Active NPI
Thomas P. Glynn Jr., M.D.
- Diagnostic Radiology Physician
- Richmond, IN
National Provider Identifier
1003873795
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 01028848
- Practice address
- 1100 Reid Pkwy
Richmond, IN 47374-1157 - Phone
- (765) 983-3000
- NPI assigned
- Apr 27, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 01028848 | IN | Primary |
Addresses
Primary practice location
1100 Reid Pkwy
Richmond, IN 47374-1157
Mailing address
35 S 8TH St
Richmond, IN 47374-5441
Phone (765) 966-2929
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100319730 | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Richmond Radiologists, Inc. | Diagnostic Radiology | Past | Accepting new patients |
| Reid Hospital & Health Care Services, Inc | Diagnostic Radiology | Past | Accepting new patients |
| Universal Radiology Consultants PC | Diagnostic Radiology | Past | Accepting new patients |
| Reid Hospital & Health Care Services Inc | Past | Accepting new patients |
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Richmond, IN
- NPI 1982633236
-
- Anatomic Pathology & Clinical Pathology Physician
- Richmond, IN
- NPI 1437188786
Diagnostic Radiology
-
- Diagnostic Radiology Physician
- Richmond, IN
- NPI 1295729978
-
- Diagnostic Radiology Physician
- Warner Robins, GA
- NPI 1689606188
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146096000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1265932800000",
"number": "1003873795",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "35 S 8TH ST",
"city": "RICHMOND",
"state": "IN",
"postal_code": "473745441",
"telephone_number": "765-966-2929",
"fax_number": "765-966-2845"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 REID PKWY",
"city": "RICHMOND",
"state": "IN",
"postal_code": "473741157",
"telephone_number": "765-983-3000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLYNN",
"first_name": "THOMAS",
"middle_name": "P.",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-27",
"last_updated": "2010-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "IN",
"license": "01028848",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100319730",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Richmond, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.