Individual provider Active NPI

James Anthony Glenn, D.O.

  • Diagnostic Radiology Physician
  • Oklahoma City, OK
National Provider Identifier
1184859720
Registry record updated Nov 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
4904 Issued in OK
Practice address
2224 NW 50TH St
Suite 276W
Oklahoma City, OK 73112-8046
Phone
(405) 858-2350
Fax
(405) 858-2365
NPI assigned
May 27, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Diagnostic Radiology Physician 2085R0202X 4904 OK Primary

Addresses

Primary practice location

2224 NW 50TH St
Suite 276W
Oklahoma City, OK 73112-8046

Mailing address

2224 NW 50TH St
Suite 276W
Oklahoma City, OK 73112-8046
Phone (405) 858-2350

Other names 1

  • Dr. Tony Glenn Other name

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
I20141217002106 OK Practitioner - Diagnostic Radiology 2567785884 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Oklahoma State University College of Osteopathic Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oklahoma Radiology Group P CGroup PAC ID 9032101688, 59 clinicians

Practice addresses (Care Compare)

1000 N Lee Ave
Oklahoma City, OK 73102-1036
Phone (405) 272-7000

Hospital & facility affiliations

  • SSM Health St Anthony Hospital - Shawnee Hospital, Shawnee, OK, CCN 370149
  • SSM Health St Anthony Hospital - Oklahoma City Hospital, Oklahoma City, OK, CCN 370037
  • Purcell Municipal Hospital Hospital, Purcell, OK, CCN 370158
  • Fairview Regional Medical Center Authority Hospital, Fairview, OK, CCN 371329
  • Okeene Municipal Hospital Hospital, Okeene, OK, CCN 371327

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Oklahoma Radiology Group P C Diagnostic Radiology CurrentSince Nov 1, 2014 Accepting new patients

Locations

212 E 8th St
Beaver, OK 73932
Phone (580) 625-3646

1220 N Glenn L English St
Cordell, OK 73632
Phone (580) 832-3339

523 E State Rd
Fairview, OK 73737
Phone (580) 227-1334

1000 N Lee Ave
Oklahoma City, OK 73102
Phone (405) 272-6152

1500 N Green Ave
Purcell, OK 73080
Phone (405) 527-2250

3315 Kethley Rd
Shawnee, OK 74804
Phone (405) 273-5801

Organizations & group practices 1

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.

Hospital & facility affiliations 7

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": "1243382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415923200000",
    "number": "1184859720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2224 NW 50TH ST",
            "address_2": "SUITE 276W",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731128046",
            "telephone_number": "405-858-2350",
            "fax_number": "405-858-2365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2224 NW 50TH ST",
            "address_2": "SUITE 276W",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731128046",
            "telephone_number": "405-858-2350",
            "fax_number": "405-858-2365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLENN",
        "first_name": "JAMES",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-27",
        "last_updated": "2014-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OK",
            "license": "4904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TONY",
            "last_name": "GLENN",
            "prefix": "DR.",
            "credential": "D.O.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.