Glen P Imlay (NPI# 1053364828, PAC ID# 1759342736) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL MEDICINE AND REHABILITATION.
| Nation Provider ID (NPI) | 1053364828 |
| PAC ID by PECOS | 1759342736 |
| Professional Enrollment ID | I20070730000570 |
| Full Name | Glen P Imlay |
| Organization Legal Name | HOLZER CLINIC LLC |
| Address |
100 Jackson Pike Gallipolis OH 45631-1560 |
| Phone Number | 7404465050 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF MISSOURI, COLUMBIA SCHOOL OF MEDICINE |
| Graduation Year | 1998 |
| Primary Specialty | PHYSICAL MEDICINE AND REHABILITATION |
| Group Practice PAC ID | 5890606008 |
| Number of Group Practice Members | 247 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 361320 | HOLZER MEDICAL CENTER JACKSON |
| 360054 | HOLZER MEDICAL CENTER |
| 360261 | THREE GABLES SURGERY CENTER |
| 510007 | ST MARY'S MEDICAL CENTER |
| 510055 | CABELL HUNTINGTON HOSPITAL INC |
| Address | Phone | Organization |
|---|---|---|
| 100 Jackson Pike, Gallipolis, OH 45631-1560 | 7404465050 | HOLZER CLINIC LLC |
| Organization Legal Name | HOLZER CLINIC LLC |
| Physicians | 257 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mittra Esmaeili | Family Medicine | Holzer Clinic LLC | 98 State St, Proctorville, OH 45669-8163 |
| Antony Valentine | Family Medicine | Holzer Clinic LLC | 1051 4th Ave, Gallipolis, OH 45631-1612 |
| Mary Brown | Nurse Practitioner | Holzer Clinic LLC | 88 E Memorial Dr, Pomeroy, OH 45769-9569 |
| Wendi R Hanna | Nurse Practitioner | Holzer Clinic LLC | 170 Jackson Pike, Gallipolis, OH 45631-1539 |
| Rajesh Rajan | Nephrology | Holzer Clinic LLC | 280 Pattonsville Rd, Jackson, OH 45640-9452 |
| Sarah A Leger | Nurse Practitioner | Holzer Clinic LLC | 41861 Pomeroy Pike, Pomeroy, OH 45769-9473 |
| Eugenia Kay Mccoy | Certified Registered Nurse Anesthetist (crna) | Holzer Clinic LLC | 100 Jackson Pike, Gallipolis, OH 45631-1560 |
| Sirintra Parnichyakorn | Physician Assistant | Holzer Clinic LLC | 204 2nd Ave, Gallipolis, OH 45631-1022 |
| Carlton W Herald | Internal Medicine | Holzer Clinic LLC | 500 Burlington Rd, Jackson, OH 45640-9360 |
| Kenneth A Marshall | Pain Management | Holzer Clinic LLC | 2131 E State St, Athens, OH 45701-2138 |
| Street Address |
100 JACKSON PIKE |
| City | GALLIPOLIS |
| State | OH |
| Zip | 45631-1560 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Eugenia Kay Mccoy | Certified Registered Nurse Anesthetist (crna) | Holzer Clinic LLC | 100 Jackson Pike, Gallipolis, OH 45631-1560 |
| Jared A Sheets | Internal Medicine | Holzer Clinic LLC | 100 Jackson Pike, Gallipolis, OH 45631-1560 |
| Deena M Hassuna | Rheumatology | Holzer Clinic LLC | 100 Jackson Pike, Gallipolis, OH 45631-1560 |
| Matthew Colvin | Physician Assistant | Holzer Clinic LLC | 100 Jackson Pike, Gallipolis, OH 45631-1560 |
| Charles J Bishop | Orthopedic Surgery | Holzer Clinic LLC | 100 Jackson Pike, Gallipolis, OH 45631-1560 |
| Joan O Rothenberg | Emergency Medicine | Holzer Clinic LLC | 100 Jackson Pike, Gallipolis, OH 45631-1560 |
| Kimberly S Starks | Qualified Audiologist | Holzer Clinic LLC | 100 Jackson Pike, Gallipolis, OH 45631-1560 |
| Lisa M Davies | Physician Assistant | Holzer Clinic LLC | 100 Jackson Pike, Gallipolis, OH 45631-1560 |
| Megan R Radcliff | Nurse Practitioner | Holzer Clinic LLC | 100 Jackson Pike, Gallipolis, OH 45631-1560 |
| Neesha Smith | Nurse Practitioner | Holzer Clinic LLC | 100 Jackson Pike, Gallipolis, OH 45631-1560 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sirintra Parnichyakorn | Physician Assistant | Holzer Clinic LLC | 204 2nd Ave, Gallipolis, OH 45631-1022 |
| William B Thomas | Optometry | 346 3rd Ave, Gallipolis, OH 45631-1106 | |
| Patricia Fisco | Nurse Practitioner | 170 Pinecrest Dr, Gallipolis, OH 45631-1347 | |
| Paul Kiesling | Optometry | 1163 Jackson Pike, Gallipolis, OH 45631-1383 | |
| Robert Bruce Terry | Optometry | 1371 Jackson Pike, Gallipolis, OH 45631-1385 | |
| Nicholas Vito Landry | Family Medicine | 1086 Jackson Pike, Suite 206, Gallipolis, OH 45631-1396 | |
| Vivien R Newbold | General Practice | 334 2nd Ave, Suite 1e, Gallipolis, OH 45631-1414 | |
| Wendi R Hanna | Nurse Practitioner | Holzer Clinic LLC | 170 Jackson Pike, Gallipolis, OH 45631-1539 |
| Shana A Vore | Pediatric Medicine | Holzer Clinic LLC | 90 Jackson Pike, Gallipolis, OH 45631-1560 |
| Steven D. Conley | Diagnostic Radiology | Holzer Clinic LLC | 100 Jackson Pike, Gallipolis, OH 45631-1560 |
| Find all physicians in zip 45631 | |||
| City | GALLIPOLIS |
| Zip Code | 45631 |
| Specialty | PHYSICAL MEDICINE AND REHABILITATION |
| City + Specialty | GALLIPOLIS + PHYSICAL MEDICINE AND REHABILITATION |
Please comment or provide details below to improve the information on Glen P Imlay.
| 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.