DR. WILLIAM OTTIS MCGLONE DPM NPI 1053801019

NPI Information

NPI: 1053801019
Provider Name: DR. WILLIAM OTTIS MCGLONE, DPM
Classification: Podiatrist - 213ES0103X
Entity Type: Individual

Specialization: Foot & Ankle Surgery

PECOS Registration: Yes

Address:
3901 DUTCHMANS LN STE 104
LOUISVILLE, KY
ZIP 40207
Phone: (502) 496-4914
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DR. William Ottis Mcglone, DPM is a foot and ankle surgery podiatrist in Louisville, KY with 6 years of experience. DR. William Ottis Mcglone, DPM NPI is 1053801019. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: KENT STATE UNIVERSITY COLLEGE OF PODIATRIC MEDICINE
Graduation Year:2018

The provider's business location address is:

3901 DUTCHMANS LN STE 104
LOUISVILLE, KY
ZIP 40207-726
Phone: (502) 496-4914
Fax: (502) 459-7509

The NPI 1053801019 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 5/15/2018 and was last updated on 2/7/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	213E00000X	Podiatrist		243962	KENTUCKY	No
2	213ES0103X	Podiatrist	Foot & Ankle Surgery	07001357A	INDIANA	No
3	213ES0103X	Podiatrist	Foot & Ankle Surgery	243962	KENTUCKY	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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