Glenn Michael Dizon, M.D.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

48909 Issued in CT

Practice address

73 Sand Pit Rd
Danbury Surgical Center
Danbury, CT 06810-4042

Phone

(203) 743-2400

Fax

(203) 743-2405

NPI assigned

Jan 26, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Anesthesiologists of Middletown, P.C.

  • Anesthesiology Physician
  • Middletown, CT
  • NPI 1851317135
  Medicare reassignment NPD

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

{
    "created_epoch": "1232928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542067200000",
    "number": "1447498654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 GERMANTOWN RD",
            "address_2": "SUITE 5",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068105027",
            "telephone_number": "203-798-0522",
            "fax_number": "203-743-5634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "73 SAND PIT RD",
            "address_2": "DANBURY SURGICAL CENTER",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068104042",
            "telephone_number": "203-743-2400",
            "fax_number": "203-743-2405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIZON",
        "first_name": "GLENN",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-01-26",
        "last_updated": "2018-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CT",
            "license": "48909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anjali Dinesh
• Amanda Dinsmore, MD
• Alison Dipinto, LPC
• Neil Distefano
• Mari Joyce Dixon
• Mikhail V Dmitriev, MD, MBA
• Brandon DO, RPH
• Elizabeth A Dobbert, LCSW
• Paul Dobies, DPM
• Krista Dobson

• Anesthesiology Physician in Danbury, CT
• Providers in Danbury, CT by specialty
• Anesthesiology Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2018; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.