DR. PHILLIP GLOTSER (NPI# 1891100897) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891100897 |
| Entity Type | Individual |
| Full Name | DR. PHILLIP GLOTSER |
| Credential | M.D. |
| Practice Address |
2819 E Broadway Blvd Tucson AZ 85716-5309 |
| Practice Telephone | 5204681302 |
| Practice Fax Number | 5202308126 |
| Mailing Telephone | 5204681302 |
| Mailing Fax Number | 5202308126 |
| Enumeration Date | 2014-06-27 |
| Last Update Date | 2020-07-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
56885 | AZ | Allopathic & Osteopathic Physicians |
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
R74750 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 435961 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2800 E Ajo Way, Tucson, AZ 857136204 | 5208742995 |
| Street Address |
2819 E BROADWAY BLVD |
| City | TUCSON |
| State | AZ |
| Zip Code | 85716-5309 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275620239 | Samantha Frembgen | Psychiatry & Neurology | 2819 E Broadway Blvd, Tucson, AZ 85716-5309 | 2006-10-09 |
| 1346897618 | Kristen Clement | Registered Nurse | 2819 E Broadway Blvd, Tucson, AZ 85716-5309 | 2019-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063065043 | Kristi Watson Mdpc | Clinic/Center | Hodges Eye Care and Surgical Location, 1502 N. Tucson Blvd, Tucson, AZ 85716 | 2019-07-19 |
| 1639731326 | Leigh-anne Andre | Social Worker | 1135 N. Jones Blvd, Tucson, AZ 85716 | 2019-07-02 |
| 1053802462 | Thomas Scott Mcvean | Technician, Pathology | 718 N Richey Blvd, Tucson, AZ 85716 | 2018-05-21 |
| 1063923787 | Intermountain Health Center, Inc. | Clinic/Center | 3815 E. Monte Vista, Apt. 1101, Tuscon, AZ 85716 | 2017-10-20 |
| 1992224729 | Rocio Fonseca | Counselor | 1014 N Country Club, Tucson, AZ 85716 | 2017-09-13 |
| 1548784473 | Adrian Linda Fait | Speech-Language Pathologist | Child & Family Resources, Inc., 2800 E. Broadway Blvd, Tucson, AZ 85716 | 2017-08-02 |
| 1447701867 | Katheryn Fredman | Counselor | 3830 E. Bellevue St., Tucson, AZ 85716 | 2016-10-20 |
| 1396114211 | Craig Stark | Internal Medicine | 2978 E Greenlee St, Tucson, AZ 85716 | 2015-09-21 |
| 1598142283 | Layla Carol Bradley | Nurse Practitioner | 3832 E. Speedway, Minute Clinic, Tucson, AZ 85716 | 2015-05-01 |
| 1134547813 | Maeve Shaughnessy | Counselor | 2921 E Fort Lowell Rd Ste 207, Tucson, AZ 85716 | 2014-03-31 |
| Find all providers in zip 85716 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992294607 | Kathryn Clare Krulisky | Psychiatry & Neurology | 1501 N Campbell Ave Rm 6204a, Tucson, AZ 85724-0001 | 2018-05-08 |
| 1730603283 | Gilbert Rene Gonzales | Psychiatry & Neurology | 863 W Calle De Los Higos, Tucson, AZ 85745-3250 | 2017-07-26 |
| 1376902536 | Vimala Sravanthi Vajjala | Psychiatry & Neurology | 1501 N Campbell Ave Fl 6, Tucson, AZ 85724-1962 | 2016-02-16 |
| 1568842961 | Judy Dawod | Psychiatry & Neurology | 3838 N Campbell Avenue, Bldg 2, Clinic E, Tucson, AZ 85719 | 2015-06-02 |
| 1942546841 | Northstar Neurology, PC | Psychiatry & Neurology | 7596 N La Cholla Blvd, Tucson, AZ 85741-2307 | 2012-12-20 |
| 1720391279 | Muhammad Awais Khan | Psychiatry & Neurology | 3838 N Campbell Ave, Bldg2, Clinic E, Tucson, AZ 85719 | 2010-07-26 |
| 1730344102 | Mateja De Leonni Stanonik | Psychiatry & Neurology | 2850 E Skyline Dr Ste 130, Tucson, AZ 85718-8013 | 2008-07-24 |
| 1326237801 | Anita Ann Koshy | Psychiatry & Neurology | 1501 N Campbell Ave, 6th Floor, Department of Neurology, Tucson, AZ 85721 | 2007-10-19 |
| 1700074507 | Kamakshi A. Patel | Psychiatry & Neurology | 6261 N. La Cholla Blvd, Suite 131, Tucson, AZ 85741 | 2007-10-05 |
| 1164627329 | Valerie Ann Cwik | Psychiatry & Neurology | 3300 E Sunrise Dr, Tucson, AZ 85718-3208 | 2007-06-18 |
| Find all providers in TUCSON | ||||
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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.