Glen R Van Loon (NPI# 1053356675, PAC ID# 3678619467) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ENDOCRINOLOGY.
| Nation Provider ID (NPI) | 1053356675 |
| PAC ID by PECOS | 3678619467 |
| Professional Enrollment ID | I20091008000208 |
| Full Name | Glen R Van Loon |
| Address |
619 Old Symsonia Rd C Benton KY 42025-5094 |
| Phone Number | 2705272560 |
| Gender | M |
| Graduation Year | 1965 |
| Primary Specialty | ENDOCRINOLOGY |
| Secondary Specialties | INTERNAL MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 181327 | MARSHALL COUNTY HOSPITAL |
| 180116 | JACKSON PURCHASE MEDICAL CENTER |
| 180027 | MURRAY-CALLOWAY COUNTY HOSPITAL |
| 180102 | LOURDES HOSPITAL |
| 180104 | BAPTIST HEALTH PADUCAH |
| Address | Phone | Organization |
|---|---|---|
| 619 Old Symsonia Rd C, Benton, KY 42025-5094 | 2705272560 |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 100% |
| Street Address |
619 OLD SYMSONIA RD C |
| City | BENTON |
| State | KY |
| Zip | 42025-5094 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amy G Grizzard | Physical Therapy | Atlas Physical Therapy LLC | 244 Us 68, Benton, KY 42025 |
| Joshua Mason Clapp | Chiropractic | Chaney Bug Health Services | 374 W 5th St, Benton, KY 42025-1102 |
| Michael L Hayes | Optometry | 310 W 5th St, Benton, KY 42025-1102 | |
| Natasha G Lyles | Optometry | Lyles Eye Center, Pllc | 140 Commerce Blvd, Benton, KY 42025-1112 |
| Aaron J Lyles | Optometry | Lyles Eye Center, Pllc | 140 Commerce Blvd, Benton, KY 42025-1112 |
| Jennifer Hudgin | Nurse Practitioner | Fast Pace Kentucky Pllc | 401 Main St, Benton, KY 42025-1119 |
| Mitzi N Gardner | Nurse Practitioner | Fast Pace Kentucky Pllc | 401 Main St, Benton, KY 42025-1119 |
| Kelly Coriene Keplinger-page | Nurse Practitioner | Fast Pace Kentucky Pllc | 401 Main St, Benton, KY 42025-1119 |
| Jamie Wilson | Nurse Practitioner | Fast Pace Kentucky Pllc | 401 Main St, Benton, KY 42025-1119 |
| Amanda F Dunn | Nurse Practitioner | Fast Pace Kentucky Pllc | 401 Main St, Benton, KY 42025-1119 |
| Find all physicians in zip 42025 | |||
| City | BENTON |
| Zip Code | 42025 |
| Specialty | ENDOCRINOLOGY |
| City + Specialty | BENTON + ENDOCRINOLOGY |
Please comment or provide details below to improve the information on Glen R Van Loon.
| 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.