Individual provider Active NPI

John Glazer, D.O.

  • Adult Medicine Physician
  • Sierra Vista, AZ
National Provider Identifier
1285636126
Registry record updated May 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
007561 Issued in AZ
Practice address
286 S Lenzner Ave
Sierra Vista, AZ 85635-5685
Phone
(520) 452-0388
Fax
(877) 281-8622
NPI assigned
Aug 11, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine Physician 207QA0505X 007561 AZ Primary

Addresses

Primary practice location

286 S Lenzner Ave
Sierra Vista, AZ 85635-5685

Mailing address

286 S Lenzner Ave
Sierra Vista, AZ 85635-5685
Phone (520) 452-0388

Other identifiers 2

IdentifierTypeStateIssuer
Z216210OtherAZMEDICARE
400232MedicaidAZ

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address johnglazer@cqch.cernerdirect.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20180723002464 AZ Practitioner - Family Practice 3971528837 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
007561AZMDAdult Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Archwell Health Professional Services of Arizona, LLC CurrentSince Jul 28, 2025 Accepting new patients
Chiricahua Community Health Centers, Inc Current Accepting new patients
Nancy M Troast DO PA PastSince May 25, 1998 Accepting new patients

Locations

1205 N F Ave
Douglas, AZ 85607
Phone (520) 364-6852

10566 N Highway 191
Elfrida, AZ 85610
Phone (520) 642-2222

4315 E Main St
Mesa, AZ 85205
Phone (480) 654-0260

155 Calle Portal
Ste 300
Sierra Vista, AZ 85635
Phone (520) 458-6331

9550 E Golf Links Rd
Ste 100
Tucson, AZ 85730
Phone (520) 910-0207

1740 E Fort Lowell Rd
Ste 100
Tucson, AZ 85719
Phone (520) 613-0001

102 Woodmont Blvd
Ste 600
Nashville, TN 37205

Networks

  • Freedom Health HMO Network

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1123718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778716800000",
    "number": "1285636126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "286 S LENZNER AVE",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856355685",
            "telephone_number": "520-452-0388",
            "fax_number": "877-281-8622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "286 S LENZNER AVE",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856355685",
            "telephone_number": "520-452-0388",
            "fax_number": "877-281-8622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLAZER",
        "first_name": "JOHN",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-11",
        "last_updated": "2026-05-14",
        "certification_date": "2026-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "AZ",
            "license": "007561",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "Z216210",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "400232",
            "state": "AZ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "johnglazer@cqch.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "Copper Queen Hospital Palominas RHC Direct Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "10524 E Highway 92",
            "city": "Hereford",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "85615",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sierra Vista, AZ

Sources for this page

Verify at the official NPI Registry.