Organization Active NPI

Martin S Glore MD PA

  • Specialist
  • Edinburg, TX
National Provider Identifier
1073641973
Registry record updated Nov 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
J9054 Issued in TX
Legal business name
MARTIN S GLORE MD PA
Practice address
2719 W Trenton Rd
Edinburg, TX 78539-3433
Phone
(956) 682-8588
Fax
(956) 682-8233
NPI assigned
Mar 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2008

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

Authorized official

Name
Dr. Martin S Glore, MDNPI 1831197185
Title
Medical Director
Phone
(956) 682-8588

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X J9054 TX Primary

Addresses

Primary practice location

2719 W Trenton Rd
Edinburg, TX 78539-3433

Mailing address

PO Box 5669
McAllen, TX 78502-5669
Phone (956) 682-8588

Other identifiers 4

IdentifierTypeStateIssuer
1831197185MedicaidTX
117159702MedicaidTX
8A1370OtherTXBCBS
079601301MedicaidTX

Other names 1

  • The Pain Care Institute PA Former legal business name

National Provider Directory

National Provider Directory

Locations

2719 W Trenton Rd
Edinburg, TX 78539
Phone (956) 682-8588

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225843200000",
    "number": "1073641973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5669",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785025669",
            "telephone_number": "956-682-8588",
            "fax_number": "956-682-8233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2719 W TRENTON RD",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785393433",
            "telephone_number": "956-682-8588",
            "fax_number": "956-682-8233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTIN S GLORE MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-01",
        "last_updated": "2008-11-05",
        "status": "A",
        "authorized_official_last_name": "GLORE",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "956-682-8588",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "J9054",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1831197185",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "117159702",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8A1370",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "079601301",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Pain Care Institute PA",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Edinburg, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2008; 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.