Gavin Thomas Glover, DPM

Primary specialty

Podiatric AssistantTaxonomy code 211D00000X

Practice address

3601 S 6TH Ave
Tucson, AZ 85723-0001

Phone

(792) 520-1450

NPI assigned

Apr 29, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

Arizona Podiatric Med Program at Midwestern Un, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Foot and Ankle InstituteGroup PAC ID 2668424813, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Around the Clock Home Care Home health agency, Bakersfield, CA, CCN 557765
• Bakersfield Memorial Hospital Hospital, Bakersfield, CA, CCN 050036
• Adventist Health Bakersfield Hospital, Bakersfield, CA, CCN 050455

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Foot and Ankle Institute

  • Foot & Ankle Surgery Podiatrist
  • Bakersfield, CA
  • NPI 1679641716
  Medicare reassignment Care Compare group NPD
• Silver Summit Medical Corporation

  • Podiatrist
  • Bakersfield, CA
  • NPI 1144047507
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Bakersfield Memorial Hospital

  • General Acute Care Hospital
  • Bakersfield, CA
  • NPI 1467538520
  Care Compare affiliation
• San Joaquin Community Hospital

  • General Acute Care Hospital
  • Bakersfield, CA
  • NPI 1538157508
  Care Compare affiliation
• Vasindas' Around the Clock Care, Inc.

  • Home Health Agency
  • Bakersfield, CA
  • NPI 1922091107
  Care Compare affiliation

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

{
    "created_epoch": "1619654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619654400000",
    "number": "1225611106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5400 E WILLIAMS BLVD APT 12206",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857117486",
            "telephone_number": "619-838-1330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 S 6TH AVE",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857230001",
            "telephone_number": "792-520-1450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLOVER",
        "first_name": "GAVIN",
        "middle_name": "THOMAS",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-29",
        "last_updated": "2021-04-29",
        "certification_date": "2021-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "211D00000X",
            "taxonomy_group": "",
            "desc": "Assistant, Podiatric",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "@va.gov",
            "affiliation": "N",
            "endpointDescription": "VA email address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3601 S 6th Ave",
            "city": "Tucson",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "857230001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Aleksandra-Maria Gloger, DDS
• Gloria'S Assisted Living LLC
• Jennifer Glorioso, RN-BC
• Diana Marie Glose, M.S.
• Phillip Glotser, M.D.
• Glow Skin and Wellness
• Judith Glowinski
• Michael J Glynn, M.D.
• Jeremey William Gneck, MD
• Go Mobility Solutions

• Podiatric Assistant in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Podiatric Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.