DR. GLEN R. GOLDFARB M.D.
NPI 1548255151
Otolaryngology - Plastic Surgery within the Head & Neck in St Petersburg, FL

Q: What is Glen Goldfarb's NPI number?

The NPI number for Glen Goldfarb is 1548255151. It was assigned to this individual provider in the NPPES registry on September 20, 2005.

Q: What is Glen Goldfarb's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Plastic Surgery within the Head & Neck, with taxonomy code 207YX0007X.

Q: When was this NPI record last updated?

The NPPES record for Glen Goldfarb was last updated on November 4, 2016. 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.

Active since September 20, 2005

620 10TH STREET N., ST PETERSBURG, FL 33705(727) 824-8375(727) 824-7140 Get Directions Write a Review

NPPES record last updated: November 4, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. Glen R. Goldfarb M.d. NPPES

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

DR. GLEN R. GOLDFARB M.D. (NPI 1548255151) is an individual plastic surgery within the head & neck provider in St Petersburg, Florida, licensed in Florida (ME66028) and active in the NPI registry since September 2005.

NPPES Registry Identity

NPI1548255151

Entity TypeIndividualMale

Primary Taxonomy207YX0007X

Provider Legal NameDR. GLEN R. GOLDFARBCredential: M.D.

Location Address620 10TH STREET N.St Petersburg, FL 33705-1407

Mailing AddressPo Box 12868St Petersburg, FL 33733-2868 · (727) 824-8357 · Fax (727) 824-3132

Phone(727) 824-8375

Fax(727) 824-7140

Sole ProprietorNo

Enumeration DateSeptember 20, 2005

Last NPPES UpdateNovember 4, 2016

✔ NPI 1548255151 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngology · Plastic Surgery within the Head & NeckAllopathic & Osteopathic Physicians

Taxonomy Code207YX0007X

License✔ Licensed in FL · ME66028

Definition

An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgeries are practiced, there are many additional procedures which interface with them.

620 10TH STREET N., St Petersburg, FL 33705

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Other Identifiers 3

Medicare UPINF87714FL

Medicaid261168600FL

Medicare PIN25579YFL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed.Insurance ›

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. SUSAN M FRASER MD

Internal Medicine (Rheumatology)

620 10TH STREET N.
ST. PETERSBURG, FL 33705

Pinellas County (727) 824-8325

MR. ROGER COVEY PT

Physical Therapist

620 10TH STREET N.
ST PETERSBURG, FL 33705

Pinellas County (727) 824-7198

DR. AMY B STRICKLAND MENON M.D.

Internal Medicine (Gastroenterology)

620 10TH STREET N.
ST PETERSBURG, FL 33705

Pinellas County (727) 824-7116

DR. HARRY B SPERBER MD

Internal Medicine (Gastroenterology)

620 10TH STREET N.
ST. PETERSBURG, FL 33705

Pinellas County (727) 824-7116

TIMI DONN MALONEY MD

Family Medicine

620 10TH STREET N.
ST PETERSBURG, FL 33705

Pinellas County (727) 824-7161

MS. VICKI MARIE CONNELL AU.D.

Audiologist

620 10TH STREET N.
ST PETERSBURG, FL 33705

Pinellas County (727) 824-7170

DR. GREGORY C. BAGGERLY D.O.

Family Medicine

620 10TH STREET N.
ST PETERSBURG, FL 33705

Pinellas County (727) 824-8300

DR. EDWARD M FABELO MD

Internal Medicine (Nephrology)

620 10TH STREET N.
ST. PETERSBURG, FL 33705

Pinellas County (727) 824-8274

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 Goldfarb's NPI number?

The NPI number for Glen Goldfarb is 1548255151. It was assigned to this individual provider in the NPPES registry on September 20, 2005.

Where is Glen Goldfarb located?

Glen Goldfarb practices at 620 10th Street N., St Petersburg, FL 33705. The listed phone number is (727) 824-8375.

What is Glen Goldfarb's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Plastic Surgery within the Head & Neck, with taxonomy code 207YX0007X.

What insurance does Glen Goldfarb accept?

Health plans from AvMed list Glen Goldfarb as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Glen Goldfarb was last updated on November 4, 2016. 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.