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

Individual provider Orthopaedic Surgery Physician · NPI 1003058660

Glenn Shi, MD is an Orthopedic Surgery in Jacksonville, Florida. Graduated from University of Wisconsin School of Medicine in 2009, 17 years ago. Practices with Mayo Clinic Jacksonville, a 1,581-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Florida.

Years since qualifying
17
Trained at
University of Wisconsin School of Medicine
Licensed in
FL
In the registry since
2009
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

4500 San Pablo Rd S
Jacksonville, FL 32224-1865
Phone: (904) 953-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X · Licence ME123448 (FL)

Record details

NPI number1003058660
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 29, 2009
Last updated in NPPESAugust 31, 2020
Certification dateAugust 31, 2020
Mailing address4500 San Pablo Rd S, Jacksonville, FL 32224-1865

Medicare enrollment

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

Medicare specialtyORTHOPEDIC SURGERY
Medical schoolUNIVERSITY OF WISCONSIN SCHOOL OF MEDICINE
Graduated 2009 (17 years in practice)
Group practice Mayo Clinic Jacksonville — 1581 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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