Glenn E Nelson DPM LLC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

Legal business name

GLENN E NELSON DPM LLC

Doing business as

Sonoran Foot and Ankle Institute

Practice address

2308 N Rosemont Blvd
Tucson, AZ 85712-2139

Phone

(520) 886-1172

Fax

(520) 290-8894

NPI assigned

Jan 26, 2007

Last updated

Oct 9, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

David Hatch, DPMNPI 1003295643

Title

Doctor

Phone

(520) 886-1176

Specialties & licenses 1

Addresses

Other names 1

• Sonoran Foot and Ankle Institute Doing business as

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• David Charles Hatch Jr., D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Tucson, AZ
  • NPI 1003295643

  Single Specialty

  Medicare reassignment Care Compare group NPD Authorized official
• Joseph Spencer Baker, DPM

  • Foot & Ankle Surgery Podiatrist
  • Tucson, AZ
  • NPI 1912261850
  Medicare reassignment Care Compare group NPD
• Mackenzie Luke Chesworth

  • Foot & Ankle Surgery Podiatrist
  • Tucson, AZ
  • NPI 1881256006
  Medicare reassignment Care Compare group NPD
• Carrie Hess, DPM

  • Podiatrist
  • Tucson, AZ
  • NPI 1396915377
  Medicare reassignment Care Compare group NPD
• Miguel Ruiz, DPM

  • Foot & Ankle Surgery Podiatrist
  • Tucson, AZ
  • NPI 1992372189
  Medicare reassignment Care Compare group NPD
• Tommy Saing, DPM

  • Foot & Ankle Surgery Podiatrist
  • Tucson, AZ
  • NPI 1669049003
  Medicare reassignment Care Compare group NPD
• Steven Nathaniel Fairbanks, DPM

  • Foot & Ankle Surgery Podiatrist
  • San Diego, CA
  • NPI 1851778187

  AZ

  Medicare reassignment Care Compare group NPD
• Darin A Bocian, DPM

  • Podiatrist
  • Tucson, AZ
  • NPI 1609803337
  NPD (past)
• Alan B Carlson, DPM

  • Podiatrist
  • Tucson, AZ
  • NPI 1114958055
  NPD (past)
• David Laurino, DPM

  • Podiatrist
  • Chandler, AZ
  • NPI 1093703977
  NPD (past)
• Robin S Myers, DPM

  • Primary Podiatric Medicine Podiatrist
  • Tucson, AZ
  • NPI 1770576308
  NPD (past)

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": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sonoran Foot and Ankle Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Pamela L Gleason, N.P.
• Rebecca Gleason, FNP-C
• Raven Glemaud
• Glen R. Lacinski, D.C a Professional Corporation
• Noah Glende, DO
• Abigail Louise Glenn, MD
• Charlotte Ann Glenn
• Grover Glenn, LPC, LISAC, CPHQ
• Melody Jean Glenn, M.D.
• Anna M Glennie, NP

• Foot & Ankle Surgery Podiatrist in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Foot & Ankle Surgery Podiatrist in Arizona

• 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.

Verify at the official NPI Registry.