Max Glennon

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AP4350 Issued in FL

Practice address

1330 NW 6TH St
Gainesville, FL 32601-2211

Phone

(352) 353-5036

NPI assigned

Apr 18, 2023

Sex

Male

Sole proprietor

Yes

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)

Not enrolled

State licenses

Practice roles

Locations

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.

• Acupuncture Transformation PLLC

  • Acupuncturist
  • Gainesville, FL
  • NPI 1306539200
  NPD Authorized official

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

{
    "created_epoch": "1681776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681776000000",
    "number": "1902593379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1330 NW 6TH ST",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326012211",
            "telephone_number": "352-353-5036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 NW 6TH ST",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326012211",
            "telephone_number": "352-353-5036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLENNON",
        "first_name": "MAX",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-04-18",
        "last_updated": "2023-04-18",
        "certification_date": "2023-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "FL",
            "license": "AP4350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacey Lee Gleim, PA-C
• Andrew Joseph Gleissner, PA-C
• Megan Glemza, ARNP
• Candace Jordan Glenn, M.D.
• Lisa Kelli Glenn, LMT
• Lacie Elizabeth Wilson Glick, RDH
• Laura Anne Glicksman
• Gloria Ann Glidewell, CNM
• Dallas Glover
• Naomi Zoey Glover

• Acupuncturist in Gainesville, FL
• Providers in Gainesville, FL by specialty
• Acupuncturist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2023; 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.