DR. GLEN S LOVELACE (NPI# 1720023930) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1720023930 |
Entity Type | Individual |
Full Name | DR. GLEN S LOVELACE |
Credential | MD |
Practice Address |
333 N 1st St Ste 260 Boise ID 83702-6132 |
Practice Telephone | 2083453136 |
Practice Fax Number | 2083450984 |
Mailing Telephone | 2083453136 |
Mailing Fax Number | 2083450984 |
Enumeration Date | 2006-06-19 |
Last Update Date | 2017-08-23 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207VX0000X |
Obstetrics & Gynecology Specialization: Obstetrics |
M6570 | ID | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
ID | BLUE CROSS | 37382 | 01 |
ID | 003795800 | 05 | |
ID | BLUE SHIELD | 000010002170 | 01 |
Street Address |
333 N 1ST ST STE 260 |
City | BOISE |
State | ID |
Zip Code | 83702-6132 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013412402 | Megan Ashley Kitterman | Advanced Practice Midwife | 333 N 1st St Ste 260, Boise, ID 83702-6132 | 2018-03-27 |
1417389222 | Kristina Deanne Rhodes | Advanced Practice Midwife | 333 N 1st St Ste 260, Boise, ID 83702-6132 | 2013-08-02 |
1346687654 | Angela Marie Latta | Nurse Practitioner | 333 N 1st St Ste 260, Boise, ID 83702-6132 | 2013-05-28 |
1386672228 | Scott L Christensen | Specialist | 333 N 1st St Ste 260, Boise, ID 83702-6132 | 2006-06-29 |
1023053204 | Glen S Lovelace Md Pa | Specialist | 333 N 1st St Ste 260, Boise, ID 83702-6132 | 2006-06-19 |
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---|---|---|---|---|
1790321966 | Inland Northwest Neuromonitoring Pllc | Psychiatry & Neurology | 950 Bannock Street, Suite 1100, Boise, ID 83702 | 2019-11-22 |
1508359084 | Emily Cook | Dietitian, Registered | St. Luke's Rehab Hospital, 600 N Robbins Road, Bosie, ID 83702 | 2018-06-11 |
1265925887 | Marla Braendle | Dietitian, Registered | St. Luke's Rehabilitation Hospital, 600 N. Robbins Road, Boise, ID 83702 | 2018-06-08 |
1114419678 | Sidrah Khan Psychotherapy PC | Social Worker | 242 N 8th St, Suite 200, Boise, ID 83702 | 2018-05-31 |
1508386707 | Emp Idaho Nampa, LLC | General Acute Care Hospital | 350 E Myrtle Street, Suite 100, Boise, ID 83702 | 2017-06-20 |
1194264077 | Karen Mangum | Dietitian, Registered | 115 N. Main Street, Suite #203, Boise, ID 83702 | 2017-02-13 |
1750828422 | Stephen Pyper | Massage Therapist | 14089 Main St #100, Boise, ID 83702 | 2017-01-19 |
1427504398 | The Young Mens Christian Association of Boise City Idaho | Health Educator | 419 N 11th St, Boise, ID 83702 | 2016-08-30 |
1942756838 | Brent Hiroshi Sasaki | Pharmacist | 500 West Fort Street (119), Boise, ID 83702 | 2016-08-30 |
1578912051 | Marnae Walker | Counselor | 509 S. 14th St, Suite 2, Boise, ID 83702 | 2016-06-06 |
Find all providers in zip 83702 |
Taxonomy Code | 207VX0000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Obstetrics & Gynecology |
Specialization | Obstetrics |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487773701 | Darin L. Weyhrich, M.d.,p.a. | Obstetrics & Gynecology | 222 N 2nd St Ste 206, Boise, ID 83702-6130 | 2007-03-28 |
1720022437 | Mark A Curry | Obstetrics & Gynecology | 190 E Bannock St, Attn: Laborist/2n, Boise, ID 83712-6241 | 2006-06-15 |
1831156629 | Debbie L Grissom | Obstetrics & Gynecology | 100 E Idaho St, Suite 302, Boise, ID 83712-6267 | 2006-04-27 |
1801860846 | Darin Lee Weyhrich | Obstetrics & Gynecology | 222 N 2nd St Ste 206, Boise, ID 83702-6130 | 2006-02-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346311032 | Mary A Sanderson | Obstetrics & Gynecology | 980 W Ironwood Drive, Suite 306, Coeur D Alene, ID 83814-2601 | 2006-11-13 |
Please comment or provide details below to improve the information on DR. GLEN S LOVELACE.
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.