Derek Glazier (NPI# 1043731771, PAC ID# 1052685740) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1043731771 |
| PAC ID by PECOS | 1052685740 |
| Professional Enrollment ID | I20171207003351 |
| Full Name | Derek Glazier |
| Organization Legal Name | UROLOGY NEVADA, LTD., DRS., DREW, FREEMAN, GAREY-SAGE, GOODE, HALD, KA |
| Address |
10745 Double R Blvd Reno NV 89521-8979 |
| Phone Number | 7753227811 |
| Gender | M |
| Medical School | GEORGE WASHINGTON UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2017 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 1557460557 |
| Number of Group Practice Members | 18 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 290001 | RENOWN REGIONAL MEDICAL CENTER |
| 290032 | NORTHERN NEVADA MEDICAL CENTER |
| 290009 | SAINT MARY'S REGIONAL MEDICAL CENTER |
| 051320 | BANNER LASSEN MEDICAL CENTER |
| 291308 | HUMBOLDT GENERAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 10745 Double R Blvd, Reno, NV 89521-8979 | 7753227811 | UROLOGY NEVADA, LTD., DRS., DREW, FREEMAN, GAREY-SAGE, GOODE, HALD, KA |
| Organization Legal Name | UROLOGY NEVADA, LTD., DRS., DREW, FREEMAN, GAREY-SAGE, GOODE, HALD, KA |
| Physicians | 18 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lexi Sara Jacobson | Physician Assistant | Urology Nevada, Ltd., Drs., Drew, Freeman, Garey-sage, Goode, Hald, Ka | 6650 Kietzke Ln, Reno, NV 89511 |
| Angelo W Kanellos | Urology | Urology Nevada, Ltd., Drs., Drew, Freeman, Garey-sage, Goode, Hald, Ka | 10745 Double R Blvd, Reno, NV 89521-8979 |
| Remy William Lamberts | Urology | Urology Nevada, Ltd., Drs., Drew, Freeman, Garey-sage, Goode, Hald, Ka | 10745 Double R Blvd, Reno, NV 89521-8979 |
| Jeremy L Reichert | Physician Assistant | Urology Nevada, Ltd., Drs., Drew, Freeman, Garey-sage, Goode, Hald, Ka | 10745 Double R Blvd, Reno, NV 89521-8979 |
| Abigail H Freeman | Physician Assistant | Urology Nevada, Ltd., Drs., Drew, Freeman, Garey-sage, Goode, Hald, Ka | 10745 Double R Blvd, Reno, NV 89521-8979 |
| Adam Lee Casey | Physician Assistant | Urology Nevada, Ltd., Drs., Drew, Freeman, Garey-sage, Goode, Hald, Ka | 10745 Double R Blvd, Reno, NV 89521-8979 |
| David E Hald | Urology | Urology Nevada, Ltd., Drs., Drew, Freeman, Garey-sage, Goode, Hald, Ka | 10745 Double R Blvd, Reno, NV 89521-8979 |
| Matthew C Mccormack | Urology | Urology Nevada, Ltd., Drs., Drew, Freeman, Garey-sage, Goode, Hald, Ka | 10745 Double R Blvd, Reno, NV 89521-8979 |
| John G Scott | Urology | Urology Nevada, Ltd., Drs., Drew, Freeman, Garey-sage, Goode, Hald, Ka | 6650 Kietzke Ln, Reno, NV 89511 |
| Cheryl J Finn | Nurse Practitioner | Urology Nevada, Ltd., Drs., Drew, Freeman, Garey-sage, Goode, Hald, Ka | 10745 Double R Blvd, Reno, NV 89521-8979 |
| Street Address |
10745 DOUBLE R BLVD |
| City | RENO |
| State | NV |
| Zip | 89521-8979 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Angelo W Kanellos | Urology | Urology Nevada, Ltd., Drs., Drew, Freeman, Garey-sage, Goode, Hald, Ka | 10745 Double R Blvd, Reno, NV 89521-8979 |
| Remy William Lamberts | Urology | Urology Nevada, Ltd., Drs., Drew, Freeman, Garey-sage, Goode, Hald, Ka | 10745 Double R Blvd, Reno, NV 89521-8979 |
| Jeremy L Reichert | Physician Assistant | Urology Nevada, Ltd., Drs., Drew, Freeman, Garey-sage, Goode, Hald, Ka | 10745 Double R Blvd, Reno, NV 89521-8979 |
| Michael F Kos | Radiation Oncology | 10745 Double R Blvd, Bldg 13, Reno, NV 89521-8979 | |
| Abigail H Freeman | Physician Assistant | Urology Nevada, Ltd., Drs., Drew, Freeman, Garey-sage, Goode, Hald, Ka | 10745 Double R Blvd, Reno, NV 89521-8979 |
| Adam Lee Casey | Physician Assistant | Urology Nevada, Ltd., Drs., Drew, Freeman, Garey-sage, Goode, Hald, Ka | 10745 Double R Blvd, Reno, NV 89521-8979 |
| David E Hald | Urology | Urology Nevada, Ltd., Drs., Drew, Freeman, Garey-sage, Goode, Hald, Ka | 10745 Double R Blvd, Reno, NV 89521-8979 |
| Matthew C Mccormack | Urology | Urology Nevada, Ltd., Drs., Drew, Freeman, Garey-sage, Goode, Hald, Ka | 10745 Double R Blvd, Reno, NV 89521-8979 |
| Cheryl J Finn | Nurse Practitioner | Urology Nevada, Ltd., Drs., Drew, Freeman, Garey-sage, Goode, Hald, Ka | 10745 Double R Blvd, Reno, NV 89521-8979 |
| Joseph B Drew | Urology | Urology Nevada, Ltd., Drs., Drew, Freeman, Garey-sage, Goode, Hald, Ka | 10745 Double R Blvd, Reno, NV 89521-8979 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jackie Jean Jacques Nolle | Chiropractic | 9476 Double R Blvd, Suite A, Reno, NV 89521-2959 | |
| Elizabeth Anne Mosco | Psychologist, Clinical | 9645 Gateway Dr, Suite B, Reno, NV 89521-2967 | |
| Kaeai S Edgerly | Nurse Practitioner | Parekh Minuteclinic of Nevada PC | 55 Damonte Ranch Pkwy, Reno, NV 89521-2996 |
| Katharine P Gould | Nurse Practitioner | Parekh Minuteclinic of Nevada PC | 55 Damonte Ranch Pkwy, Reno, NV 89521-2996 |
| Nitesh Devji Kuhadiya | Endocrinology | Community Care Services LLC | 10085 Double R Blvd, Suite 205, Reno, NV 89521-3854 |
| Marie M Mccormack | Family Medicine | Hometown Health Management Company | 10085 Double R Blvd, Suite 220, Reno, NV 89521-3855 |
| Julia C Dixon | Nurse Practitioner | Hometown Health Management Company | 10085 Double R Blvd, Suite 220, Reno, NV 89521-3855 |
| Heather Amanda Baxter | Internal Medicine | Hometown Health Management Company | 10085 Double R Blvd, Suite 220, Reno, NV 89521-3855 |
| Radmila Mikan Savcic Kos | Internal Medicine | Hometown Health Management Company | 10085 Double R Blvd, Suite 220, Reno, NV 89521-3855 |
| Anthony Field | Cardiovascular Disease (cardiology) | Community Care Services LLC | 10085 Double R Blvd, Suite 225, Reno, NV 89521-3855 |
| Find all physicians in zip 89521 | |||
| City | RENO |
| Zip Code | 89521 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | RENO + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Derek Glazier.
| 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.