DR. GLENN MICHAEL IHDE II (NPI# 1962442350) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962442350 |
| Entity Type | Individual |
| Full Name | DR. GLENN MICHAEL IHDE II |
| Credential | MD |
| Practice Address |
3555 Knickerbocker Rd San Angelo TX 76904-7610 |
| Practice Telephone | 3259499555 |
| Practice Fax Number | 3252245024 |
| Mailing Telephone | 3259499555 |
| Mailing Fax Number | 3252245024 |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2015-10-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | K6010 | TX | Allopathic & Osteopathic Physicians |
| Street Address |
3555 KNICKERBOCKER RD |
| City | SAN ANGELO |
| State | TX |
| Zip Code | 76904-7610 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427039494 | Ross A Alexander | Dermatology | 3555 Knickerbocker Rd, San Angelo, TX 76904-7610 | 2005-11-08 |
| 1073990313 | Sara Elizabeth Halfmann | Pediatrics | 3555 Knickerbocker Rd, San Angelo, TX 76904 | 2015-05-06 |
| 1942620554 | West Texas Dermatology and Skin Cancer Center Pllc | Dermatology | 3555 Knickerbocker Rd, San Angelo, TX 76904-7610 | 2014-04-22 |
| 1972929701 | Angela Clark | Nurse Anesthetist, Certified Registered | 3555 Knickerbocker Rd, San Angelo, TX 76904-7610 | 2014-03-18 |
| 1831473891 | Pamela Darby | Nurse Practitioner | 3555 Knickerbocker Rd, San Angelo, TX 76904-7610 | 2011-10-07 |
| 1750531539 | Jennifer Marburger | Nurse Practitioner | 3555 Knickerbocker Rd, San Angelo, TX 76904-7610 | 2008-09-29 |
| 1386890069 | A Narasimha Rao | Psychiatry & Neurology | 3555 Knickerbocker Rd, San Angelo, TX 76904-7610 | 2008-08-13 |
| 1881875698 | Jerrie D Smithwick | Nurse Practitioner | 3555 Knickerbocker Rd, San Angelo, TX 76904-7610 | 2007-11-20 |
| 1639373210 | Mark Adam Ramirez | Dermatology | 3555 Knickerbocker Rd, San Angelo, TX 76904-7610 | 2007-06-14 |
| 1679635247 | Scott Bradley Brown | Dentist | 3555 Knickerbocker Rd, San Angelo, TX 76904-7610 | 2006-12-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407342702 | Mark Wandal Duncan | Specialist/Technologist | 2237 South Jackson, San Angelo, TX 76904 | 2018-07-10 |
| 1700267259 | Sheila Patterson | Nurse Practitioner | 4251 Sunset Drive, San Angelo, TX 76904 | 2015-06-10 |
| 1346649316 | Mason William Mcclintock | Dentist | 2402 College Hills Blvd. Building 1, Building 1, San Angelo, TX 76904 | 2014-08-15 |
| 1265855712 | Lynn M. Thebo, Lcsw, Pllc | Social Worker | 3109 Southwest Blvd. Ste. B, San Angelo, TX 76904 | 2014-02-03 |
| 1487077459 | Lynn Marie Thebo | Social Worker | 3109 Southwest Blvd., Ste. B, San Angelo, TX 76904 | 2014-01-28 |
| 1558646521 | John Porter Parker Jr. | Pharmacist | 3705 Threewn Trail, San Angelo, TX 76904 | 2011-10-20 |
| 1568772036 | Medical Alliance Group of Texas, LLC | Durable Medical Equipment & Medical Supplies | 2525 S Johnson Ste A, San Angelo, TX 76904 | 2010-10-18 |
| 1578796710 | Jennifer L White | Physical Therapist | 2237 S. Jackson, San Angelo, TX 76904 | 2009-09-03 |
| 1548443203 | Kelly K. Sawyer, D.d.s., P.a. | Dentist | 3013 W. Loop 306, San Angelo, TX 76904 | 2007-12-17 |
| 1023224789 | D&s Residential Services | Intermediate Care Facility, Mentally Retarded | 1706 Idaho Avenue, San Angelo, TX 76904 | 2007-05-16 |
| Find all providers in zip 76904 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699957498 | Ruben Oropeza | Surgery | 223 S Abe St, San Angelo, TX 76903-6305 | 2007-12-04 |
| 1124383567 | Michael Keesey Boyd | Surgery | 3605 Executive Dr, San Angelo, TX 76904-6884 | 2012-07-11 |
| 1740556448 | Kenneth M Jastrow IIi | Surgery | 102 N Magdalen St, San Angelo, TX 76903-5400 | 2012-03-27 |
| 1144482605 | Benton Lee Brown | Surgery | 102 N Magdalen St, San Angelo, TX 76903-5400 | 2008-06-26 |
| 1851405559 | Angelo General & Thoracic Surgery | Surgery | 2142 Sunset Dr, San Angelo, TX 76904-6829 | 2006-08-18 |
| 1487635876 | William F Whitehead IIi | Surgery | 120 E Beauregard Ave, San Angelo, TX 76903-5919 | 2005-11-11 |
| 1053392688 | Robert N Grant | Surgery | 120 E Beauregard Ave, San Angelo, TX 76903-5919 | 2005-11-10 |
| 1427039460 | Jess M Cornell | Surgery | 102 N Magdalen St, San Angelo, TX 76903-5400 | 2005-11-08 |
| 1326029372 | Emmette T Flynn | Surgery | 102 N Magdalen St, San Angelo, TX 76903-5400 | 2005-11-08 |
| 1639150675 | John S Cargile IIi | Surgery | 102 N Magdalen St, San Angelo, TX 76903-5400 | 2005-11-08 |
| Find all providers in SAN ANGELO | ||||
| City | SAN ANGELO |
| Zip Code | 76904 |
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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.