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DENNIS N GLASCOCK DO, NPI 1164424461

Internal Medicine in ST CHARLES, MO

Last Updated on : Mar 08,2021

About DENNIS N GLASCOCK (NPI 1164424461)


DENNIS N GLASCOCK is an Internal Medicine provider in ST CHARLES, United States. His medical specialization is Internal Medicine with a focus in Clinical Cardiac Electrophysiology.

1164424461 is NPI number of DENNIS N GLASCOCK.

DENNIS N GLASCOCK's primary taxonomy code based on NPI Lookup is 207RC0001X with license number 2005015555. This taxonomy code refers to Internal Medicine.

DENNIS N GLASCOCK has more than 16 years of experience.

DENNIS N GLASCOCK current practice location address is 330 FIRST CAPITOL DRIVE, ST CHARLES, MO. DENNIS N GLASCOCK can be reached out via phone at 636-916-5551 and via fax at 636-916-0766 .

You can also correspond with DENNIS N GLASCOCK through mail at mailing address 3550 MCKELVEY RD STE 270, BRIDGETON, MO, United States. Mailing address contact number is 314-741-0911.

The enumeration date of DENNIS N GLASCOCK is 01-Jun-2005. The provider is registered as an Individual and the NPI record was last updated 1 years ago.

1164424461 NPI Information

Name DENNIS N GLASCOCK
National Provider Id (NPI) 1164424461
Entity Type Individual
Gender M
Credential DO
Practice Address 330 FIRST CAPITOL DRIVE, SUITE 270
ST CHARLES, MO, United States
Practice Telephone 636-916-5551
Practice Fax Number 636-916-0766
Mailing Address 3550 MCKELVEY RD STE 270 ,
BRIDGETON, MO, United States
Mailing Telephone 314-741-0911
Mailing Fax Number 314-741-0501
Enumeration Date 01-Jun-2005
Last Updated Date 08-Mar-2021

DENNIS N GLASCOCK (NPI 1164424461) Primary Taxonomy Information

Primary Taxonomy Code Clasification License Number License State
Y 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology 2005015555 MO

DENNIS N GLASCOCK (NPI 1164424461) Secondary Taxonomy Information

Primary Taxonomy Code Clasification License Number License State
N 207RC0000X Internal Medicine, Cardiovascular Disease 2005015555 MO

Additional Identifiers

Identifier Type/Code Identifier State Identifier Issuer
201876 Other (non-Medicare) (01) MO BLUE PRODUCTS
207277203 MEDICAID (05) MO
4649526 Other (non-Medicare) (01) MO AETNA
562517372 Other (non-Medicare) (01) MO UNITED HEALTHCARE
6407746 Other (non-Medicare) (01) MO CIGNA
725773 Other (non-Medicare) (01) MO HEALTHLINK
934624678 MEDICARE ID-Type Unspecified (04) MO
E36548 MEDICARE UPIN (02)
P00304610 Other (non-Medicare) (01) MO RAILROAD MEDICARE

