Active NPI
Gary R Glynn MD Apmc
- Physical Medicine & Rehabilitation Physician
- New Orleans, LA
National Provider Identifier
1831252287
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- Legal business name
- GARY R GLYNN MD APMC
- Practice address
- 1401 Foucher Street
Suite M1005
New Orleans, LA 70115 - Phone
- (504) 897-8543
- Fax
- (504) 897-8726
- NPI assigned
- Dec 18, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Barbara Serrone
- Title
- Office Manager
- Phone
- (504) 897-8543
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | Primary |
Addresses
Primary practice location
1401 Foucher Street
Suite M1005
New Orleans, LA 70115
Mailing address
1401 Foucher Street
Suite M1005
New Orleans, LA 70115
Phone (504) 897-8543
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1301680 | Medicaid | LA | |
| 1688657 | Medicaid | LA | |
| 1925594 | Medicaid | LA | |
| 2106309 | Medicaid | LA | |
| 2146645 | Medicaid | LA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166400000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1479254400000",
"number": "1831252287",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1401 FOUCHER STREET",
"address_2": "SUITE M1005",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "70115",
"telephone_number": "504-897-8543",
"fax_number": "504-897-8726"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1401 FOUCHER STREET",
"address_2": "SUITE M1005",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "70115",
"telephone_number": "504-897-8543",
"fax_number": "504-897-8726"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GARY R GLYNN MD APMC",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-18",
"last_updated": "2016-11-16",
"status": "A",
"authorized_official_last_name": "SERRONE",
"authorized_official_first_name": "BARBARA",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "504-897-8543",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1301680",
"state": "LA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1688657",
"state": "LA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1925594",
"state": "LA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2106309",
"state": "LA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2146645",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New Orleans, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 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.