Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0117X | Orthopaedic Spine Surgeon | 27001 | KY |
NPI | 1275531501 |
---|---|
Provider Name | Steven D. Glassman |
First Address | Chicago, IL 60677-6351 |
Second Address | Louisville, KY 40202-3900 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/07/2005 |
Last Update Date | 12/01/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000000049343 | ANTHEM / UNIV ORTHO ASSOC (01) | KY |
000000049463 | ANTHEM / SPINE INSTITUTE (01) | KY |
00533163 | MEDICARE/NLS (01) | KY |
0219793 | WASHINGTON DEPT OF LABOR (01) | WA |
100373900 | (05) | IN |
1049635 | PASSPORT (UNIVERSITY ORTH (01) | KY |
1054524 | PASSPORT (SPINE INSTITUTE (01) | KY |
163722400 | US DEPT OF LABOR (01) | KY |
200007232 | RAILROAD MEDICARE (SPINE (01) | KY |
2432611000 | PASSPORT ADVANTAGE (UNIVE (01) | KY |
2433678000 | PASSPORT ADVANTAGE (SPINE (01) | KY |
64270010 | (05) | KY |
E46753 | (02) | KY |
N294333 | HARMONY (01) | |
P00344319 | RAILROAD MEDICARE (UNIVER (01) | KY |