Provider Demographics
NPI:1275531501
Name:GLASSMAN, STEVEN D (MD)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:D
Last Name:GLASSMAN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:PO BOX 776351
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60677-6351
Mailing Address - Country:US
Mailing Address - Phone:502-588-9490
Mailing Address - Fax:502-272-5116
Practice Address - Street 1:210 E GRAY ST
Practice Address - Street 2:SUITE 900
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40202-3900
Practice Address - Country:US
Practice Address - Phone:502-584-7525
Practice Address - Fax:502-589-0849
Is Sole Proprietor?:No
Enumeration Date:2005-07-11
Last Update Date:2021-01-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KY27001207XS0117X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0117XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Surgery of the Spine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN100373900Medicaid
KY163722400OtherUS DEPT OF LABOR
N294333OtherHARMONY
KY2433678000OtherPASSPORT ADVANTAGE (SPINE
KYP00344319OtherRAILROAD MEDICARE (UNIVER
KY00533163OtherMEDICARE/NLS
KY1054524OtherPASSPORT (SPINE INSTITUTE
KY64270010Medicaid
WA0219793OtherWASHINGTON DEPT OF LABOR
KY000000049463OtherANTHEM / SPINE INSTITUTE
KY1049635OtherPASSPORT (UNIVERSITY ORTH
KY2432611000OtherPASSPORT ADVANTAGE (UNIVE
KY000000049343OtherANTHEM / UNIV ORTHO ASSOC
KY200007232OtherRAILROAD MEDICARE (SPINE
KYP00344319OtherRAILROAD MEDICARE (UNIVER
WA0219793OtherWASHINGTON DEPT OF LABOR
KY00533163OtherMEDICARE/NLS
KY0605912Medicare PIN