Active NPI
Janice S. Glenn, M.D. Ampc
- Family Medicine Physician
- Gretna, LA
National Provider Identifier
1104964758
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD.08593R
- Legal business name
- JANICE S. GLENN, M.D. AMPC
- Practice address
- 2600 Belle Chasse Highway Ste 201a
Gretna, LA 70056-7156 - Phone
- (504) 391-1087
- Fax
- (504) 391-1073
- NPI assigned
- Feb 2, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Janice S Glenn, M.D.
- Title
- President
- Phone
- (504) 391-1087
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD.08593R | LA | Primary |
Addresses
Primary practice location
2600 Belle Chasse Highway Ste 201a
Gretna, LA 70056-7156
Mailing address
2600 Belle Chasse Highway Ste 201a
Gretna, LA 70056-7156
Phone (504) 391-1087
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1910104 | Medicaid | LA |
National Provider Directory
National Provider DirectoryLocations
2600 Belle Chasse Hwy
Ste 201A
Terrytown, LA 70056
Phone (504) 391-1087
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": "1170374400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1104964758",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2600 BELLE CHASSE HIGHWAY STE 201A",
"city": "GRETNA",
"state": "LA",
"postal_code": "700567156",
"telephone_number": "504-391-1087",
"fax_number": "504-391-1073"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2600 BELLE CHASSE HIGHWAY STE 201A",
"city": "GRETNA",
"state": "LA",
"postal_code": "700567156",
"telephone_number": "504-391-1087",
"fax_number": "504-391-1073"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JANICE S. GLENN, M.D. AMPC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-02",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "GLENN",
"authorized_official_first_name": "JANICE",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "504-391-1087",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "LA",
"license": "MD.08593R",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1910104",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Gretna, LA
- James a Heurtin DDS LTD
- James C. Bellina, MD & Susan R. Hemelt, MD Apmc
- James P. Marra, M.D., Apmc
- James Renda DMD
- Sophy Ann Jancich, MD
- Jason Wonch OD and Associates a P C (EyeMasters)
- Jefferson Medical Clinic LLC
- Jencare Neighborhood Medical Center WB, LLC (JenCare Neighborhood Medical Center)
- Laura Elizabeth Jennings Tomblin
- Jeff Jeskin, OD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.