DR. GLEN S LOVELACE


Address: 333 N 1st St Ste 260, Boise, ID 83702-6132
Phone: 2083453136

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207VX0000X Obstetrics & Gynecology
Specialization: Obstetrics
M6570 ID Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
ID BLUE CROSS 37382 01
ID 003795800 05
ID BLUE SHIELD 000010002170 01

Office Location

Street Address 333 N 1ST ST STE 260
City BOISE
State ID
Zip Code 83702-6132

Providers in the same location

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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Taxonomy Information

Taxonomy Code 207VX0000X
Grouping Allopathic & Osteopathic Physicians
Classification Obstetrics & Gynecology
Specialization Obstetrics

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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

Competitor

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City BOISE
Zip Code 83702

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Dataset Information

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.

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