JERRY GLENN M.D., PH.D.
NPI 1750345229
Surgery in State College, PA

Active since April 13, 2006
3901 S ATHERTON ST, SUITE 2, STATE COLLEGE, PA 16801(814) 466-2300(814) 466-2822 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jerry Glenn M.d., Ph.d. NPPES

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

JERRY GLENN M.D., PH.D. (NPI 1750345229) is an individual surgery provider in State College, Pennsylvania, licensed in Pennsylvania (MD030666E) and active in the NPI registry since April 2006.

NPPES Registry Identity

NPI1750345229
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameJERRY GLENNCredential: M.D., PH.D.
Location Address3901 S ATHERTON ST, SUITE 2State College, PA 16801-8324
Mailing Address3901 S Atherton St, Suite 2State College, PA 16801-8324 · (814) 466-2300 · Fax (814) 466-2822
Fax(814) 466-2822
Sole ProprietorNo
Enumeration DateApril 13, 2006
Last NPPES UpdateSeptember 11, 2025
NPI 1750345229 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in PA · MD030666E
Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Also ListedSurgery · Surgical OncologyTaxonomy 2086X0206X · License MD030666E (PA)

Other Identifiers 4

Other30477PA · Geisinger Health Plan
Other50047400PA · Capital Blue Cross
Medicaid0009667720004PA
OtherGL116265PA · Highmark Blue Shield

Other Providers at the Same Location NPPES 19

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

Pediatrics (Pediatric Emergency Medicine)
3901 S ATHERTON ST, SUITE 5
STATE COLLEGE, PA 16801
Pharmacist
3901 S ATHERTON ST, SUITE 1
STATE COLLEGE, PA 16801
Pharmacist
3901 S ATHERTON ST, BOALSBURG APOTHECARY
STATE COLLEGE, PA 16801
Pharmacy (Community/Retail Pharmacy)
3901 S ATHERTON ST
STATE COLLEGE, PA 16801
Physician Assistant (Medical)
3901 S ATHERTON ST, SUITE 5
STATE COLLEGE, PA 16801
Pediatrics
3901 S ATHERTON ST, SUITE 5
STATE COLLEGE, PA 16801
Pediatrics
3901 S ATHERTON ST, SUITE 5
STATE COLLEGE, PA 16801
Pediatrics
3901 S ATHERTON ST, SUITE 5
STATE COLLEGE, PA 16801

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 Jerry Glenn's NPI number?

The NPI number for Jerry Glenn is 1750345229. It was assigned to this individual provider in the NPPES registry on April 13, 2006.

Where is Jerry Glenn located?

Jerry Glenn practices at 3901 S Atherton St Suite 2, State College, PA 16801. The listed phone number is (814) 466-2300.

What is Jerry Glenn's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

When was this NPI record last updated?

The NPPES record for Jerry Glenn was last updated on September 11, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.