Glenn Lee Dobbs, D.O.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

02001767A Issued in IN

Practice address

1205 Hadley Rd
Mooresville, IN 46158-1789

Phone

(317) 584-3454

Fax

(317) 584-3435

NPI assigned

Jul 11, 2006

Last updated

Sep 14, 2012By the provider in NPPES

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

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Obhg Indiana, PC

  • Obstetrics & Gynecology Physician
  • Evansville, IN
  • NPI 1811232218
  NPD
• Health Services Corporation of Southeastern Indiana

  • Family Medicine Physician
  • Lawrenceburg, IN
  • NPI 1487618807

  Obstetrics & Gynecology

  NPD (past)
• Major Hospital

  • General Acute Care Hospital
  • Shelbyville, IN
  • NPI 1174555692
  NPD (past)
• Rising Sun Medical Center Inc

  • Family Medicine Physician
  • Rising Sun, IN
  • NPI 1124072137
  NPD (past)

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347580800000",
    "number": "1083649909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8051 S. EMERSON AVENUE",
            "address_2": "#400",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462378633",
            "telephone_number": "317-865-3600",
            "fax_number": "317-865-3850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 HADLEY RD",
            "city": "MOORESVILLE",
            "state": "IN",
            "postal_code": "461581789",
            "telephone_number": "317-584-3454",
            "fax_number": "317-584-3435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOBBS",
        "first_name": "GLENN",
        "middle_name": "LEE",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2012-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IN",
            "license": "02001767A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200105500",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PROVIDER #",
            "identifier": "000000576533",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tina Delph, NP
• Samantha Demoss
• Kelsey S Demott
• Dennis W Knierim DDS PC
• Joan F Doak, MD
• Mark Joseph Dodds, D.D.S.
• Mindy Donaldson, RN
• Dr. Donald T. Fischer, D.D.S.
• DRS. Phillip R. & Dawn E. Wright, Optometrists Inc PC
• Mark R Edwards, MD

• Obstetrics & Gynecology Physician in Mooresville, IN
• Providers in Mooresville, IN by specialty
• Obstetrics & Gynecology Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.