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

Jordan J Glenn, DO

Individual provider Vascular Surgery Physician · NPI 1093008237

Jordan J Glenn, DO is a General Surgery in Peoria, Arizona. Graduated from Arizona College of Osteopathic Medicine Mid Western University in 2011, 15 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
15
Trained at
Arizona College of Osteopathic Medicine Mid Western University
Licensed in
AZ
In the registry since
2011
Specialties on file
3
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.

See every abbreviation used in this directory →

Practice location Address checks out

7727 W Deer Valley Rd Ste 220
Peoria, AZ 85382-2121
Phone: (602) 843-8317
Fax: (602) 843-9091
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 006890 (AZ)
Vascular Surgery Physician Taxonomy 2086S0129X · Licence 006890 (AZ)
Trauma Surgery Physician Taxonomy 2086S0127X · Licence 006890 (AZ)

Record details

NPI number1093008237
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedMay 20, 2011
Last updated in NPPESAugust 29, 2025
Certification dateAugust 29, 2025
Mailing address7727 W Deer Valley Rd Ste 220, Peoria, AZ 85382-2121

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Medical schoolARIZONA COLLEGE OF OSTEOPATHIC MEDICINE MID WESTERN UNIVERSITY
Graduated 2011 (15 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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