Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Zachary Glenn, DO

Individual provider Surgery Physician · NPI 1356752737

Dr. Zachary Glenn, DO is a General Surgery in Edgewood, Kentucky. Qualified in 2014, 12 years ago. Practices with Summit Medical Group Inc, a 799-clinician group and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
12
Licensed in
KY
In the registry since
2014
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

20 Medical Village Dr
Edgewood, KY 41017-5401
Phone: (859) 578-5880
Fax: (859) 578-5881
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 04485 (KY)

Record details

NPI number1356752737
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedMay 19, 2014
Last updated in NPPESNovember 21, 2024
Certification dateNovember 21, 2024
Mailing addressPo Box 635283, Cincinnati, OH 45263-5283

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Summit Medical Group Inc — 799 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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