Individual provider Active NPI

Karen Glandon, DPM

  • Podiatrist
  • Columbus, OH
National Provider Identifier
1750384525
Registry record updated Jan 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
36003087 Issued in OH
Practice address
1175 Noe Bixby Rd # B
Columbus, OH 43213-3530
Phone
(513) 787-3964
NPI assigned
May 24, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 22, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 36003087 OH Primary

Addresses

Primary practice location

1175 Noe Bixby Rd # B
Columbus, OH 43213-3530

Mailing address

PO Box 498922
Cincinnati, OH 45249-8922
Phone (513) 787-3964

Other identifiers 2

IdentifierTypeStateIssuer
2072162MedicaidOH
480033904OtherOHRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040714001158 OH Practitioner - Podiatry 1759360787 Practice locations: Cincinnati, OH; Loveland, OH; Milford, OH

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

9090 Montgomery Rd
Cincinnati, OH 45242-7712
Phone (513) 787-3964

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1617
Removal or shaving of skin growth204

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopaedic Consultants of Cincinnati, Inc. Podiatrist Past Accepting new patients
Vaughn Blackburn DPM LLC Podiatrist PastSince Jun 23, 2015 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1116892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453420800000",
    "number": "1750384525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 498922",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452498922",
            "telephone_number": "513-787-3964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1175 NOE BIXBY RD # B",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432133530",
            "telephone_number": "513-787-3964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLANDON",
        "first_name": "KAREN",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-05-24",
        "last_updated": "2016-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "OH",
            "license": "36003087",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2072162",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "480033904",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.