Active NPI
Glenn Colin Hunter, M.D.
- Vascular Surgery Physician
- Tucson, AZ
National Provider Identifier
1225140668
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- K9306
- Practice address
- 6422 E Speedway Blvd
Suite 150
Tucson, AZ 85710-1148 - Phone
- (510) 318-3004
- Fax
- (510) 318-3061
- NPI assigned
- Aug 31, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | K9306 | TX | Primary |
| Vascular Surgery Physician | 2086S0129X | 17199 | AZ |
Addresses
Primary practice location
6422 E Speedway Blvd
Suite 150
Tucson, AZ 85710-1148
Mailing address
6422 E Speedway Blvd
Suite 150
Tucson, AZ 85710-1148
Phone (510) 318-3004
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 280470 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saguaro Surgical, P C | Past | Accepting new patients | |
| Utmb Faculty Group Practice | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Specialist
- Tucson, AZ
- NPI 1124208269
-
- General Practice Physician
- Galveston, TX
- NPI 1942241146
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1207785600000",
"number": "1225140668",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6422 E SPEEDWAY BLVD",
"address_2": "SUITE 150",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857101148",
"telephone_number": "510-318-3004",
"fax_number": "510-318-3061"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6422 E SPEEDWAY BLVD",
"address_2": "SUITE 150",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857101148",
"telephone_number": "510-318-3004",
"fax_number": "510-318-3061"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUNTER",
"first_name": "GLENN",
"middle_name": "COLIN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-31",
"last_updated": "2008-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "TX",
"license": "K9306",
"primary": true
},
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "AZ",
"license": "17199",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "280470",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.