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Deactivated NPI 1154345098 Deactivated / Inactive NPI Male Practitioner

Dr. Glen L Mizer , MD

Surgery • Denton, TX

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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, Dr. Glen Mizer has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 26, 2006
NPI Deactivation Date November 06, 2020
Total Practice Duration ~14 Years of Practice (2006 – 2020)

Professional Overview & Biography Verified Profile Summary

Dr. Glen Mizer, MD was a registered Surgery practicing in Denton, TX. Throughout an active medical career spanning 14 years, Dr. Mizer provided care at the practice location at 3537 S INTERSTATE 35 E until profile deactivation on 2020-11-06.

Practice Location & Contact Primary Location

Practice Address

3537 S Interstate 35 E
Suite 305

Denton, TX 76210

Telephone 9403877588
Fax 9405660881
Associated Practice Facility / Clinic
🏢 Jinny Yoon Md Pa Facility NPI 1538213954

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Denton, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 21.5 Yrs
State Avg: 25.2 Yrs
Regional Practice Density
17 Specialists

Practicing in Denton, TX (2342 Statewide)

Telehealth Adoption Rate
11.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License TX F6046

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners
Dr. Jennifer Scarsella , MD

Surgery - Vascular Surgery

NPI 1316472962

Doctor of Medicine (M.D.)

Sara Darby , ACAGNP-BC

Nurse Practitioner - Acute Care

NPI 1427690171

ACAGNPBC

Dr. Carlos Cruz , MD

Surgery - Vascular Surgery

NPI 1700809480

Doctor of Medicine (M.D.)

Sally Connaughton

Specialist/Technologist, Other - Surgical Technologist

NPI 1710192224
Scott Wagner , CNOR RNFA

Nurse Practitioner - Family

NPI 1841499258

CNORRNFA

NPI 1902903438

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated November 06, 2020

Record deactivated on November 06, 2020

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 3537 S INTERSTATE 35 E, SUITE 305, DENTON, TX 76210 (Tel: 9403877588)

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Updated Business Mailing Address July 08, 2007

Registered at 3537 S INTERSTATE 35 E, SUITE 305, DENTON, TX 76210 (Tel: 9403877588)

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Provider Name / Credentials Updated July 08, 2007

Recorded as GLEN MIZER, M D

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Surgery (License #F6046 in TX)

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Initial NPI Registration & Enumeration July 26, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1154345098
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 26, 2006
Last Update: July 08, 2007
Deactivation Date: November 06, 2020

Mailing Address

3537 S Interstate 35 E, Suite 305

Denton, TX 76210

Phone: 9403877588

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.