Organization Active NPI

James a Glasgow M D Inc

  • Surgery Physician
  • Ada, OK
National Provider Identifier
1669697926
Registry record updated Dec 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
11790 Issued in OK
Legal business name
JAMES A GLASGOW M D INC
Practice address
325 N Monte Vista St
Ada, OK 74820-4607
Phone
(580) 436-5130
Fax
(580) 436-1103
NPI assigned
Apr 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2010

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

Authorized official

Name
Dr. James Alden Glasgow, M.D.
Title
President
Phone
(580) 436-5130

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X 11790 OK Primary

Addresses

Primary practice location

325 N Monte Vista St
Ada, OK 74820-4607

Mailing address

325 N Monte Vista St
Ada, OK 74820-4607
Phone (580) 436-5130

Other identifiers 2

IdentifierTypeStateIssuer
731157038001OtherOKBCBS
100100480AMedicaidOK

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292544000000",
    "number": "1669697926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 N MONTE VISTA ST",
            "city": "ADA",
            "state": "OK",
            "postal_code": "748204607",
            "telephone_number": "580-436-5130",
            "fax_number": "580-436-1103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 N MONTE VISTA ST",
            "city": "ADA",
            "state": "OK",
            "postal_code": "748204607",
            "telephone_number": "580-436-5130",
            "fax_number": "580-436-1103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES A GLASGOW M D INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-13",
        "last_updated": "2010-12-17",
        "status": "A",
        "authorized_official_last_name": "GLASGOW",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "ALDEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "580-436-5130",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "OK",
            "license": "11790",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "731157038001",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100100480A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ada, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2010; 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.