NPIMap

Glenn J Minster, M.D.

Individual provider Active NPI Orthopaedic Surgery of the Spine Physician · Wyandotte, MI

NPI 1104897958 · NPPES record last updated Mar 2, 2020

Key facts

NPI
1104897958
Entity type
Individual (NPI type 1)
Primary specialty
Orthopaedic Surgery of the Spine Physician 207XS0117X
License
4301056116 (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
Sex
Male
Sole proprietor
No

Organizations & group practices 23

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.

Hospital & facility affiliations 6

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

Medicare Care Compare profile

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 System (2,550 clinicians)
Henry Ford Macomb Hospital Corporation (349 clinicians)
Henry Ford Wyandotte Hospital (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

  • Henry Ford Home Health Care Home health agency · Detroit, MI · CCN 237087
  • Wyandotte Hospital and Medical Center Hospital · Wyandotte, MI · CCN 230146
  • Henry Ford Health Hospital Hospital · Detroit, MI · CCN 230053
  • Henry Ford Macomb Hospital Hospital · Clinton Township, MI · CCN 230047

Procedures performed for Medicare patients

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

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

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

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

Practice roles

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

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

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

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

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

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

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

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

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
Wyandotte, MI 48192
Phone (734) 225-9100

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

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

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

Interoperability endpoints

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

Specialties & licenses

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

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

Other identifiers

IdentifierTypeStateIssuer
103279963MedicaidMI

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 2, 2020.

{
    "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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103279963",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wyandotte, MI

All providers in Wyandotte, MI · Orthopaedic Surgery of the Spine Physician in Michigan

Sources for this page

Verify at the official NPI Registry.