Jordan Jacob Glenn (NPI# 1093008237, PAC ID# 0749586279) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
| Nation Provider ID (NPI) | 1093008237 |
| PAC ID by PECOS | 0749586279 |
| Professional Enrollment ID | I20160309002977 |
| Full Name | Jordan Jacob Glenn |
| Organization Legal Name | ARIZONA ASSOCIATED SURGEONS PLLC |
| Address |
2320 N 3rd St Phoenix AZ 85004-1303 |
| Phone Number | 6023400201 |
| Gender | M |
| Medical School | ARIZONA COLLEGE OF OSTEOPATHIC MEDICINE MID WESTERN UNIVERSITY |
| Graduation Year | 2011 |
| Primary Specialty | GENERAL SURGERY |
| Group Practice PAC ID | 2668470477 |
| Number of Group Practice Members | 19 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 030089 | BANNER THUNDERBIRD MEDICAL CENTER |
| 030094 | ARROWHEAD HOSPITAL |
| 030115 | BANNER ESTRELLA MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 6750 W Thunderbird Rd, Suite B 108, Peoria, AZ 85381-5026 | 6028438317 | ARIZONA ASSOCIATED SURGEONS PLLC |
| 2320 N 3rd St, Phoenix, AZ 85004-1303 | 6023400201 | ARIZONA ASSOCIATED SURGEONS PLLC |
| Organization Legal Name | ARIZONA ASSOCIATED SURGEONS PLLC |
| Physicians | 18 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cole Jamison Mcewen | General Surgery | Arizona Associated Surgeons Pllc | 9250 W Thomas Rd, Suite 250, Phoenix, AZ 85037-3362 |
| Charles E Castillo | General Surgery | Arizona Associated Surgeons Pllc | 2320 N 3rd St, Phoenix, AZ 85004-1303 |
| Jon A King | General Surgery | Arizona Associated Surgeons Pllc | 7330 N 99th Ave, Suite 205, Glendale, AZ 85307-3003 |
| Jeromy S Brink | Vascular Surgery | Arizona Associated Surgeons Pllc | 3033 N Central Ave, Suite 610, Phoenix, AZ 85012-2819 |
| William R Friese Jr. | General Surgery | Arizona Associated Surgeons Pllc | 6750 W Thunderbird Rd, Suite B 108, Peoria, AZ 85381-5026 |
| Adrienne W Forstner-barthell | Colorectal Surgery (proctology) | Arizona Associated Surgeons Pllc | 2320 N 3rd St, Phoenix, AZ 85004-1303 |
| Richard J Harding | General Surgery | Arizona Associated Surgeons Pllc | 2320 N 3rd St, Phoenix, AZ 85004-1303 |
| Tracy Freeborn | General Surgery | Arizona Associated Surgeons Pllc | 9250 W Thomas Rd, Suite 250, Phoenix, AZ 85037-3362 |
| Tafadzwa Patrick Makarawo | Colorectal Surgery (proctology) | Arizona Associated Surgeons Pllc | 2320 N 3rd St, Phoenix, AZ 85004-1303 |
| Brett I Siegrist | Vascular Surgery | Arizona Associated Surgeons Pllc | 3033 N Central Ave, Suite 610, Phoenix, AZ 85012-2819 |
| Street Address |
2320 N 3RD ST |
| City | PHOENIX |
| State | AZ |
| Zip | 85004-1303 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Charles E Castillo | General Surgery | Arizona Associated Surgeons Pllc | 2320 N 3rd St, Phoenix, AZ 85004-1303 |
| Adrienne W Forstner-barthell | Colorectal Surgery (proctology) | Arizona Associated Surgeons Pllc | 2320 N 3rd St, Phoenix, AZ 85004-1303 |
| Richard J Harding | General Surgery | Arizona Associated Surgeons Pllc | 2320 N 3rd St, Phoenix, AZ 85004-1303 |
| Tafadzwa Patrick Makarawo | Colorectal Surgery (proctology) | Arizona Associated Surgeons Pllc | 2320 N 3rd St, Phoenix, AZ 85004-1303 |
| Joni Mcintyre | Physician Assistant | Arizona Associated Surgeons Pllc | 2320 N 3rd St, Phoenix, AZ 85004-1303 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Perry S Hiscok | Diagnostic Radiology | Smi Imaging LLC | 2830 N 3rd St, Phoenix, AZ 85004-1042 |
| Ron H Ayanzen | Diagnostic Radiology | Smi Imaging LLC | 2830 N 3rd St, Phoenix, AZ 85004-1042 |
| Michael D Rosellini | Diagnostic Radiology | Smi Imaging LLC | 2830 N 3rd St, Phoenix, AZ 85004-1042 |
| Susannah K Thurman | Diagnostic Radiology | Smi Imaging LLC | 2830 N 3rd St, Phoenix, AZ 85004-1042 |
| Christopher J Macdonald | Diagnostic Radiology | Smi Imaging LLC | 2830 N 3rd St, Phoenix, AZ 85004-1042 |
| Mihra Taljanovic | Diagnostic Radiology | Smi Imaging LLC | 2830 N 3rd St, Phoenix, AZ 85004-1042 |
| Bruce T Curtis | Diagnostic Radiology | Smi Imaging LLC | 2830 N 3rd St, Phoenix, AZ 85004-1042 |
| Ryan James Coleman | Diagnostic Radiology | Smi Imaging LLC | 2830 N 3rd St, Phoenix, AZ 85004-1042 |
| Christopher A Reynolds | Diagnostic Radiology | Smi Imaging LLC | 2830 N 3rd St, Phoenix, AZ 85004-1042 |
| Adam Kupper | Diagnostic Radiology | Smi Imaging LLC | 2830 N 3rd St, Phoenix, AZ 85004-1042 |
| Find all physicians in zip 85004 | |||
| City | PHOENIX |
| Zip Code | 85004 |
| Specialty | GENERAL SURGERY |
| City + Specialty | PHOENIX + GENERAL SURGERY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.