Scott D. Glazer, M.D., S.C.

Primary specialty

Procedural Dermatology PhysicianTaxonomy code 207NS0135X

License

036059380 Issued in IL

Legal business name

SCOTT D. GLAZER, M.D., S.C.

Practice address

600 W Lake Cook Rd Ste 110
Buffalo Grove, IL 60089-2085

Phone

(847) 459-6611

Fax

(847) 459-6621

NPI assigned

Apr 13, 2007

Last updated

May 20, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Jill A Sutherland, CPC-D

Title

Practice Manager

Phone

(847) 459-6495

Specialties & licenses 14

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael H Fretzin, MD

  • Procedural Dermatology Physician
  • Buffalo Grove, IL
  • NPI 1134118987
  Medicare reassignment Care Compare group NPD
• Alex Glazer, M.D.

  • Dermatology Physician
  • Buffalo Grove, IL
  • NPI 1215324447
  Medicare reassignment Care Compare group NPD
• Scott David Glazer, M.D.

  • Procedural Dermatology Physician
  • Buffalo Grove, IL
  • NPI 1770587206
  Medicare reassignment Care Compare group NPD
• Keith Michael Kozeny, M.D.

  • Procedural Dermatology Physician
  • Buffalo Grove, IL
  • NPI 1619971157
  Medicare reassignment Care Compare group NPD
• Amy Cartwright Brownlee, PA C

  • Physician Assistant
  • Buffalo Grove, IL
  • NPI 1104993401
  Medicare reassignment Care Compare group
• Alexis N Levitas, PA-C

  • Dermatology Physician
  • Buffalo Grove, IL
  • NPI 1205485109
  Medicare reassignment Care Compare group
• Marianne S Rosen, MD

  • Dermatology Physician
  • Glenview, IL
  • NPI 1083670111
  Medicare reassignment

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400544000000",
    "number": "1215151857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 W LAKE COOK RD STE 110",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600892085",
            "telephone_number": "847-459-6611",
            "fax_number": "847-459-7929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 W LAKE COOK RD STE 110",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600892085",
            "telephone_number": "847-459-6611",
            "fax_number": "847-459-6621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT D. GLAZER, M.D., S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-13",
        "last_updated": "2014-05-20",
        "status": "A",
        "authorized_official_last_name": "SUTHERLAND",
        "authorized_official_first_name": "JILL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "847-459-6495",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CPC-D"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "IL",
            "license": "036059380",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "IL",
            "license": "036073084",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "IL",
            "license": "036102194",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "IL",
            "license": "036111358",
            "primary": false
        },
        {
            "code": "207NI0002X",
            "taxonomy_group": "",
            "desc": "Dermatology, Clinical & Laboratory Dermatological Immunology",
            "state": "IL",
            "license": "036059380",
            "primary": false
        },
        {
            "code": "207NI0002X",
            "taxonomy_group": "",
            "desc": "Dermatology, Clinical & Laboratory Dermatological Immunology",
            "state": "IL",
            "license": "036073084",
            "primary": false
        },
        {
            "code": "207NI0002X",
            "taxonomy_group": "",
            "desc": "Dermatology, Clinical & Laboratory Dermatological Immunology",
            "state": "IL",
            "license": "036102194",
            "primary": false
        },
        {
            "code": "207NI0002X",
            "taxonomy_group": "",
            "desc": "Dermatology, Clinical & Laboratory Dermatological Immunology",
            "state": "IL",
            "license": "036111358",
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "IL",
            "license": "036059380",
            "primary": true
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "IL",
            "license": "036073084",
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "IL",
            "license": "036102194",
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "IL",
            "license": "036111358",
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "IL",
            "license": "036062019",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036062967",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP PIN#",
            "identifier": "31601993",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARNOLD ROBIN, MD MC UPIN",
            "identifier": "D13565",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA#",
            "identifier": "14D0886350",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FORRESTAL NPI#",
            "identifier": "1578552246",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR. BARSKY NPI",
            "identifier": "1114957156",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GLAZER NPI",
            "identifier": "1770587206",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Linda Schnuer
• Michael Schokin
• Steven Alan Schraiber, MD
• Christopher Schustor, LPC
• Rachel Schwartz, LCSW
• Scott D. Glazer, M.D., S.C.
• Alex Scott
• David Bruce Scott, DPM
• Meredith Gelman Seelig
• Edward Walter Senkpeil, M. A.

• Procedural Dermatology Physician in Buffalo Grove, IL
• Providers in Buffalo Grove, IL by specialty
• Procedural Dermatology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.