Glen J. McCracken, M.D.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

23445 Issued in AZ

Practice address

7400 E Osborn Rd
Emergency Department
Scottsdale, AZ 85251-6432

Phone

(480) 882-6359

Fax

(480) 882-4389

NPI assigned

May 10, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: glen.mccracken@166622370791428.direct.elationemr.com

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.

• Mountain Vista Emergency Physicians, LLC

  • Emergency Medicine Physician
  • Mesa, AZ
  • NPI 1164642963
  Medicare reassignment NPD
• PGF Medical Services PLLC

  • Personal Emergency Response Attendant
  • Phoenix, AZ
  • NPI 1356857262
  Medicare reassignment NPD
• Scottsdale Emergency Associates, LTD.

  • Emergency Medicine Physician
  • Scottsdale, AZ
  • NPI 1083671432

  Personal Emergency Response Attendant

  Medicare reassignment NPD
• Tec Emergency Physicians of Arizona, LLC

  • Emergency Care Clinic/Center
  • Gilbert, AZ
  • NPI 1245772870
  Medicare reassignment NPD
• Scottsdale Emergency Associates, LTD.

  • Emergency Medicine Physician
  • Scottsdale, AZ
  • NPI 1023298551

  Personal Emergency Response Attendant

  NPD
• Life Line Community Healthcare - Kansas, PA

  • Community Health/Public Health Clinical Nurse Specialist
  • Independence, OH
  • NPI 1942629746
  NPD
• Life Line Community Healthcare California

  • Public Health & General Preventive Medicine Physician
  • Valencia, CA
  • NPI 1033519657
  NPD
• Life Line Community Healthcare New Jersey, LLC

  • Nurse Practitioner
  • Independence, OH
  • NPI 1093118853
  NPD

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650844800000",
    "number": "1891745253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2710",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852522710",
            "telephone_number": "480-882-6359",
            "fax_number": "480-882-4389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7400 E OSBORN RD",
            "address_2": "EMERGENCY DEPARTMENT",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852516432",
            "telephone_number": "480-882-6359",
            "fax_number": "480-882-4389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCRACKEN",
        "first_name": "GLEN",
        "middle_name": "J.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-10",
        "last_updated": "2022-04-25",
        "certification_date": "2022-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146D00000X",
            "taxonomy_group": "",
            "desc": "Personal Emergency Response Attendant",
            "state": "AZ",
            "license": "23445",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "195886",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AZ",
            "license": "23445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Presley McCormick
• Heather O'Hara McCoy, DRNP
• Jay A McCoy, RPH
• Pamela Rose McCoy
• Gary Anthony McCracken, M.D.
• Jared Andrew McCracken
• Courtney McCraney
• Kyle McCrite, OTR/L
• Ana M McCrory, M.A., CCC-SLP
• Jennifer Renee McCurry, P.T.A.

• Emergency Medicine Physician in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Emergency Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.