GLENN DAVID YOCUM DPM NPI 1174649727

NPI Information

NPI: 1174649727
Provider Name: GLENN DAVID YOCUM, DPM
Classification: Podiatrist - 213E00000X
Entity Type: Individual
Address:
5407 17TH AVE NW
SEATTLE, WA
ZIP 98107
Phone: (206) 784-2670
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Glenn David Yocum, DPM is a podiatrist in Seattle, WA. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. Glenn David Yocum, DPM NPI is 1174649727. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5407 17TH AVE NW
SEATTLE, WA
ZIP 98107-818
Phone: (206) 784-2670
Fax: (206) 784-1590

The enumeration date for this NPI number is 3/22/2007 and was last updated on 9/2/2015.

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		PO00000223	WASHINGTON	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	G000105970	OTHER	WASHINGTON	PTAN
2	1144401	MEDICAID	WASHINGTON
3	00528	OTHER	WASHINGTON	BLUE CROSS BLUE SHIELD
4	0281540001	MEDICARE NSC	WASHINGTON
5	YO0026	OTHER	WASHINGTON	REGENCE BLUE SHIELD
6	T01919	MEDICARE UPIN	WASHINGTON

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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