Individual provider Active NPI

Ronald C McGlennen, M.D.

  • Ph.D. Medical Genetics
  • Eden Prairie, MN
National Provider Identifier
1568481109
Registry record updated Jan 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ph.D. Medical GeneticsTaxonomy code 170100000X
License
31318 Issued in MN
Practice address
7400 Flying Cloud Dr
Suite 150
Eden Prairie, MN 55344-3720
Phone
(952) 942-0671
NPI assigned
Jul 18, 2006
Last updated
Jan 15, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ph.D. Medical Genetics 170100000X 31318 MN Primary

Addresses

Primary practice location

7400 Flying Cloud Dr
Suite 150
Eden Prairie, MN 55344-3720

Mailing address

7400 Flying Cloud Dr
Suite 150
Eden Prairie, MN 55344-3720
Phone (952) 942-0671

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
31318MNMDPh.D. Medical Genetics

Practice roles

OrganizationSpecialtyStatusNew patients
Access Genetics, LLC PastSince Aug 7, 2022 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358208000000",
    "number": "1568481109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7400 FLYING CLOUD DR",
            "address_2": "SUITE 150",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553443720",
            "telephone_number": "952-942-0671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7400 FLYING CLOUD DR",
            "address_2": "SUITE 150",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553443720",
            "telephone_number": "952-942-0671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGLENNEN",
        "first_name": "RONALD",
        "middle_name": "C",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2013-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "170100000X",
            "taxonomy_group": "",
            "desc": "Medical Genetics, Ph.D. Medical Genetics",
            "state": "MN",
            "license": "31318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eden Prairie, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2013; 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.