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

Robert Glenn, PA

Individual provider Surgical Physician Assistant · NPI 1134753908

Robert Glenn, PA is a Physician Assistant in Scottsdale, Arizona. Qualified in 2019, 7 years ago. Practices with Arizona Pain Treatment Center P C, a 10-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Arizona.

Years since qualifying
7
Licensed in
AZ
In the registry since
2020
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

8405 N Pima Center Pkwy Ste 101
Scottsdale, AZ 85258
Phone: (602) 648-5444
Fax: (602) 772-3801
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 7790 (AZ)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 7790 (AZ)

Record details

NPI number1134753908
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorYes
NPI enumeratedMarch 2, 2020
Last updated in NPPESJuly 29, 2022
Certification dateJuly 29, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Arizona Pain Treatment Center P C — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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