John F Glenn III, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

C1-0003052 Issued in DE

Practice address

724 S New St
Dover, DE 19904-3540

Phone

(302) 674-4070

Fax

(302) 672-2315

NPI assigned

Feb 23, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Interoperability endpoints

• Direct secure messaging: john.glenniii@edenhillsurgicalgroup.chartmakerdirect.com

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1140652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550620800000",
    "number": "1033184841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 S STATE ST",
            "address_2": "MAIL CODE 3055",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199013530",
            "telephone_number": "302-480-1688",
            "fax_number": "302-480-9807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "724 S NEW ST",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199043540",
            "telephone_number": "302-674-4070",
            "fax_number": "302-672-2315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLENN",
        "first_name": "JOHN",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-23",
        "last_updated": "2019-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "DE",
            "license": "C1-0003052",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "250387652",
            "state": "DE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000891702",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Warren Gillette Jr., MD
• Meghan Gilleylen
• Bonnie Sue Gladu, L.P.C.M.H.
• Angelia Denise Glass
• Glen D. Rowe, D.O., P.a.
• GNN Healthcare Solutions LLC
• Graciela Corina Godoy Nunez
• Tracey D Goff, MPT
• Linda Lee Gogola, RN
• Cameron Avery Golden, PHARMD

• Surgery Physician in Dover, DE
• Providers in Dover, DE by specialty
• Surgery Physician in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.