Byron Cornelius Glenn

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

BYRON CORNELIUS GLENN

Practice address

1353 N Mount Auburn Rd
Suite B
Cape Girardeau, MO 63701-1727

Phone

(573) 332-8400

Fax

(573) 332-8151

NPI assigned

Oct 13, 2015

Organization subpart

No

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

Authorized official

Name

Byron C Glenn, MDNPI 1679766406

Title

Director

Phone

(573) 332-8400

Specialties & licenses 1

Addresses

Other names 1

• Cape Urgent Care & Family Medicine Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Byron Cornelius Glenn, M.D.

  • Family Medicine Physician
  • Cape Girardeau, MO
  • NPI 1679766406
  NPD (past) Authorized official

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

{
    "created_epoch": "1444694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454025600000",
    "number": "1790156032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1353 N MOUNT AUBURN RD",
            "address_2": "SUITE B",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637011727",
            "telephone_number": "573-332-8400",
            "fax_number": "573-332-8151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1353 N MOUNT AUBURN RD",
            "address_2": "SUITE B",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637011727",
            "telephone_number": "573-332-8400",
            "fax_number": "573-332-8151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BYRON CORNELIUS GLENN",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-13",
        "last_updated": "2016-01-29",
        "status": "A",
        "authorized_official_last_name": "GLENN",
        "authorized_official_first_name": "BYRON",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "573-332-8400",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cape Urgent Care & Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mark J Businaro, COTA
• Shawni Butler, LCSW
• Frederick Emil Butt, MD
• Christine Marie Byrd, APRN
• Stephen Michael Byrd, PHARMD
• C M Crawford Chiropractic LLC
• C. Mosebach Consulting LLC Dba Trusted Healthcare
• Shatavia Renee Cagle
• April Cain, LPN
• Lynne E Cairns, LCSW

• Primary Care Clinic/Center in Cape Girardeau, MO
• Providers in Cape Girardeau, MO by specialty
• Primary Care Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2016; 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.