DR. THEODORE E GLYNN M.D.
NPI 1154475523
Specialist in Lansing, MI

Active since January 23, 2007
5303 S CEDAR ST, LANSING, MI 48911(517) 887-4311 Get Directions Write a Review

NPPES record last updated: March 21, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Theodore E Glynn M.d. NPPES

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

DR. THEODORE E GLYNN M.D. (NPI 1154475523) is an individual specialist in Lansing, Michigan, licensed in Michigan (4301071075) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1154475523
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameDR. THEODORE E GLYNNCredential: M.D.
Location Address5303 S CEDAR STLansing, MI 48911-3800
Mailing Address1215 E Michigan AveLansing, MI 48912-1811 · (517) 364-3895
Sole ProprietorNo
Enumeration DateJanuary 23, 2007
Last NPPES UpdateMarch 21, 2017
NPI 1154475523 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in MI · 4301071075
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
5303 S CEDAR ST, Lansing, MI 48911

Other Identifiers 5

Medicare PINC37612033MI
Medicare UPINH32886MI
Medicaid4548289MI
Medicare PINC37626069MI
Other382168683MI · Tax Id

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.

Social Worker
5303 S CEDAR ST
LANSING, MI 48911
Community Health Worker
5303 S CEDAR ST
LANSING, MI 48911
Psychologist
5303 S CEDAR ST, STE 219
LANSING, MI 48911
Nurse Practitioner (Family)
5303 S CEDAR ST
LANSING, MI 48911
Nurse Practitioner
5303 S CEDAR ST
LANSING, MI 48911
Social Worker
5303 S CEDAR ST
LANSING, MI 48911
Nurse Practitioner (Family)
5303 S CEDAR ST
LANSING, MI 48911
Dental Hygienist
5303 S CEDAR ST
LANSING, MI 48911

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 Theodore Glynn's NPI number?

The NPI number for Theodore Glynn is 1154475523. It was assigned to this individual provider in the NPPES registry on January 23, 2007.

Where is Theodore Glynn located?

Theodore Glynn practices at 5303 S Cedar St, Lansing, MI 48911. The listed phone number is (517) 887-4311.

What is Theodore Glynn's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Theodore Glynn was last updated on March 21, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.