Glenn Edgar Irwin Jr. (NPI# 1093793598, PAC ID# 2163412347) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1093793598 |
| PAC ID by PECOS | 2163412347 |
| Professional Enrollment ID | I20051123000191 |
| Full Name | Glenn Edgar Irwin Jr. |
| Address |
900 Chestnut St Ext Suite A Bradford PA 16701-2298 |
| Gender | M |
| Credential | MD |
| Medical School | PENNSYLVANIA STATE UNIVERSITY COLLEGE OF MEDICINE |
| Graduation Year | 1980 |
| Primary Specialty | FAMILY MEDICINE |
| Secondary Specialties | EMERGENCY MEDICINE, INTERNAL MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330103 | OLEAN GENERAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 900 Chestnut St Ext, Suite A, Bradford, PA 16701-2298 |
| Street Address |
900 CHESTNUT ST EXT SUITE A |
| City | BRADFORD |
| State | PA |
| Zip | 16701-2298 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert Wayne Tahara | General Surgery | 900 Chestnut St Ext, Suite A, Bradford, PA 16701-2298 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Asim Makhdom | Orthopedic Surgery | Olean General Hospital | 159 Interstate Pkwy, Bradford, PA 16701-1013 |
| Aris Gredzens | Obstetrics/gynecology | Olean General Hospital | 159 Interstate Pkwy, Bradford, PA 16701-1013 |
| Donald Lee Hay | General Surgery | Olean General Hospital | 159 Interstate Pkwy, Bradford, PA 16701-1013 |
| Michael Marino | Anesthesiology | Great Lakes Anesthesiology PC | 116 Interstate Pkwy, Bradford, PA 16701-1036 |
| Darlene G Venezia-skaggs | Nurse Practitioner | Apogee Medical Group of Pennsylvania PC | 116 Interstate Pkwy, Bradford, PA 16701-1036 |
| Jill M Owens | Hospitalist | Apogee Medical Group of Pennsylvania PC | 116 Interstate Pkwy, Bradford, PA 16701-1036 |
| Michele M Wooten | Nurse Practitioner | Olean General Hospital | 116 Interstate Pkwy, Bradford, PA 16701-1036 |
| Javaid A Malik | Pain Management | Olean General Hospital | 116 Interstate Pkwy, Bradford, PA 16701-1036 |
| Andrew J Davidson | Nurse Practitioner | Apogee Medical Group of Pennsylvania PC | 116 Interstate Pkwy, Bradford, PA 16701-1036 |
| Frank Arnal | Pulmonary Disease | Olean General Hospital | 116 Interstate Pkwy, Bradford, PA 16701-1036 |
| Find all physicians in zip 16701 | |||
| City | BRADFORD |
| Zip Code | 16701 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | BRADFORD + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Glenn Edgar Irwin Jr..
| 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.