NPI Details
Glenn Davin Haraway, DO is an internal medicine in Tulsa, OK with 31 years of experience. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. Glenn Davin Haraway, DO NPI is 1679679062. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
Education
Medical School: OKLAHOMA STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduation Year:1994
The provider's business location address is:
6901 S. YORKTOWN AVE., SUITE C
TULSA, OK
ZIP 74136
Phone: (918) 701-2020
Fax: (866) 314-4375
The NPI 1679679062 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.
- Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
- Ultrasound study of one arm or leg veins with compression and maneuvers (HCPCS:93971)
- Ultrasound study of arm or leg veins with compression and maneuvers (HCPCS:93970)
- Destruction of first incompetent vein of arm or leg using radiofrequency and imaging guidance (HCPCS:36475)
- Injection of chemical agent into multiple incompetent veins of leg (HCPCS:36471)
- New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
- New patient office or other outpatient visit, 60-74 minutes (HCPCS:99205)
- Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
- Injection of chemical agent into single incompetent vein of leg using ultrasound guidance (HCPCS:36465)
- Ultrasonic guidance for needle placement (HCPCS:76942)
- Destruction of subsequent incompetent veins of arm or leg using radiofrequency and imaging guidance (HCPCS:36476)
- Removal of varicose veins of arm or leg, 10-20 incisions (HCPCS:37765)
- Varicose vein removal (HCPCS:NAN08)
The enumeration date for this NPI number is 9/15/2006 and was last updated on 1/13/2020.
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 | 207R00000X | Internal Medicine | | 3263 | OKLAHOMA | 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 | 100254950B | MEDICAID | OKLAHOMA | |
| 2 | 163667003 | MEDICAID | ARKANSAS | |
