Active NPI
James Alden Glasgow, M.D.
- Surgery Physician
- Ada, OK
National Provider Identifier
1851400642
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 11790
- Practice address
- 325 N Monte Vista St
Ada, OK 74820-4607 - Phone
- (580) 436-5130
- Fax
- (580) 436-1103
- NPI assigned
- Aug 29, 2006
- Last updated
- Dec 17, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 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 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 731157038001 | Other | OK | BCBS |
| CR0998 | Other | OK | PALMETTO GBA - RAILROAD M |
| 100100480A | Medicaid | OK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Surgery Physician
- Ada, OK
- NPI 1669697926
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1292544000000",
"number": "1851400642",
"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": {
"last_name": "GLASGOW",
"first_name": "JAMES",
"middle_name": "ALDEN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-29",
"last_updated": "2010-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "OK",
"license": "11790",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "731157038001",
"state": "OK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PALMETTO GBA - RAILROAD M",
"identifier": "CR0998",
"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.