Glen E Sutherland MD PA

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

License

30881 Issued in FL

Legal business name

GLEN E SUTHERLAND MD PA

Practice address

1930 NE 47TH St
Suite 301
Fort Lauderdale, FL 33308-7718

Phone

(954) 772-6781

Fax

(954) 772-6793

NPI assigned

Dec 22, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Glen Edward Sutherland, M.D.

Title

Physician

Phone

(954) 772-6781

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1166745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250812800000",
    "number": "1326102252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1930 NE 47TH ST",
            "address_2": "SUITE 301",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333087718",
            "telephone_number": "954-772-6781",
            "fax_number": "954-772-6793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1930 NE 47TH ST",
            "address_2": "SUITE 301",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333087718",
            "telephone_number": "954-772-6781",
            "fax_number": "954-772-6793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLEN E SUTHERLAND MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-22",
        "last_updated": "2009-08-21",
        "status": "A",
        "authorized_official_last_name": "SUTHERLAND",
        "authorized_official_first_name": "GLEN",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "954-772-6781",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "FL",
            "license": "30881",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "037094100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carole E Glatter, RN
• Ronald J Glatzer, M.D.
• Sheila Glazer, RD
• Michelle Lynn Gleba
• Glen Bobker DC PA
• Glenn R Caddy PHD PA
• Glenn R. Singer, MD, PA
• Richard Stephen Glick, MD
• Global Anesthesia Executive Services LLC
• Global Health Services FL LLC

• Infectious Disease Physician in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Infectious Disease Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.