Geoffrey Glynn Glidden, MD

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

F3141 Issued in TX

Practice address

4090 Mapleshade LN
Plano, TX 75093-0024

Phone

(972) 608-9777

Fax

(972) 403-1555

NPI assigned

May 23, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Geoffrey G Glidden Professional name

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/17572/brand/1/csg/1/fhir/r4

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.

• Geoffrey G. Glidden ,MD PA

  • Orthopaedic Surgery Physician
  • Plano, TX
  • NPI 1427126408
  NPD (past) Authorized official
• Donald Mackenzie,MD,P.a.

  • Specialist
  • Plano, TX
  • NPI 1407146137
  NPD (past)

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665100800000",
    "number": "1013962661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4090 MAPLESHADE LN STE 100",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750930025",
            "telephone_number": "972-608-9777",
            "fax_number": "972-403-1555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4090 MAPLESHADE LN",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750930024",
            "telephone_number": "972-608-9777",
            "fax_number": "972-403-1555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLIDDEN",
        "first_name": "GEOFFREY",
        "middle_name": "GLYNN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-23",
        "last_updated": "2022-10-07",
        "certification_date": "2022-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "TX",
            "license": "F3141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GEOFFREY",
            "last_name": "GLIDDEN",
            "middle_name": "G",
            "credential": "MD PA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Angelica Renee-Durant Gleason, BCABA
• Gleneagles Surgery Center, LLC
• Glennhollow Medical Imaging LLC
• Khara Glick, SLP-A
• Robert Allen Glick, D.O.
• Global Chiropractic Plano/Frisco
• Global Molecular Labs, LLC
• Glory Days Physical Therapy, LLC
• Lori Shannon Glowacki, M.D.
• GM Diagnostics, PLLC

• Orthopaedic Surgery Physician in Plano, TX
• Providers in Plano, TX by specialty
• Orthopaedic Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.