Active NPI
Wesley Stanton Glazener, M.D.
- Pediatrics Physician
- Austin, TX
National Provider Identifier
1104880301
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- H7305
- Practice address
- 1305 W 34TH St
#206
Austin, TX 78705-1923 - Phone
- (512) 454-8691
- Fax
- (512) 454-4238
- NPI assigned
- Apr 14, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | H7305 | TX | Primary |
Addresses
Primary practice location
1305 W 34TH St
#206
Austin, TX 78705-1923
Mailing address
1305 W 34TH St
#206
Austin, TX 78705-1923
Phone (512) 454-8691
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| H7305 | TX | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Austex Pediatrics | Pediatrics | Past | Accepting new patients |
| Wesley S. Glazener, MD, PA | Pediatrics | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pediatrics Physician
- Austin, TX
- NPI 1508083130
-
- Pediatrics Physician
- Austin, TX
- NPI 1144415803
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144972800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1104880301",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1305 W 34TH ST",
"address_2": "#206",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787051923",
"telephone_number": "512-454-8691",
"fax_number": "512-454-4238"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1305 W 34TH ST",
"address_2": "#206",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787051923",
"telephone_number": "512-454-8691",
"fax_number": "512-454-4238"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLAZENER",
"first_name": "WESLEY",
"middle_name": "STANTON",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-14",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "H7305",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.