Active NPI
Glenn E Nelson DPM LLC
- Foot & Ankle Surgery Podiatrist
- Tucson, AZ
National Provider Identifier
1487700878
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- Legal business name
- GLENN E NELSON DPM LLC
- Practice address
- 2308 N Rosemont Blvd
Tucson, AZ 85712-2139 - Phone
- (520) 886-1172
- Fax
- (520) 290-8894
- NPI assigned
- Jan 26, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- David Hatch, DPM
- Title
- Doctor
- Phone
- (520) 886-1176
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | Primary |
Addresses
Primary practice location
2308 N Rosemont Blvd
Tucson, AZ 85712-2139
Mailing address
2308 N Rosemont Blvd
Tucson, AZ 85712-2139
Phone (520) 886-1172
Other practice location 1
1082 E Ajo Way Ste 100
Tucson, AZ 85713-5051
Phone (520) 886-1176
Other practice location 2
760 E Pusch View Ln Ste 130
Oro Valley, AZ 85737-9246
Phone (520) 886-1176
Other practice location 3
1930 N La Canada Dr bldg 2
Green Valley, AZ 85614-4380
Phone (520) 886-1176
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DC9300 | Other | AZ | RAILROAD MEDICARE |
| 701004 | Medicaid | AZ |
Other names 1
- Sonoran Foot and Ankle Institute
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
4475 S I 19 Frontage Rd
Ste 225
Green Valley, AZ 85614
4600 S Park Ave
Tucson, AZ 85714
Phone (520) 889-9574
2308 N Rosemont Blvd
Tucson, AZ 85712
Phone (520) 886-1172
2308 N Rosemont Blvd
Ste B
Tucson, AZ 85712
4455 S Park Ave
Ste 111
Tucson, AZ 85714
Practitioners & affiliated clinicians
Practitioners 11
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Foot & Ankle Surgery Podiatrist
- Tucson, AZ
- NPI 1003295643
Single Specialty
-
- Foot & Ankle Surgery Podiatrist
- Tucson, AZ
- NPI 1912261850
-
- Foot & Ankle Surgery Podiatrist
- Tucson, AZ
- NPI 1881256006
-
- Podiatrist
- Tucson, AZ
- NPI 1396915377
-
- Foot & Ankle Surgery Podiatrist
- Tucson, AZ
- NPI 1992372189
-
- Foot & Ankle Surgery Podiatrist
- Tucson, AZ
- NPI 1669049003
-
- Podiatrist
- Tucson, AZ
- NPI 1609803337
-
- Podiatrist
- Tucson, AZ
- NPI 1114958055
-
- Podiatrist
- Chandler, AZ
- NPI 1093703977
-
- Primary Podiatric Medicine Podiatrist
- Tucson, AZ
- NPI 1770576308
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169769600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1728432000000",
"number": "1487700878",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2308 N ROSEMONT BLVD",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857122139",
"telephone_number": "520-886-1172",
"fax_number": "520-290-8894"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2308 N ROSEMONT BLVD",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857122139",
"telephone_number": "520-886-1172",
"fax_number": "520-290-8894"
}
],
"practiceLocations": [
{
"address_1": "1082 E Ajo Way Ste 100",
"address_purpose": "LOCATION",
"city": "Tucson",
"state": "AZ",
"postal_code": "857135051",
"country_code": "US",
"telephone_number": "520-886-1176",
"fax_number": "520-290-8894",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "760 E Pusch View Ln Ste 130",
"address_purpose": "LOCATION",
"city": "Oro Valley",
"state": "AZ",
"postal_code": "857379246",
"country_code": "US",
"telephone_number": "520-886-1176",
"fax_number": "520-290-8894",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1930 N La Canada Dr bldg 2",
"address_purpose": "LOCATION",
"city": "Green Valley",
"state": "AZ",
"postal_code": "856144380",
"country_code": "US",
"telephone_number": "520-886-1176",
"fax_number": "520-290-8894",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "GLENN E NELSON DPM LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-26",
"last_updated": "2024-10-09",
"certification_date": "2024-10-09",
"status": "A",
"authorized_official_last_name": "HATCH",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "DOCTOR",
"authorized_official_telephone_number": "520-886-1176",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "DC9300",
"state": "AZ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "701004",
"state": "AZ"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Sonoran Foot and Ankle Institute",
"code": "3",
"type": "Doing Business As"
}
]
}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 Oct 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.