MR. GLENN LAURENCE LEVINE (MD) – Surgery Physician, NPI 1801814769

MR. GLENN LAURENCE LEVINE (MD) is a healthcare provider. based in Coquille, Oregon. specializing in Surgery Physician. They hold the professional credentials MD. They hold a License No. MD162422 (OR). The NPI Number for MR. GLENN LAURENCE LEVINE (MD) is 1801814769

Main info

Male
39 Years Of Experience
Accepts Medicare Assignment
Name
MR. GLENN LAURENCE LEVINE (MD)
NPI
1801814769
Phone
(541) 247-3000
Address
790 E 5TH ST
Enumeration Date
18 July 2006
Last Update Date
21 December 2021

Doctor Profile

Medical School Name
STATE UNIVERSITY OF NEW YORK DOWNSTATE MEDICAL CENTER
Secondary Phone
5413963111
Graduation Year
1987 (39 years ago)
PAC ID
8729988621
Group Practice PAC ID
6901714591
Professional Enrollment ID
I20130827000894

Contacts

Secure Messaging
glevine1372088@oc.providencedirect.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

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Provider Addresses for MR. GLENN LAURENCE LEVINE (MD)

  • 790, East 5th Street, Coquille, Coos County, Oregon, 97423, United States

    COQUILLE, OR 97423

    Phone: (541) 247-3000

    Fax: (541) 247-3101

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 97423)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6901714591View full group profile
NameSpecialtyState
Family PracticeOR
Diagnostic RadiologyPR
-OR
Family Practice, Osteopathic Manipulative MedicineOR
Nurse PractitionerOR
Diagnostic Radiology, Nuclear Medicine, Diagnostic RadiologyWA
Family PracticeOR
General SurgeryMA
Physician AssistantOR
Diagnostic RadiologyNV

Reviews

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Frequently asked questions

Can I cross-check MR. GLENN LAURENCE LEVINE (MD) using NPI 1801814769?
NPI 1801814769 belongs to MR. GLENN LAURENCE LEVINE (MD); compare other details if you need extra assurance.
Is MR. GLENN LAURENCE LEVINE (MD) still an active registrant?
MR. GLENN LAURENCE LEVINE (MD) carries an active NPI according to the public dataset.
What clinical focus is listed for MR. GLENN LAURENCE LEVINE (MD)?
At a glance, MR. GLENN LAURENCE LEVINE (MD) is tied to Surgery Physician. Clinical services aligned with this taxonomy classification.
Where in Oregon is MR. GLENN LAURENCE LEVINE (MD) registered?
Use Coquille, Oregon as the headline location for MR. GLENN LAURENCE LEVINE (MD) here.
Can I trust this NPI listing for MR. GLENN LAURENCE LEVINE (MD)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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