Individual provider Active NPI

Sean Christopher Glasgow, MD

  • Colon & Rectal Surgery Physician
  • Johnson City, TN
National Provider Identifier
1104912856
Registry record updated Feb 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
License
75237 Issued in TN
Practice address
325 N State of Franklin Rd FL 3
Johnson City, TN 37604-6171
Phone
(423) 439-7201
Fax
(423) 439-7219
NPI assigned
Oct 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 75237 TN
Colon & Rectal Surgery Physician 208C00000X 2003029889 MO
Surgery Physician 208600000X 2003029889 MO
Colon & Rectal Surgery Physician 208C00000X 75237 TN Primary

Addresses

Primary practice location

325 N State of Franklin Rd FL 3
Johnson City, TN 37604-6171

Mailing address

PO Box 699
Mountain Home, TN 37684-0699

Other identifiers 1

IdentifierTypeStateIssuer
200007826MedicaidMO

Electronic endpoints 1

TypeEndpointUseAffiliation
FHIR URL https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ Washington University

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, TN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20131030000324 MO Practitioner - Colorectal Surgery (Proctology)Practitioner - General Surgery 7416095534 Reassigns benefits to 1 organization
I20260225004365 TN Practitioner - General Surgery 7416095534 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

325 N State of Franklin Rd
FL 3
Johnson City, TN 37604-6171
Phone (423) 439-7201

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2003029889MOMDColon & Rectal Surgery Physician
75237TNMDColon & Rectal Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Washington University CurrentSince Mar 1, 2014 Accepting new patients
Washington University CurrentSince Mar 1, 2014 Accepting new patients
Medical Education Assistance Corporation Surgery CurrentSince Mar 1, 2026 Accepting new patients
Ozarks Medical Center Past Accepting new patients

Locations

4921 Parkview Pl
Ste C
Saint Louis, MO 63110
Phone (314) 362-4211

10 Barnes West Dr
#2
Saint Louis, MO 63141

660 S Euclid Ave
#8109
Saint Louis, MO 63110
Phone (314) 362-7841

1 Barnes Hospital Plz
Saint Louis, MO 63110
Phone (314) 362-9170

10 Barnes West Dr
Saint Louis, MO 63141
Phone (314) 996-3403

660 S Euclid Ave
#C
Saint Louis, MO 63110

1044 N Mason Rd
Ste 310
Saint Louis, MO 63141
Phone (314) 454-7177

325 N State of Franklin Rd
Fl 3
Johnson City, TN 37604
Phone (423) 439-7201

400 E State of Franklin Rd
Johnson City, TN 37601
Phone (423) 433-6200

Interoperability endpoints

  • Direct secure messaging: sglasgow154185@direct.carenet.org

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.

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770163200000",
    "number": "1104912856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 699",
            "city": "MOUNTAIN HOME",
            "state": "TN",
            "postal_code": "376840699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 N STATE OF FRANKLIN RD FL 3",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376046171",
            "telephone_number": "423-439-7201",
            "fax_number": "423-439-7219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLASGOW",
        "first_name": "SEAN",
        "middle_name": "CHRISTOPHER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2026-02-04",
        "certification_date": "2026-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TN",
            "license": "75237",
            "primary": false
        },
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "MO",
            "license": "2003029889",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MO",
            "license": "2003029889",
            "primary": false
        },
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "TN",
            "license": "75237",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200007826",
            "state": "MO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "Y",
            "affiliationName": "Washington University",
            "address_1": "1044 N Mason Rd",
            "address_2": "Div Surg Colon/Rectal, Ste 310",
            "city": "Saint Louis",
            "state": "MO",
            "country_code": "US",
            "postal_code": "631416431",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Johnson City, TN

Sources for this page

Verify at the official NPI Registry.