DR. DAVID WILLIAM GLENN (NPI# 1619381852) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619381852 |
| Entity Type | Individual |
| Full Name | DR. DAVID WILLIAM GLENN |
| Credential | MD |
| Practice Address |
1300 E Mullan Ave Ste 1300 Post Falls ID 83854-6057 |
| Mailing Address |
465 Memorial Dr Pocatello ID 83201-4008 |
| Practice Telephone | 2086255630 |
| Practice Fax Number | 2086255631 |
| Mailing Telephone | 2082824700 |
| Mailing Fax Number | 2082824696 |
| Enumeration Date | 2014-06-16 |
| Last Update Date | 2020-10-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | M-13390 | ID | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316491673 | David Peter Glenn | Registered Nurse | 22089 Raymond Rd, Raymond, OH 43067-9719 | 2016-08-04 |
| 1033407226 | David Bryon Glenn | Optometrist | 443 Hwy 5 N, Benton, AR 72019-9778 | 2011-07-21 |
| 1275827867 | David R Glenn | Pharmacist | 1550 North Sate Street, Orem, UT 84057-0000 | 2011-06-01 |
| 1306103551 | David Alexander Glenn Jr. | Military Health Care Provider | 5501 Marvin Shields Blvd, Gulfport, MS 39501-9007 | 2012-04-12 |
| 1134499882 | David Carter Glenn II | Nurse Anesthetist, Certified Registered | One Medical Center Drive, Dhmc Department of Anesthesiology, Lebanon, NH 03756-0001 | 2012-01-11 |
| 1821231390 | David Locke Glenn IIi | Emergency Medicine | Medical Center Blvd, Winston Salem, NC 27157-0001 | 2009-04-14 |
| 1194875229 | David Michael Glenn | Anesthesiology | 2299 Post St, Suite 108, San Francisco, CA 94115-3441 | 2007-01-11 |
| 1437229689 | David A. I. Glenn | Chiropractor | 2210 Dean St, Suite F, St Charles, IL 60175-1066 | 2006-11-08 |
| 1245315498 | David Wren Glenn | Internal Medicine | 1111 W Frank Ave, Suite 100, Lufkin, TX 75904-3303 | 2006-10-26 |
| 1841238664 | David M. Glenn | Emergency Medicine | 100 Hospital Rd, Prince Frederick, MD 20678-4017 | 2006-06-03 |
| Street Address |
1300 E MULLAN AVE STE 1300 |
| City | POST FALLS |
| State | ID |
| Zip Code | 83854-6057 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225483696 | Emily Jo Cox | Family Medicine | 1300 E Mullan Ave Ste 1300, Post Falls, ID 83854 | 2016-05-04 |
| 1639556574 | James West | Family Medicine | 1300 E Mullan Ave Ste 1300, Post Falls, ID 83854 | 2015-04-29 |
| 1659763951 | Angella Julagay | Family Medicine | 1300 E Mullan Ave Ste 1300, Post Falls, ID 83854 | 2015-02-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487264032 | Esteem Counseling, LLC | Counselor | 1404 North Marcasite Court, Post Falls, ID 83854 | 2020-08-07 |
| 1497376685 | Teresa Marie Ragan | Registered Nurse | 1551 E Mullan Ave Bldg A, Ste 200b, Post Falls, ID 83854 | 2020-04-29 |
| 1245792910 | Samantha Patricia Bourassa | Specialist/Technologist | 2832 E Poleline Ave, Post Falls, ID 83854 | 2019-04-02 |
| 1003392598 | Joshua Welz | Psychologist | 3211 N Guinness Ln Apt 201, Post Falls, ID 83854 | 2018-07-17 |
| 1639608094 | Anthony Leodis Walls Jr. | Specialist/Technologist | 8732 N Meyer Rd, Post Falls, ID 83854 | 2017-06-08 |
| 1831635911 | Glenda Felts | Social Worker | 8561 N Cloverleaf Rd, # 22, Hauser, ID 83854 | 2017-01-12 |
| 1144763467 | Rachel M. Pope | Behavioral Analyst | 204 E 1st Ave Apt 4, Post Falls, ID 83854 | 2016-11-18 |
| 1871960393 | Randy Robinson | Massage Therapist | 2525 E Seltice Way Ste C, Post Falls, ID 83854 | 2015-09-01 |
| 1194112375 | James Bailey | Family Medicine | 185 W 4th Ave Ste B, Post Falls, ID 83854 | 2015-04-24 |
| 1033534953 | Lauren Tandy | Speech-Language Pathologist | 398 S. Corbin Rd., Post Falls, ID 83854 | 2014-02-28 |
| Find all providers in zip 83854 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194112375 | James Bailey | Family Medicine | 185 W 4th Ave Ste B, Post Falls, ID 83854 | 2015-04-24 |
| 1346505807 | Howard Martin Hochberg | Family Medicine | 1712 Bobwhite Lane, Post Falls, ID 83854-4942 | 2012-07-11 |
| 1891019493 | Shaun Brancheau | Family Medicine | 925 E. Polston Ave., Post Falls, ID 83854 | 2010-03-25 |
| 1427102938 | Cher A Jacobsen | Family Medicine | 185 W 4th Avenue, Suite B, Post Falls, ID 83854-4979 | 2007-01-22 |
| 1659476844 | Michael L Oglesbay | Family Medicine | 1110 E Polston Ave Ste 1, Post Falls, ID 83854-6139 | 2006-09-13 |
| 1548200181 | Family Health Care of Post Falls, Pllc | Family Medicine | 1110 Polston Ave, Ste 1, Post Falls, ID 83854 | 2006-06-08 |
| 1437103009 | Holly J Bassler | Family Medicine | 1300 E Mullan Ave, Ste 1300, Post Falls, ID 83854-6052 | 2006-05-19 |
| 1093768707 | Leanne M Rousseau | Family Medicine | 925 E Polston Ave, Post Falls, ID 83854-9049 | 2006-05-17 |
| 1942298054 | Michael W Monohan I | Family Medicine | 1220 E. Polston Ave, Post Falls, ID 83854 | 2005-10-12 |
| 1033117205 | Anthony D Peters | Family Medicine | 1220 E Polston Ave, Post Falls, ID 83854 | 2005-07-12 |
| Find all providers in POST FALLS | ||||
| City | POST FALLS |
| Zip Code | 83854 |
Please comment or provide details below to improve the information on DR. DAVID WILLIAM GLENN.
| 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.