DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: DR. SHAWN D GLISSON M.D.

MEDICARE: DR. SHAWN D GLISSON M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RH0003XHematology & Oncology Physician01042659AIN
2207RH0003XHematology & Oncology Physician29701KY

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1830005455OTHERRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2000000051749OTHERKYANTHEM
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
41068275OTHERKYPASSPORT
5MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1821061268
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SHAWN D GLISSON M.D.
Provider Business Mailing Address
First Line : 315 E BROADWAY
Second Line :
City : LOUISVILLE
State : KY
Zip : 40202-3700
Country : US
Telephone Number : 502-629-2500
Fax Number : 502-629-2055
Provider Business Practice Location Address
First Line : 676 S FLOYD ST FL 2
Second Line :
City : LOUISVILLE
State : KY
Zip : 40202-1840
Country : US
Telephone Number : 502-629-2500
Fax Number : 502-629-2055
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/08/2006
Last Update Date : 11/10/2021

Similar Medicare Providers

1861322596 — DANIELLE TURNER
Practice Location Address:
676 S FLOYD ST STE 200
LOUISVILLE, KY
40202-1840
Practice Phone: 502-629-2500
Practice Fax: 502-629-4445
1518939933 — JOSEPH M FLYNN D.O., MPH
Practice Location Address:
676 S FLOYD ST STE 200
LOUISVILLE, KY
40202-1840
Practice Phone: 502-629-4440
Practice Fax: 502-629-4445
1497720049 — DOUGLAS ALAN NELSON M.D.
Practice Location Address:
676 S FLOYD ST STE 200
LOUISVILLE, KY
40202-1840
Practice Phone: 502-629-4440
Practice Fax: 502-629-4445
1093775140 — TED BRIAN HOOD PA-C
Practice Location Address:
676 S FLOYD ST STE 200
LOUISVILLE, KY
40202-1840
Practice Phone: 502-629-2804
Practice Fax: 502-629-3132
1114983871 — AARON C SPALDING MD PHD
Practice Location Address:
676 S FLOYD ST FL 1
LOUISVILLE, KY
40202-1840
Practice Phone: 502-629-4555
Practice Fax: 502-629-4599
1831157593 — DR. BRIAN D STOLL M.D.
Practice Location Address:
676 S FLOYD ST STE 200
LOUISVILLE, KY
40202-1840
Practice Phone: 502-629-2500
Practice Fax: 502-629-4445

Directions to “ DR. SHAWN D GLISSON M.D.” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.