Eddie Glenn , PA
Physician Assistant • Syracuse, NY
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Eddie Glenn has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Eddie Glenn, PA was a registered Physician Assistant practicing in Syracuse, NY. Throughout an active medical career spanning 11 years, Eddie Glenn provided care at the practice location at 819 S SALINA ST until profile deactivation on 2017-08-09.
Practice Location & Contact Primary Location
819 S Salina St
Syracuse, NY 132023536
Specialty Benchmarks & Practice Insights
Comparative analytics for Physician Assistant in Syracuse, NY
Practicing in Syracuse, NY (15701 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 363A00000X
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Dentist
Doctor of Dental Surgery
Licensed Practical Nurse
Licensed Practical Nurse
Nurse Practitioner
Nurse Practitioner
Obstetrics & Gynecology
Doctor of Medicine (M.D.)
Counselor
Licensed Clinical Social Worker
Hospitalist
Doctor of Medicine (M.D.)
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on August 09, 2017
NPI status registered as active in NPPES database
Registered at 819 S SALINA ST, SYRACUSE, NY 132023536 (Tel: 3154767921)
Registered at 251 SALINA MEADOWS PKWY, SUITE 100, SYRACUSE, NY 132124584 (Tel: 3154642096)
Recorded as EDDIE GLENN, PA
Physician Assistant (License #006732 in NY)
First registered as active Individual Practitioner in NPPES Database.
Patient & Community Reviews
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NPI Administrative Meta
Mailing Address
251 Salina Meadows Pkwy, Suite 100
Syracuse, NY 132124584
Phone: 3154642096
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