Individual provider Active NPI

John L Glomset III, MD

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Norman, OK
National Provider Identifier
1043400641
Registry record updated Mar 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
29497 Issued in OK
Practice address
3400 W Tecumseh Rd Ste 101
Norman, OK 73072-1810
Phone
(405) 360-6764
Fax
(405) 360-6769
NPI assigned
Jul 30, 2007
Last updated
Mar 16, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X MD.202600 LA
Orthopaedic Surgery Physician 207X00000X 40807 SC
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X 29497 OK Primary

Addresses

Primary practice location

3400 W Tecumseh Rd Ste 101
Norman, OK 73072-1810

Mailing address

3400 W Tecumseh Rd Ste 101
Norman, OK 73072-1810
Phone (405) 360-6764

Other practice location 1

4301 Wilson St
Fort Sill, OK 73503-4472
Phone (580) 558-3838

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address jglomset257931@direct-ehr-ssmhc.com Direct
FHIR URL https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/ Other

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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

Enrollment IDStateProvider typePAC IDDetails
I20140722001832 OK Practitioner - Orthopedic Surgery 7315163698 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Oklahoma College of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Saints Medical Group, LLCGroup PAC ID 7012914898, 430 clinicians

Practice addresses (Care Compare)

608 NW 9TH St
Suite 1100
Oklahoma City, OK 73102-1068
Phone (405) 231-3000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Knee replacement16
Lower limb (leg) arthroscopy (minimally invasive joint repair)26
Upper limb (arm) arthroscopy (minimally invasive joint repair)58
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD.202600LAMDOrthopaedic Surgery Physician
40807SCMDOrthopaedic Surgery Physician
29497OKMDSports Medicine (Orthopaedic Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southwestern Surgical Affiliates, LLC Orthopaedic Surgery CurrentSince Jul 1, 2014 Accepting new patients
Mercy Clinic Oklahoma Communities CurrentSince Apr 8, 2016 Accepting new patients
Saints Medical Group, LLC Orthopaedic Surgery CurrentSince Jul 7, 2018 Accepting new patients
Saints Medical Group, LLC CurrentSince Jul 7, 2018 Accepting new patients
Eagle Community Clinic LLC Past Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients
Summit Medical Center Past Accepting new patients
SSM Health Care of Oklahoma, Inc. Past Accepting new patients
Integris South Oklahoma City Hospital Corporation Past Accepting new patients

Locations

5606 SW Lee Blvd
Ste 205
Lawton, OK 73505
Phone (580) 531-6465

904 SW 38th St
Lawton, OK 73505
Phone (580) 353-8600

1110 N Lee Ave
Ste 200
Oklahoma City, OK 73103
Phone (405) 218-2530

1111 N Dewey Ave
Oklahoma City, OK 73103
Phone (405) 272-7900

13401 N Western Ave
Ste 301
Oklahoma City, OK 73114
Phone (405) 218-2530

4300 McAuley Blvd
Oklahoma City, OK 73120
Phone (405) 936-5455

608 NW 9th St
Ste 1100
Oklahoma City, OK 73102
Phone (405) 231-3000

608 NW 9th St
Ste 2200
Oklahoma City, OK 73102
Phone (405) 231-3737

1315 N Washington St
Weatherford, OK 73096
Phone (580) 772-2344

3701 E Main St
Weatherford, OK 73096
Phone (580) 772-5551

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/1821/brand/1/csg/22/fhir/r4
  • Direct secure messaging: jglomset257931@direct-ehr-ssmhc.com

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1185753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615852800000",
    "number": "1043400641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 W TECUMSEH RD STE 101",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730721810",
            "telephone_number": "405-360-6764",
            "fax_number": "405-360-6769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 W TECUMSEH RD STE 101",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730721810",
            "telephone_number": "405-360-6764",
            "fax_number": "405-360-6769"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4301 Wilson St",
            "address_purpose": "LOCATION",
            "city": "Fort Sill",
            "state": "OK",
            "postal_code": "735034472",
            "country_code": "US",
            "telephone_number": "580-558-3838",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GLOMSET",
        "first_name": "JOHN",
        "middle_name": "L",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-30",
        "last_updated": "2021-03-16",
        "certification_date": "2021-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "LA",
            "license": "MD.202600",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "SC",
            "license": "40807",
            "primary": false
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "OK",
            "license": "29497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jglomset257931@direct-ehr-ssmhc.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "jglomset257931@direct-ehr-ssmhc.com",
            "address_1": "4301 Wilson St",
            "city": "Fort Sill",
            "state": "OK",
            "country_code": "US",
            "postal_code": "735034472",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "FHIR API",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "4301 Wilson St",
            "city": "Fort Sill",
            "state": "OK",
            "country_code": "US",
            "postal_code": "735034472",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Norman, OK

Sources for this page

Verify at the official NPI Registry.