Clair Joseph Glenn, M.D., OB/GYN

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

172886-1205 Issued in UT

Practice address

1055 N 300 W Ste 110
Provo, UT 84604-3381

Phone

(801) 357-7377

Fax

(801) 357-7378

NPI assigned

Sep 5, 2006

Reactivated

Oct 5, 2023

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

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

{
    "created_epoch": "1157414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696464000000",
    "number": "1942302211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1055 N 300 W STE 110",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846043381",
            "telephone_number": "801-357-7377",
            "fax_number": "801-357-7378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 N 300 W STE 110",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846043381",
            "telephone_number": "801-357-7377",
            "fax_number": "801-357-7378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLENN",
        "first_name": "CLAIR",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "M.D., OB/GYN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-05",
        "last_updated": "2023-10-05",
        "certification_date": "2023-07-31",
        "deactivation_date": "2023-07-31",
        "reactivation_date": "2023-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "UT",
            "license": "172886-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Courtni Gleason
• Kelsey Gleason, PA-C
• Ashley Nicole Gledhill
• Kent M Gledhill, MD
• Brian Joseph Glenn, CRNA
• Preston Gluth
• Jacob Gneiting
• Casey Jonathan Gobble, PHARM.D.
• Aidan Goble, PA-S
• Emmalynn Rose Goddard, SC.61541753

• Obstetrics & Gynecology Physician in Provo, UT
• Providers in Provo, UT by specialty
• Obstetrics & Gynecology Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 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.