Physician Compare National (NPI:1821174145)

HEALTHCARE PROVIDER: KATHERYNE W GLANTZ DPM

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1821174145
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	2062552219
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20091218000153
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	GLANTZ
	Individual professional last name
Provider First Name	KATHERYNE
	Individual professional first name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	1990
	Individual professional's medical school graduation year
Primary Specialty	PODIATRY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	2345 E PRATER WAY
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 315
	Group Practice or individual's line 2 address
City	SPARKS
	Group Practice or individual's city
State	NV
	Group Practice or individual's state
Zip Code	894349639
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	290001
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	RENOWN REGIONAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	290032
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	NORTHERN NEVADA MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y