Glacier Anesthesia, PLLC

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

Legal business name

GLACIER ANESTHESIA, PLLC

Practice address

4347 W Northwest Hwy Ste 130 # 303
Dallas, TX 75220-3866

Phone

(469) 283-0561

NPI assigned

Mar 31, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Lizette Morin

Title

MDMS Npi Compliance Officer

Phone

(210) 598-2801

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jason Scott Taub, M.D.

  • Neurological Surgery Physician
  • Plano, TX
  • NPI 1932383205
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1522454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522454400000",
    "number": "1003312935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4347 W NORTHWEST HWY STE 130 # 303",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752203866",
            "telephone_number": "469-283-0561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4347 W NORTHWEST HWY STE 130 # 303",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752203866",
            "telephone_number": "469-283-0561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLACIER ANESTHESIA, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-31",
        "last_updated": "2018-03-31",
        "status": "A",
        "authorized_official_last_name": "MORIN",
        "authorized_official_first_name": "LIZETTE",
        "authorized_official_title_or_position": "MDMS NPI COMPLIANCE OFFICER",
        "authorized_official_telephone_number": "210-598-2801"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly James Givens, MD
• Givinghope Behavioral Health Inc
• Anida Gjermeni, PHARMD
• Lindsi Nicole Gjetley, RD, LD
• Debra Jean Glaab, RN, PCCNP, CPNP-AC
• Jeffrey R Gladden, MD
• Jennifer Gladney, CPNP
• Robert William Gladney, M.D.
• Brian P Gladnick, MD
• Gladys Dickerson

• Anesthesiology Physician in Dallas, TX
• Providers in Dallas, TX by specialty
• Anesthesiology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.