DR. JEFFREY D GLAZER MD NPI 1467415778

NPI Information

  • NPI: 1467415778
  • Provider Name: DR. JEFFREY D GLAZER, MD
  • Classification: Obstetrics & Gynecology - 207VG0400X
  • Specialization: Gynecology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2215 PORTLAND AVE
    LOUISVILLE, KY
    ZIP 40212
  • Phone: (812) 218-8926

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NPI Details

DR. Jeffrey D Glazer, MD is a gynecology obstetrics gynecology in Louisville, KY with 43 years of experience. The provider is a physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee DR. Jeffrey D Glazer, MD NPI is 1467415778. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE
Graduation Year:1983

The provider's business location address is:

2215 PORTLAND AVE
LOUISVILLE, KY
ZIP 40212-033
Phone: (812) 218-8926
Fax: (812) 218-8930

The NPI 1467415778 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 4/8/2006 and was last updated on 4/14/2021.

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
1207VG0400XObstetrics & GynecologyGynecology25111KENTUCKYYes

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
1K205683OTHERKENTUCKYMEDICARE PTAN - IROQUOIS
2K205681OTHERKENTUCKYMEDICARE PTAN - PORTLAND
3K205685OTHERKENTUCKYMEDICARE PTAN - SOUTHWEST
4K205686OTHERKENTUCKYMEDICARE PTAN- FAIRDALE
564251119MEDICAIDKENTUCKY
6K205682OTHERKENTUCKYMEDICARE PTAN- EAST BROADWAY
7K205684OTHERKENTUCKYMEDICARE PTAN - PHOENIX
8K205680OTHERKENTUCKYMEDICARE PTAN-AMERICANA

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: 11/21/2025

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