Glenn J Saucer MD PA

Primary specialty

SpecialistTaxonomy code 174400000X

License

12568 Issued in AL

Legal business name

GLENN J SAUCER MD PA

Practice address

1722 Pine St
Suite 603
Montgomery, AL 36106-1103

Phone

(334) 264-2422

Fax

(334) 264-9294

NPI assigned

Apr 1, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Glenn J Saucer, MD

Title

President

Phone

(334) 264-2422

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1238544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309219200000",
    "number": "1508008889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1722 PINE ST",
            "address_2": "SUITE 603",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361061103",
            "telephone_number": "334-264-2422",
            "fax_number": "334-264-9294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1722 PINE ST",
            "address_2": "SUITE 603",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361061103",
            "telephone_number": "334-264-2422",
            "fax_number": "334-264-9294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLENN J SAUCER MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-01",
        "last_updated": "2011-06-28",
        "status": "A",
        "authorized_official_last_name": "SAUCER",
        "authorized_official_first_name": "GLENN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "334-264-2422",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "AL",
            "license": "12568",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000015771",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Antonio Frequaz Givhan, MS, ALC, ECMH-E
• Rebechia Curry Givhan, ALC
• Jade A Glass, ATC
• Stacy Hoffman Glass, NP
• Glenda Atilano MD LLC
• Brandon Glenn
• Caroline Glenn, MED, LAT, ATC
• Michael Earl Glenn
• Glenwood
• Global Imaging LLC

• Specialist in Montgomery, AL
• Providers in Montgomery, AL by specialty
• Specialist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2011; 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.