Glenn David Yocum, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

PO00000223 Issued in WA

Practice address

5407 17TH Ave NW
Seattle, WA 98107-3818

Phone

(206) 784-2670

Fax

(206) 784-1590

NPI assigned

Mar 22, 2007

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 identifiers 4

Other names 1

• Glenn D. Yocum Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441152000000",
    "number": "1174649727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5407 17TH AVE NW",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981073818",
            "telephone_number": "206-784-2670",
            "fax_number": "206-784-1590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5407 17TH AVE NW",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981073818",
            "telephone_number": "206-784-2670",
            "fax_number": "206-784-1590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOCUM",
        "first_name": "GLENN",
        "middle_name": "DAVID",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-22",
        "last_updated": "2015-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "WA",
            "license": "PO00000223",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "G000105970",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "00528",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BLUE SHIELD",
            "identifier": "YO0026",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1144401",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GLENN",
            "last_name": "YOCUM",
            "middle_name": "D.",
            "credential": "DPM",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Ray Yip, MD
• Liyu Yirdaw, LPN
• Asteria Yiu
• Allyson Ylvisaker
• Olubukola Yoade, PMHNP-BC
• Shayne Summers Yocum, ARNP
• Rebecca Anne Yoda, MD
• Chandra Yoder-Aikawa
• Christopher David Yoder, LMP
• Katelyn Pizor Yoder, MD

• Podiatrist in Seattle, WA
• Providers in Seattle, WA by specialty
• Podiatrist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2015; 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.