DENNIS N GLASCOCK (NPI 1164424461) Office Location

Providers in same location

NPI Name Taxonomy Address Enumeration date
1003910100 ST CHARLES MEDICAL CLINIC PLC Family Medicine 903 REDWOOD DR,
NORWALK, IA, United States
11-Sep-2006
1639767098 CHRISTINE KONECNY Counselor 2600 DEKALB AVE STE J,
SYCAMORE, IL, United States
01-Jan-2021
1780741579 KELLY MARIE CHRISTIANSEN Occupational Therapist 40W310 LAFOX RD, SUITE 1A
ST CHARLES, IL, United States
02-Jan-2007
1619034238 HEATHER WITTHOFF Social Worker, Clinical 42W097 COPPERWOOD LN,
ST CHARLES, IL, United States
02-Jan-2007
1932266616 BRYAN R. CICHON Dentist, General Practice 1107 INDEPENDENCE AVE,
ELBURN, IL, United States
02-Jan-2007
1619484425 ERICA MARIE BELL Marriage & Family Therapist 311 N 2ND ST STE 304,
ST CHARLES, IL, United States
02-Jan-2018
1801369848 TOUSSAINT DAVID WHETSTONE Psychologist, Clinical 1120 E MAIN ST STE 201,
ST CHARLES, IL, United States
02-Jan-2019
1174944516 CAROL PALACKDHARRY Internal Medicine, Medical Oncology 39W708 GOLDENROD DR,
ST CHARLES, IL, United States
03-Jan-2014
1952846768 SHANNON MARY HILL Social Worker, Clinical 2900 FOXFIELD RD STE 307,
ST CHARLES, IL, United States
03-Jan-2017
1861153702 SHAUNA WOLF Social Worker, Clinical 100 ILLINOIS ST STE 200,
ST CHARLES, IL, United States
03-Jan-2022
1427105535 SUSAN MARIE LANGE Occupational Therapist, Pediatrics 525 TYLER RD STE Q1,
ST CHARLES, IL, United States
04-Jan-2007
1578748851 COURTNEY LYN MURRAY Occupational Therapist, Pediatrics 40W310 LAFOX RD # 1,
ST CHARLES, IL, United States
04-Jan-2008
1639409261 BRETT R MARTIN Chiropractor 1601 E MAIN ST STE 1B,
ST CHARLES, IL, United States
04-Jan-2010
1912277708 MEIJER GREAT LAKES LIMITED PARTNERSHIP Durable Medical Equipment & Medical Supplies 855 S RANDALL RD,
ST CHARLES, IL, United States
10-Jan-2012
1104587997 MATTHEW JACOB MOLS Clinic/Center, Primary Care 503 SURREY WOODS DR,
ST CHARLES, IL, United States
04-Jan-2022
1265589709 SHELLEY SWANSON Speech-Language Pathologist, 2S429 WHITE BIRCH LN,
WHEATON, IL, United States
05-Jan-2007
1063716074 KATHRYN LESLEY DITCH Marriage & Family Therapist 425 S 6TH ST,
ST CHARLES, IL, United States
05-Jan-2011
1174709976 MAUREEN JOHNSON Occupational Therapy Assistant 1421 S 6TH ST,
ST CHARLES, IL, United States
11-Jan-2008
1255577649 THOMAS MARK Physician Assistant 172 LAKESIDE DR, APT. 1916
ST CHARLES, IL, United States
06-Jan-2009
1114163516 MEGAN M NEITZEL Contractor 7N210 BARB HILL DR,
ST CHARLES, IL, United States
06-Jan-2009

FAQs

Whose NPI Number is 1164424461?

1164424461 is the NPI number of DENNIS N GLASCOCK.

What is the specialty for DENNIS N GLASCOCK?

The Specialty of DENNIS N GLASCOCK is Internal Medicine.

NPI number meaning

Field Name Field Value
NPI 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider.
Entity Type Code describing the type of health care provider that is being assigned an NPI. Codes are:
  • 1 = (Person): individual human being who furnishes health care;
  • 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Provider Business Mailing Address The mailing address of the provider being identified contains First line, Second Line, City name, State name, Postal code, and Country code.
Provider Business Mailing Address Telephone Number The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
Provider Business Mailing Address Fax Number The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address fax number''.
Provider Business Practice Location Address Telephone Number The telephone number associated with the location address of the provider being identified.
Provider Business Practice Location Address Fax Number The fax number associated with the location address of the provider being identified.
Provider Enumeration Date The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date The date that a record was last updated or changed.
Authorized Official Telephone Number The 10-position telephone number of the authorized official.
Healthcare Provider Taxonomy Code The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization.
Healthcare Provider Taxonomy Taxonomy Description of the Healthcare Provider.
Provider License Number Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section.
Provider License Number State Code Provider License Number State Code #1
Healthcare Provider Primary Taxonomy Switch Primary Taxonomy:
  • X - The primary taxonomy switch is Not Answered;
  • Y - The taxonomy is the primary taxonomy (there can be only one per NPI record);
  • N - The taxonomy is not the primary taxonomy.
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