Glenn G Tefteller, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

56688241205 Issued in UT

Practice address

354 W State Road 73
Saratoga Springs, UT 84045-2901

Phone

(801) 766-4567

NPI assigned

Jul 29, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Ihc Health Services, Inc.

  • Psychiatry Physician
  • St George, UT
  • NPI 1023843844
  NPD (past)

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

{
    "created_epoch": "1154131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276646400000",
    "number": "1861406209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 27128",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841270128",
            "telephone_number": "801-766-4567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "354 W STATE ROAD 73",
            "city": "SARATOGA SPRINGS",
            "state": "UT",
            "postal_code": "840452901",
            "telephone_number": "801-766-4567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEFTELLER",
        "first_name": "GLENN",
        "middle_name": "G",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-29",
        "last_updated": "2010-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "UT",
            "license": "56688241205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ishaah Talker
• Janette Thanh Tam, M.A., CCC- SLP
• Task Rehab Services LLC
• Barbara Jane Taylor, SLP
• Taylor Denise Stephens Teerlink
• Cierra Teichert
• Chaely Tenney
• Anna Houston Tenorio, MOT, OTR/L
• Ashley Tew
• The Clinic, PC

• Emergency Medicine Physician in Saratoga Springs, UT
• Providers in Saratoga Springs, UT by specialty
• Emergency Medicine Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.

Verify at the official NPI Registry.