Active NPI
Alden B Glidden MDPC
- Family Medicine Physician
- Klamath Falls, OR
National Provider Identifier
1962534966
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- OR7620
- Legal business name
- ALDEN B GLIDDEN MDPC
- Practice address
- 2680 Uhrmann Rd Ste B
Klamath Falls, OR 97601-1174 - Phone
- (541) 882-8823
- Fax
- (541) 883-6481
- NPI assigned
- Mar 12, 2007
- Last updated
- Oct 14, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Alden B. Glidden, M.D.
- Title
- Owner
- Phone
- (541) 882-8823
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | OR7620 | OR | Primary |
Addresses
Primary practice location
2680 Uhrmann Rd Ste B
Klamath Falls, OR 97601-1174
Mailing address
2680 Uhrmann Rd Ste B
Klamath Falls, OR 97601-1174
Phone (541) 882-8823
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 274623 | Medicaid | OR |
National Provider Directory
National Provider DirectoryLocations
2680 Uhrmann Rd
Ste B
Klamath Falls, OR 97601
Phone (541) 882-8823
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Nurse Practitioner
- Klamath Falls, OR
- NPI 1437186897
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173657600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1192320000000",
"number": "1962534966",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2680 UHRMANN RD STE B",
"city": "KLAMATH FALLS",
"state": "OR",
"postal_code": "976011174",
"telephone_number": "541-882-8823",
"fax_number": "541-883-6481"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2680 UHRMANN RD STE B",
"city": "KLAMATH FALLS",
"state": "OR",
"postal_code": "976011174",
"telephone_number": "541-882-8823",
"fax_number": "541-883-6481"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALDEN B GLIDDEN MDPC",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-12",
"last_updated": "2007-10-14",
"status": "A",
"authorized_official_last_name": "GLIDDEN",
"authorized_official_first_name": "ALDEN",
"authorized_official_middle_name": "B.",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "541-882-8823",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OR",
"license": "OR7620",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "274623",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Klamath Falls, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.