Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Roan Jamison Glocker, MD

Individual provider Vascular Surgery Physician · NPI 1164623849

Dr. Roan Jamison Glocker, MD is a Vascular Surgery in Rochester, New York. Graduated from State University of Ny Upstate Medical University in 2007, 19 years ago. Practices with Vascular Surgery of the University, a 17-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
19
Trained at
State University of Ny Upstate Medical University
Licensed in
NY
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

990 S Ave Ste 210
Rochester, NY 14620-2763
Phone: (585) 341-9541
Fax: (585) 341-9550
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Vascular Surgery Physician (primary) Taxonomy 2086S0129X · Licence 274719 (NY)

Record details

NPI number1164623849
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 30, 2007
Last updated in NPPESApril 28, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyVASCULAR SURGERY
Medical schoolSTATE UNIVERSITY OF NY UPSTATE MEDICAL UNIVERSITY
Graduated 2007 (19 years in practice)
Group practice Vascular Surgery Of The University — 17 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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