GLEN D LIBBY MD
NPI 1144200742
Pediatrics - Pediatric Critical Care Medicine in Kalamazoo, MI

Q: What is Glen Libby's NPI number?

The NPI number for Glen Libby is 1144200742. It was assigned to this individual provider in the NPPES registry on January 19, 2006.

Q: What is Glen Libby's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Q: When was this NPI record last updated?

The NPPES record for Glen Libby was last updated on October 16, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 19, 2006

601 JOHN ST, STE 352, KALAMAZOO, MI 49007(269) 341-8986(269) 341-6236 Get Directions Write a Review

NPPES record last updated: October 16, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Glen D Libby Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GLEN D LIBBY MD (NPI 1144200742) is an individual pediatric critical care medicine provider in Kalamazoo, Michigan, licensed in Michigan (4301050097) and active in the NPI registry since January 2006.

NPPES Registry Identity

NPI1144200742

Entity TypeIndividualMale

Primary Taxonomy2080P0203X

Provider Legal NameGLEN D LIBBYCredential: MD

Location Address601 JOHN ST, STE 352Kalamazoo, MI 49007-5341

Mailing Address601 John St, Suite 352Kalamazoo, MI 49007-5341 · (269) 341-8986 · Fax (269) 341-6236

Phone(269) 341-8986

Fax(269) 341-6236

Sole ProprietorNo

Enumeration DateJanuary 19, 2006

Last NPPES UpdateOctober 16, 2014

✔ NPI 1144200742 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080P0203X

License✔ Licensed in MI · 4301050097

Definition

A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.

601 JOHN ST, Kalamazoo, MI 49007

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Other Identifiers 3

Medicare PIN0C97618073MI

Medicaid1744625MI

Medicare UPINA79872

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. AMANDA KEATING WALKER D.O.

Obstetrics & Gynecology

601 JOHN ST, SUITE N1200
KALAMAZOO, MI 49007

Kalamazoo County (269) 341-7979

ANDREW W. WALKER MD

Emergency Medicine

601 JOHN ST
KALAMAZOO, MI 49007

Kalamazoo County (847) 404-6853

JUSTINE MELODIE OUDSEMA PA-C

Physician Assistant

601 JOHN ST, BOX 74
KALAMAZOO, MI 49007

Kalamazoo County (269) 341-8481

OCHUKO ANDREW OGHOR CRNA

Nurse Anesthetist, Certified Registered

601 JOHN ST
KALAMAZOO, MI 49007

Kalamazoo County (239) 341-7654

MARK J TIESZEN MD

Internal Medicine (Critical Care Medicine)

601 JOHN ST, SUITE M-510
KALAMAZOO, MI 49007

Kalamazoo County (269) 341-7762

DR. ERIC S SHAY M.D.

Internal Medicine

601 JOHN ST, SUITE M-170
KALAMAZOO, MI 49007

Kalamazoo County (269) 381-5060

EVGENIIA MORLEY RD

Dietitian, Registered

601 JOHN ST
KALAMAROO, MI 49007

Kalamazoo County (269) 341-6615

SELECT HOSPITALISTS, PLLC

Internal Medicine

601 JOHN ST
KALAMAZOO, MI 49007

Kalamazoo County (269) 341-7100

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Glen Libby's NPI number?

The NPI number for Glen Libby is 1144200742. It was assigned to this individual provider in the NPPES registry on January 19, 2006.

Where is Glen Libby located?

Glen Libby practices at 601 John St Ste 352, Kalamazoo, MI 49007. The listed phone number is (269) 341-8986.

What is Glen Libby's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

When was this NPI record last updated?

The NPPES record for Glen Libby was last updated on October 16, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.