Glen R Hyland, M.D.

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

License

3781 Issued in ND

Practice address

311 N Mandan St Ste 1
Bismarck, ND 58501

Phone

(701) 751-4464

Fax

(701) 751-3947

NPI assigned

Aug 23, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: glen.hyland@70601138831364.direct.elationemr.com

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.

• Frances Mahon Deaconess Hospital

  • Critical Access Hospital
  • Glasgow, MT
  • NPI 1689685323
  NPD (past)
• Mid-Minnesota Radiation Oncology, PA

  • Radiation Oncology Physician
  • Edina, MN
  • NPI 1215921408
  NPD (past)
• Minneapolis Radiation Oncology PA

  • Radiation Oncology Physician
  • Edina, MN
  • NPI 1043204233
  NPD (past)

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556841600000",
    "number": "1578679130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 N MANDAN ST STE 1",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585013859",
            "telephone_number": "701-751-4464",
            "fax_number": "701-751-4464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 N MANDAN ST STE 1",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "58501",
            "telephone_number": "701-751-4464",
            "fax_number": "701-751-3947"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3100 N Hillside St",
            "address_purpose": "LOCATION",
            "city": "Wichita",
            "state": "KS",
            "postal_code": "672193904",
            "country_code": "US",
            "telephone_number": "316-682-3100",
            "fax_number": "316-618-8537",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HYLAND",
        "first_name": "GLEN",
        "middle_name": "R",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-23",
        "last_updated": "2019-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "KS",
            "license": "0432003",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "ND",
            "license": "3781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Kaye Armina Hutmacher
• Lauren Elizabeth Hutton, RN IBCLC
• Garold Benjamin Hyatt
• Megan R Hyatt
• Nathan Hyer
• Ian L Greybull
• Alfredo Iardino, M.D.
• Amy Ibach
• Heather Renee Ibach, LAC, LSW
• Michael Kenneth Ibach

• Radiation Oncology Physician in Bismarck, ND
• Providers in Bismarck, ND by specialty
• Radiation Oncology Physician in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2019; 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.