Russel S Glaun MD PA

Primary specialty

Dermatopathology PhysicianTaxonomy code 207ND0900X

License

ME70420 Issued in FL

Legal business name

RUSSEL S GLAUN MD PA

Practice address

1590 NW 10TH Ave
Suite 304
Boca Raton, FL 33486-1313

Phone

(561) 392-4558

Fax

(561) 392-0041

NPI assigned

Feb 27, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Russel Selwyn Glaun, MDNPI 1265468417

Title

President

Phone

(561) 392-4558

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

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

• Russel S Glaun, MD

  • Dermatopathology Physician
  • Boca Raton, FL
  • NPI 1265468417
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229040000000",
    "number": "1831226778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1590 NW 10TH AVE",
            "address_2": "SUITE 304",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334861313",
            "telephone_number": "561-392-4558",
            "fax_number": "561-392-0041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1590 NW 10TH AVE",
            "address_2": "SUITE 304",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334861313",
            "telephone_number": "561-392-4558",
            "fax_number": "561-392-0041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUSSEL S GLAUN MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2008-12-12",
        "status": "A",
        "authorized_official_last_name": "GLAUN",
        "authorized_official_first_name": "RUSSEL",
        "authorized_official_middle_name": "SELWYN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-392-4558",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207ND0900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology, Dermatopathology",
            "state": "FL",
            "license": "ME70420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Myles Alan Runsdorf, PSY.D.
• Deanna Ruocco
• Christina Ruoto, LCSW
• Patricia L Rupert, D.C.
• Alyssa Rush
• Kali Russell, OTD
• Marla Russell
• Susanna Russell
• Joan L Rutenberg, D.C.
• Ruth & Norman Rales Jewish Family Services Inc

• Dermatopathology Physician in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Dermatopathology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.