Daffeny Lynn Glotzbach, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

1853 Issued in CO

Practice address

200 W. County Line Rd.
Ste #130
Highlands Ranch, CO 80129

Phone

(303) 791-0418

Fax

(303) 791-1849

NPI assigned

Aug 11, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Daffeny Lynn Igo Former name

Medicare fee-for-service enrollment

Enrolled in CO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Our Lady of Hope Medical Clinic IncGroup PAC ID 9537446109, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: daffeny.glotzbach@661508255186948.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.

• Our Lady of Hope Medical Clinic Inc.

  • Primary Care Clinic/Center
  • Centennial, CO
  • NPI 1265890917
  Medicare reassignment Care Compare group
• Colorado Physician Partners, PLLC

  • Family Medicine Physician
  • Centennial, CO
  • NPI 1376140137
  Medicare reassignment NPD

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642636800000",
    "number": "1962413021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7960 S UNIVERSITY BLVD",
            "address_2": "STE 203",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801223167",
            "telephone_number": "303-716-8018",
            "fax_number": "303-763-5495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W. COUNTY LINE RD.",
            "address_2": "STE #130",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "80129",
            "telephone_number": "303-791-0418",
            "fax_number": "303-791-1849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLOTZBACH",
        "first_name": "DAFFENY",
        "middle_name": "LYNN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-11",
        "last_updated": "2022-01-20",
        "certification_date": "2022-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "1853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DAFFENY",
            "last_name": "IGO",
            "middle_name": "LYNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Robert O Gin, MD
• Richard W Gingras, D.C.
• Steven Adam Ginsburg
• Erika Glatt, LMT
• Global Behavior Education Alliance, Inc.
• Mackenzie Gloven, DPT
• Daniel Caleb Godbey, DPT
• Jamie Goitia
• Rebecca Haley Goldberg, DDS
• Ava Deann Goldstein

• Physician Assistant in Highlands Ranch, CO
• Providers in Highlands Ranch, CO by specialty
• Physician Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.