OrganizationActive
Glacier Healthcare, LLC
NPI 1912212838 · Primary Podiatric Medicine Podiatrist · Edmond, OK
Provider details
- NPI number
- 1912212838
- Entity type
- Organization
- Primary specialty
- Primary Podiatric Medicine PodiatristPodiatric Medicine & Surgery Service Providers
- Organization subpart
- No
- Authorized official
- Chad Huffmyer, President(405) 285-8900
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
- Chiropractor111N00000X
Chiropractic Providers
- Dentist122300000X
Dental Providers
- Optometrist152W00000X
Eye and Vision Services Providers
Practice location
416 W. 15th Street
Building 400, Suite B
Edmond, OK 73013-3688
Phone: (405) 285-8900
Fax: (405) 285-8921
Approximate (ZIP-level) locationGet directions
Mailing address
416 W 15th St
Edmond, OK 73013-3747
Other names (DBA / former)
- Former legal business name
- Advanced Surgical Healthcare, LLC
Registry dates
- Enumerated
- 2010-08-16
- Last updated
- 2011-10-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.