Jordan J Glenn PLLC
NPI 1023800414ActiveOrganization· Surgery· Peoria, AZ
Surgery in Peoria, Arizona, registered in NPPES in May 2025. The authorized official on file is Jordan Glenn, DO, Member. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1023800414 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 21, 2025 |
| Last updated in NPPES | Aug 29, 2025 |
| Certified by provider | Aug 29, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery Primary | 208600000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (AZ) |
|---|
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