401 N University Ave, Lubbock, TX 79415-1734 | 2006-11-20 |
| 1053484980 | Max E Mccasland | Physician Assistant | 3401 N University Ave, Lubbock, TX 79415 | 2006-11-16 |
| 1750454674 | Richard L Weddige | Psychiatry & Neurology | 3401 N University Ave, Lubbock, TX 79415 | 2006-11-16 |
| 1831274919 | Anita Faye Blackburn | Pharmacy Technician | 3401 N University Ave, Lubbock, TX 79415-1734 | 2006-10-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831569540 | Community Health Center of Lubbock, Inc. | Clinic/Center | 3502 9th St Ste 280, Lubbock, TX 79415 | 2015-10-07 |
| 1922447457 | Fnu Parijat Kumar | Physical Therapist | 2717 3rd Street, Aptt 803, Lubbock, TX 79415 | 2013-06-18 |
| 1851575906 | Diego Rivera, M.d., P.a. | Family Medicine | 111 University Ave, Lubbock, TX 79415 | 2007-12-26 |
| 1730206632 | Kathleen Brinkman Felts | Physical Therapist | 3710 4th Street, Lubbock, TX 79415 | 2007-03-23 |
| 1568508521 | Horace Rueben Sharp Jr. | Optometrist | 1911 4th St, Lubbock, TX 79415 | 2007-01-29 |
| 1699876201 | Patricia R. Arledge | Plastic Surgery | 3502 9th St., Suite 270, Lubbock, TX 79415 | 2006-09-26 |
| 1245330018 | Perlita Molina Sambrano-tandoc | Nurse Practitioner | 602 East Indiana Avenue, Lubbock, TX 79415 | 2006-09-22 |
| 1639199862 | Justin Tidwell | Emergency Medicine | 604 Indiana, Lubbock, TX 79415 | 2006-07-20 |
| 1912944059 | Community Health Center of Lubbock, Inc. | Clinic/Center | 3301 Clovis Road, Lubbock, TX 79415 | 2006-05-31 |
| 1497709265 | Byron Wayne Schoettle | Radiology | 602 Indiana Avenue, Lubbock, TX 79415 | 2006-05-19 |
| Find all providers in zip 79415 | ||||
| Taxonomy Code | 2083P0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Preventive Medicine/Occupational Environmental Medicine |
| A preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568466472 | Alice Ferrell Pangle | Preventive Medicine | 3303 University Ave, Lubbock, TX 79410-3525 | 2005-06-08 |
| 1194856062 | Gerald L Hill | Preventive Medicine | 3802 21st St Ste A, Lubbock, TX 79410-1011 | 2007-03-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790332955 | Healthstat Onsite Clinic Goodyear Beaumont | Preventive Medicine | 11357 Ih 10, Sw @ Smith Road, Beaumont, TX 77720 | 2019-08-22 |
| 1871051763 | Thomas Pace | Preventive Medicine | 808 Glenmont Rd, Keller, TX 76248-0377 | 2019-03-09 |
| 1033690250 | Nicole Eileen Finkelstein | Preventive Medicine | 6009 Seville Dr, Austin, TX 78724-6127 | 2018-08-25 |
| 1104368430 | David E Turner | Preventive Medicine | 6218 Holly Oaks Ct, Fulshear, TX 77441-1134 | 2016-11-17 |
| 1700268950 | Healthstat Onsite Clinic Mvm Cuero | Preventive Medicine | 202 N Gazzie St, Cuero, TX 77954-3730 | 2015-06-24 |
| 1801276142 | Dr Suzanne Schafer Pllc | Preventive Medicine | 2392 Calypso Ln, League City, TX 77573-2795 | 2015-06-02 |
| 1750777140 | Healthstat Onsite Clinic Hsm Arlington Tx | Preventive Medicine | 605 109th St, Suite 300, Arlington, TX 76011-7601 | 2015-04-13 |
| 1871837476 | John Patrick Gibbs | Preventive Medicine | 300 Fischer Store Rd, Wimberley, TX 78676-6425 | 2012-11-20 |
| 1821332776 | Hanlin Liu | Preventive Medicine | 5000 Bayway Dr, Baytown, TX 77520-2123 | 2012-11-15 |
| 1912272477 | John George Mueller | Preventive Medicine | 60 Crown Pl, Richardson, TX 75080-1603 | 2012-03-16 |
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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.