DR. TROY A. GLASER (NPI# 1992851505) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992851505 |
| Entity Type | Individual |
| Full Name | DR. TROY A. GLASER |
| Credential | D.O. |
| Practice Address |
12800 S Memorial Dr Ste D Bixby OK 74008-2577 |
| Mailing Address |
305 Black Rock Tpke Fairfield CT 06825-5508 |
| Practice Telephone | 9183942767 |
| Practice Fax Number | 9183942772 |
| Mailing Telephone | 2033372600 |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2018-11-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 60148 | CT | Allopathic & Osteopathic Physicians |
| N | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
4764 | OK | Allopathic & Osteopathic Physicians |
| Y | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
60148 | CT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 200248750A | 05 |
| Street Address |
12800 S MEMORIAL DR STE D |
| City | BIXBY |
| State | OK |
| Zip Code | 74008-2577 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952384414 | Kathleen M. Sisler | Physical Medicine & Rehabilitation | 12800 S Memorial Dr Ste D, Bixby, OK 74008-2577 | 2005-11-29 |
| 1649762709 | Lauren A Hebensperger | Physical Therapist | 12800 S Memorial Dr Ste D, Bixby, OK 74008-2577 | 2018-06-05 |
| 1518004829 | Board of Regents of The University of Oklahoma Ou Physicians Tulsa | Clinic/Center | 12800 S Memorial Dr Ste D, Bixby, OK 74008-2577 | 2007-01-30 |
| 1679512784 | Tanya Kaye Jackson | Physical Therapist | 12800 S Memorial Dr Ste D, Bixby, OK 74008-2577 | 2006-06-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326656570 | Cheryl Fleming | Dentist | 7810 E. 121st St. S., Bixby, OK 74008 | 2020-07-14 |
| 1326674177 | Premier Pediatric and Adolescent Care of Bixby | Pediatrics | 7814 E 121st St, Bixby, OK 74008 | 2020-03-12 |
| 1255821005 | South Tulsa Pain Management LLC. | Pain Medicine | 12345 S Memorial Dr Ste 106, Bixby, OK 74008 | 2018-05-17 |
| 1083104483 | Jennifer Scoggins Ms, Rd/ld, L.L.C. | Dietitian, Registered | 20164 S 137th East Ave, Bixby, OK 74008 | 2018-05-11 |
| 1043749310 | Brooke E Landers | Case Manager/Care Coordinator | 11113 S 107th E Ave, Bixby, OK 74008 | 2017-06-08 |
| 1053770404 | Mitzi Blanchard | Nurse Practitioner | 7333 E. 121st St S, Suite 200, Bixby, OK 74008 | 2016-02-13 |
| 1578942124 | Candace Taylor | Physical Therapist | 9013 East 138th St S, Bixby, OK 74008 | 2015-05-28 |
| 1427445188 | Kevin Toliver | Contractor | 10723 E 115th St South, Bixby, OK 74008 | 2015-04-21 |
| 1992102164 | Jessica Thompson | Speech-Language Pathologist | 7701 E. 121st, Bixby, OK 74008 | 2014-12-03 |
| 1700070232 | Body Worx Chiropractic | Chiropractor | 5085 East 151st St., Suite B, Bixby, OK 74008 | 2007-08-28 |
| Find all providers in zip 74008 | ||||
| Taxonomy Code | 207QS0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Sports Medicine |
| A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://www.theabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://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 Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679936348 | Bryce Rudek | Family Medicine | 591 Pendleton St, Tahlequah, OK 74464-2271 | 2016-03-31 |
| 1619355849 | Leslie Beaty | Family Medicine | 4227 Macys Pl, Moore, OK 73160-2879 | 2015-05-07 |
| 1396044764 | Michelle Rockwell | Family Medicine | 2950 S Elm Pl Ste 120, Broken Arrow, OK 74012-7816 | 2011-03-23 |
| 1902078298 | Steve Eric Randall | Family Medicine | 5104 S Sooner Rd, Oklahoma City, OK 73135-5440 | 2008-03-27 |
| 1407035447 | Steven D. King, D.o., P.c | Family Medicine | 501 E 15th St Ste 400b, Edmond, OK 73013-5040 | 2007-10-26 |
| 1356314603 | Ryan A Pitts | Family Medicine | 301 N Broadway St Ste 301, Poteau, OK 74953-3355 | 2006-02-08 |
| 1518967561 | Steven R Hardage | Family Medicine | 1110 W Will Rogers Blvd, Claremore, OK 74017 | 2005-07-29 |
| 1205836244 | T Jeffrey Emel | Family Medicine | 6475 S Yale Ave Ste 301, Tulsa, OK 74136 | 2005-07-29 |
| 1699311308 | Acellerated Interventional Orthopedics | Family Medicine | 1002 Ne Highway 66 Ste 3, Sayre, OK 73662-9312 | 2019-11-18 |
| 1154845501 | Osumc Professional Services LLC | Family Medicine | 514 Plaza Ct, Sand Springs, OK 74063-7915 | 2017-07-27 |
| Find all providers with the same taxonomy | ||||
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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.