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JONATHAN LEE GLEASON MD NPI 1780749820


NPI Information

NPI: 1780749820
Provider Name: JONATHAN LEE GLEASON, MD
Classification: Obstetrics & Gynecology - 207VF0040X
Entity Type: Individual

Specialization: Female Pelvic Medicine and Reconstructive Surgery

PECOS Registration: Yes

Address:
101 HALTON VILLAGE CIR
GREENVILLE, SC
ZIP 29607
Phone: (864) 455-1600
Get Directions

Jonathan Lee Gleason, MD is a female pelvic medicine and reconstructive surgery obstetrics gynecology in Greenville, SC with 19 years of experience. The provider is an obstetrics & gynecology physician subspecialist in Female Pelvic Medicine and Reconstructive Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures necessary for the total care of the patient with these conditions and complications resulting from them. Jonathan Lee Gleason, MD NPI is 1780749820. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Graduation Year:2005

The provider's business location address is:

101 HALTON VILLAGE CIR
GREENVILLE, SC
ZIP 29607-825
Phone: (864) 455-1600
Fax: (864) 286-5298

The NPI 1780749820 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), Power Mobility Devices.

The enumeration date for this NPI number is 12/27/2006 and was last updated on 5/11/2023.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207V00000XObstetrics & GynecologyMT186681PENNSYLVANIANo
2207VF0040XObstetrics & GynecologyFemale Pelvic Medicine and Reconstructive Surgery0101251665VIRGINIANo
3207VG0400XObstetrics & GynecologyGynecology29368ALABAMANo
4207VG0400XObstetrics & GynecologyGynecology0101251665VIRGINIANo
5207VF0040XObstetrics & GynecologyFemale Pelvic Medicine and Reconstructive Surgery88740SOUTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
151599090OTHERALABAMABLUE CROSS
202536526MEDICAIDMISSISSIPPI
3113533MEDICAIDALABAMA
4557400MEDICAIDSOUTH CAROLINA
551599089OTHERALABAMABLUE CROSS
6113528MEDICAIDALABAMA
7113530MEDICAIDALABAMA
851599092OTHERALABAMABLUE CROSS

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.