DR. CHAD ALAN GLAZER (NPI# 1609915503) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609915503 |
| Entity Type | Individual |
| Full Name | DR. CHAD ALAN GLAZER |
| Credential | M.D. |
| Practice Address |
8865 W 400 N Suite 120 Michigan City IN 46360-9222 |
| Mailing Address |
1040 Sierra Dr Suite 400 Greenwood IN 46143-7240 |
| Practice Telephone | 2198785031 |
| Practice Fax Number | 2198795498 |
| Mailing Telephone | 3175284837 |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2016-04-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207YX0905X |
Otolaryngology Specialization: Otolaryngology/Facial Plastic Surgery |
01071618A | IN | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 201124820 | 05 |
| Street Address |
8865 W 400 N SUITE 120 |
| City | MICHIGAN CITY |
| State | IN |
| Zip Code | 46360-9222 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851378558 | Douglas J Vanputten | Ophthalmology | 8865 W 400 N, Michigan City, IN 46360-9222 | 2005-12-23 |
| 1770972598 | Vascular Interventions, LLC | Surgery | 8865 W 400 N, Suite 175, Michigan City, IN 46360-9222 | 2015-01-16 |
| 1104246412 | James O. Hartson, Md, LLC | Orthopaedic Surgery | 8865 W 400 N, Michigan City, IN 46360-9222 | 2014-04-25 |
| 1609207323 | Brittany C Hausmann | Nurse Practitioner | 8865 W 400 N, Suite 125, Michigan City, IN 46360-9222 | 2013-12-05 |
| 1912290149 | Edna M Gonzalez | Radiology Practitioner Assistant | 8865 W 400 N, #115, Michigan City, IN 46360-9222 | 2011-05-20 |
| 1750672820 | Catherine Weber | Radiology Practitioner Assistant | 8865 W 400 N, #115, Michigan City, IN 46360-9222 | 2011-04-25 |
| 1013177864 | Weninger Medical Corp | Specialist | 8865 W 400 N, Michigan City, IN 46360-9222 | 2008-06-16 |
| 1548439219 | Douglas J Van Putten Md Facs Inc | Ophthalmology | 8865 W 400 N, Michigan City, IN 46360-9222 | 2008-02-26 |
| 1639364946 | Woodland Wellness and Rehabilitation | Clinic/Center | 8865 W 400 N, Suite 122, Michigan City, IN 46360-9222 | 2007-09-10 |
| 1295957959 | Woodland Pain Center | Specialist | 8865 W 400 N, Ste. 125, Michigan City, IN 46360-9222 | 2007-05-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821649096 | Trinity Healthcare Inc. | Occupational Therapist | 4300 Cleveland Ave, Michigan City, IN 46360 | 2019-09-27 |
| 1861905499 | Erika Leigh Maroon | Chiropractor | 8690 West Pahs Rd., Michigan City, IN 46360 | 2017-11-06 |
| 1750740650 | Michelle Asbell | Nurse Practitioner | 301 Homer St, Michigan City, IN 46360 | 2016-02-19 |
| 1235523952 | Marnee Flinn-smith | Specialist/Technologist | 8466 Pahs Rd, Michigan City, IN 46360 | 2015-03-19 |
| 1184976359 | Kelly Stewart | Physical Therapist | 301 Homer Street, Michigan City, IN 46360 | 2012-10-11 |
| 1053660936 | Planned Parenthood of Indiana Michigan City | Clinic/Center | 324 Dunes Plaza, Michigan City, IN 46360 | 2012-09-06 |
| 1114288644 | June R. R. Nichols Ocularist, Ltd | Durable Medical Equipment & Medical Supplies | 450 St. John Road, Suite 396, Michigan City, IN 46360 | 2012-05-31 |
| 1083980858 | Enoch Kassa | Internal Medicine | 3777 N Frontage Rd, Michigan City, IN 46360 | 2012-03-27 |
| 1760768196 | American Limb & Orthopedic Company of Valparaiso | Prosthetic/Orthotic Supplier | 3777 N. Frontage Rd, Suite 100, Michigan City, IN 46360 | 2011-10-31 |
| 1801181144 | Elizabeth A Whitaker | Counselor | 8733 W. 400 N., 400 North Medical Center, Michigan City, IN 46360 | 2011-06-15 |
| Find all providers in zip 46360 | ||||
| Taxonomy Code | 207YX0905X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Otolaryngology/Facial Plastic Surgery |
| An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck 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 Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073990867 | Ear, Nose, Throat, Sinus | Otolaryngology | 8840 Calumet Ave Ste 101, Munster, IN 46321-2546 | 2015-04-30 |
| 1376882399 | Unity Healthcare, LLC | Otolaryngology | 1345 Unity Pl Ste 110a, Lafayette, IN 47905-5760 | 2013-02-12 |
| 1528040045 | Kyle D. Loy | Otolaryngology | 2606 Veterans Memorial Pkwy S, Suite 1, Lafayette, IN 47909-9192 | 2005-11-18 |
| 1467851139 | Great Lakes Healthcare Specialists LLC | Otolaryngology | 900 Ridge Road, Suite E, Munster, IN 46321-1727 | 2014-08-19 |
| 1669702106 | St Margaret Mercy Healthcare Centers, Inc | Otolaryngology | 24 Joliet St Ste 101, Dyer, IN 46311-1705 | 2010-01-06 |
| 1417186487 | Duran Back Pain Chiropractic Clinic, Inc. | Otolaryngology | 302 Duran Dr, Shelbyville, IN 46176-1986 | 2009-07-10 |
| 1487892766 | Richard Kurtz Md Professional Corporation | Otolaryngology | 3351 N Meridian St, Suite 100, Indianapolis, IN 46208-4674 | 2009-01-26 |
| 1811152572 | St. Margaret Mercy Healthcare Centers, Inc | Otolaryngology | 5500 Hohman Avenue, Suite 2a, Hammond, IN 46320-1942 | 2008-07-22 |
| 1275735581 | John S Gilbert | Otolaryngology | 1753 Fulton St, Elkhart, IN 46514-1927 | 2007-05-31 |
| 1861609216 | Jatin R Patel | Otolaryngology | 8840 Calumet Ave Ste 101, Munster, IN 46321-2546 | 2007-05-16 |
| Find all providers with the same taxonomy | ||||
| City | MICHIGAN CITY |
| Zip Code | 46360 |
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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.