Dale M Glenn (NPI# 1962591552, PAC ID# 1850429770) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
Nation Provider ID (NPI) | 1962591552 |
PAC ID by PECOS | 1850429770 |
Professional Enrollment ID | I20100513000128 |
Full Name | Dale M Glenn |
Organization Legal Name | STRAUB CLINIC AND HOSPITAL |
Address |
602 Kailua Rd Suite 200 Kailua HI 96734-2841 |
Phone Number | 8082639100 |
Gender | M |
Medical School | UNIVERSITY OF HAWAII JOHN A. BURNS SCHOOL OF MEDICINE |
Graduation Year | 1997 |
Primary Specialty | FAMILY MEDICINE |
Group Practice PAC ID | 6305759754 |
Number of Group Practice Members | 316 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
120022 | STRAUB CLINIC AND HOSPITAL |
Address | Phone | Organization |
---|---|---|
888 S King St, Honolulu, HI 96813-3083 | 8085224000 | STRAUB CLINIC AND HOSPITAL |
602 Kailua Rd, Suite 200, Kailua, HI 96734-2841 | 8082639100 | STRAUB CLINIC AND HOSPITAL |
Organization Legal Name | STRAUB CLINIC AND HOSPITAL |
Physicians | 327 |
Name | Specialty | Organization | Address |
---|---|---|---|
Lisa Bhagan | Obstetrics/gynecology | Straub Clinic and Hospital | 800 S King St, Honolulu, HI 96813-3010 |
Kami S Nishimura | Registered Dietitian Or Nutrition Professional | Straub Clinic and Hospital | 1100 Ward Ave, Suite 700, Honolulu, HI 96814-1617 |
Nohea Nathaniel Taufaasau | Nurse Practitioner | Straub Clinic and Hospital | 7192 Kalanianaole Hwy, Suite A200, Honolulu, HI 96825-1845 |
Janee N Sells | Family Medicine | Straub Clinic and Hospital | 888 S King St, Honolulu, HI 96813-3083 |
Rae S H Holt | Optometry | Straub Clinic and Hospital | 98 -151 Pali Momi St, Aiea, HI 96701-4300 |
Elna M Masuda | Vascular Surgery | Straub Clinic and Hospital | 602 Kailua Rd, Suite 200, Kailua, HI 96734-2841 |
James R Best | Family Medicine | Straub Clinic and Hospital | 95 -1249 Meheula Pkwy, Suite 187, Mililani, HI 96789-1791 |
Kiyotaka A Yazawa | Geriatric Medicine | Straub Clinic and Hospital | 846 S Hotel St, Suite 102, Honolulu, HI 96813-2583 |
Sylvia Y M Terada | Nurse Practitioner | Straub Clinic and Hospital | 888 S King St, Honolulu, HI 96813-3083 |
Joseph R Vierra | Internal Medicine | Straub Clinic and Hospital | 888 S King St, Honolulu, HI 96813-3083 |
Street Address |
602 KAILUA RD SUITE 200 |
City | KAILUA |
State | HI |
Zip | 96734-2841 |
Name | Specialty | Organization | Address |
---|---|---|---|
Elna M Masuda | Vascular Surgery | Straub Clinic and Hospital | 602 Kailua Rd, Suite 200, Kailua, HI 96734-2841 |
Jennifer M Moniot | Physical Therapy | Health In Harmony Inc | 602 Kailua Rd, Suite 202, Kailua, HI 96734-2841 |
Kathryn J Avery | Physical Therapy | Health In Harmony Inc | 602 Kailua Rd, Suite 202, Kailua, HI 96734-2841 |
Jeremy J Lum | Cardiovascular Disease (cardiology) | Straub Clinic and Hospital | 602 Kailua Rd, Suite 200, Kailua, HI 96734-2841 |
Lehualani K Concepcion | Family Medicine | Straub Clinic and Hospital | 602 Kailua Rd, Suite 200, Kailua, HI 96734-2841 |
Jennifer L Mcfarland | Physical Therapy | Health In Harmony Inc | 602 Kailua Rd, Suite 202, Kailua, HI 96734-2841 |
Marti Y Taba | Family Medicine | Straub Clinic and Hospital | 602 Kailua Rd, Suite 200, Kailua, HI 96734-2841 |
Anna L Sampayan | Physical Therapy | Health In Harmony Inc | 602 Kailua Rd, Suite 202, Kailua, HI 96734-2841 |
Name | Specialty | Organization | Address |
---|---|---|---|
Daniel Douglas Smith | Psychiatry | 229 Aiokoa St, Kailua, HI 96734-1668 | |
Raymond I Fodor | Otolaryngology | 970 N Kalaheo Ave, Suite A323, Kailua, HI 96734-1839 | |
James L Spira | Psychologist, Clinical | 970 N Kalahheo Ave Rm, A314, Kailua, HI 96734-1870 | |
Philip R Foti | Internal Medicine | 970 N Kalaheo Ave, Suite A307, Kailua, HI 96734-1870 | |
Rita J Shuford | Clinical Psychologist | Turning Corners Group LLC | 970 N Kalaheo Ave, Kailua, HI 96734-1870 |
Glenn T Bessinger | Dermatology | Hawaii Dermatology Centers, Inc | 970 N Kalaheo Ave, Suite C108, Kailua, HI 96734-1871 |
Sarah M Howell | Dermatology | Hawaii Dermatology Centers, Inc | 970 N Kalaheo Ave, Suite C108, Kailua, HI 96734-1871 |
Eun K Strawser | Osteopathic Manipulative Medicine | 970 N Kalaheo Ave, Suite C109, Kailua, HI 96734-1871 | |
Thomas G Crabtree | Plastic and Reconstructive Surgery | 970 N Kalaheo Ave, Suite C108, Kailua, HI 96734-1871 | |
Alan R Spector | Clinical Social Worker | 970 N Kalaheo Ave, Suite C208, Kailua, HI 96734-1872 | |
Find all physicians in zip 96734 |
City | KAILUA |
Zip Code | 96734 |
Specialty | FAMILY MEDICINE |
City + Specialty | KAILUA + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Dale M Glenn.
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.