NPIMap

Individual provider Active NPI

Glenn J Minster, M.D.

  • Orthopaedic Surgery of the Spine Physician
  • Wyandotte, MI
National Provider Identifier
1104897958
Registry record updated Mar 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
License
4301056116 Issued in MI
Practice address
2070 Biddle Ave
Ste 200
Wyandotte, MI 48192-4080
Phone
(734) 225-9100
Fax
(734) 225-9176
NPI assigned
Jan 30, 2006
Last updated
Mar 2, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 4301056116 MI
Orthopaedic Surgery of the Spine Physician 207XS0117X 4301056116 MI Primary

Addresses

Primary practice location

2070 Biddle Ave
Ste 200
Wyandotte, MI 48192-4080

Mailing address

2070 Biddle Ave
Ste 200
Wyandotte, MI 48192-4080
Phone (586) 773-1300

Other practice location 1

23829 Little Mack Ave
Suite 100
Saint Clair Shores, MI 48080-1186
Phone (586) 773-1300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100708000992 MI Practitioner - Orthopedic Surgery 2466583455 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Wayne State University School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Henry Ford Health SystemGroup PAC ID 0547178311, 2,550 clinicians
Henry Ford Wyandotte HospitalGroup PAC ID 2264334499, 194 clinicians

Practice addresses (Care Compare)

14500 Hall Rd
Sterling Heights, MI 48313-1229
Phone (586) 247-2700

15855 19 Mile Rd
Clinton Township, MI 48038-3504
Phone (586) 263-2300

2070 Biddle Ave
Suite 200
Wyandotte, MI 48192-4080
Phone (734) 225-9112

2799 W Grand Blvd
Detroit, MI 48202-2608

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion220
Laminectomy or laminotomy (partial removal of spine bones)82

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Macomb Hospital Corporation CurrentSince Feb 20, 2023 Accepting new patients
Henry Ford Health System Current Accepting new patients
Henry Ford Wyandotte Hospital CurrentSince Dec 1, 2013 Accepting new patients
Henry Ford Macomb Hospital Corporation Current Accepting new patients
St. Clair Orthopaedics and Sports Medicine PC Orthopaedic Surgery CurrentSince Nov 1, 2001 Accepting new patients
Henry Ford Wyandotte Hospital Orthopaedic Surgery CurrentSince Dec 1, 2013 Accepting new patients
Henry Ford Wyandotte Hospital Current Accepting new patients
Henr Y Ford Health System Orthopaedic Surgery CurrentSince Jan 6, 2020 Accepting new patients
St Clair Orthopaedics and Sports Medicine PC Orthopaedic Surgery CurrentSince Nov 1, 2001 Accepting new patients
Henry Ford Macomb Hospital Corporation Orthopaedic Surgery CurrentSince Feb 20, 2023 Accepting new patients
Henry Ford Pathology Current Accepting new patients
Henry Ford Health System CurrentSince Jan 6, 2020 Accepting new patients
Henry Ford Wyandotte Hospital Past Accepting new patients
Henry Ford Wyandotte Hospital Past Accepting new patients

Locations

23050 West Rd
Ste 120
Brownstown Twp, MI 48183
Phone (734) 671-1510

15520 19 Mile Rd
Ste 430
Clinton Twp, MI 48038
Phone (586) 228-6200

15717 15 Mile Rd
Clinton Twp, MI 48035
Phone (586) 285-3800

15855 19 Mile Rd
Clinton Twp, MI 48038
Phone (586) 263-2373

2799 W Grand Blvd
Detroit, MI 48202
Phone (313) 876-2062

22151 Moross Rd
Ste 212
Grosse Pointe, MI 48236
Phone (313) 343-7849

22701 Hall Rd
Ste 100
Macomb, MI 48042
Phone (586) 416-1300

45441 Heydenreich Rd
Macomb, MI 48044
Phone (586) 226-8600

23829 Little Mack Ave
Ste 100
St Clr Shores, MI 48080
Phone (586) 416-1300

1640 Fort St
Ste D
Trenton, MI 48183
Phone (734) 391-3057

2070 Biddle Ave
Ste 2
Wyandotte, MI 48192
Phone (734) 284-7482

2070 Biddle Ave
Ste 200
Wyandotte, MI 48192
Phone (734) 225-9100

2333 Biddle Ave
Wyandotte, MI 48192
Phone (734) 246-6000

Interoperability endpoints

  • Direct secure messaging: gminster@stclairortho.gwaydirect.com
  • Direct secure messaging: gminster15737@direct.hfhs.org

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583107200000",
    "number": "1104897958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2070 BIDDLE AVE",
            "address_2": "STE 200",
            "city": "WYANDOTTE",
            "state": "MI",
            "postal_code": "481924080",
            "telephone_number": "586-773-1300",
            "fax_number": "586-773-1600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2070 BIDDLE AVE",
            "address_2": "STE 200",
            "city": "WYANDOTTE",
            "state": "MI",
            "postal_code": "481924080",
            "telephone_number": "734-225-9100",
            "fax_number": "734-225-9176"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "23829 Little Mack Ave",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Saint Clair Shores",
            "state": "MI",
            "postal_code": "480801186",
            "country_code": "US",
            "telephone_number": "586-773-1300",
            "fax_number": "586-773-1600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MINSTER",
        "first_name": "GLENN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-30",
        "last_updated": "2020-03-02",
        "certification_date": "2020-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MI",
            "license": "4301056116",
            "primary": false
        },
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "MI",
            "license": "4301056116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wyandotte, MI

Sources for this page

Verify at the official NPI Registry.