Active NPI
Michael W Glover, MD
- Obstetrics & Gynecology Physician
- Danville, KY
National Provider Identifier
1134101488
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 16786
- Practice address
- 333 S 3Rd St
Suite a
Danville, KY 40422-2016 - Phone
- (859) 236-7712
- Fax
- (859) 236-7246
- NPI assigned
- Nov 14, 2005
- 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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 16786 | KY | Primary |
Addresses
Primary practice location
333 S 3Rd St
Suite a
Danville, KY 40422-2016
Mailing address
333 S 3Rd St
Suite a
Danville, KY 40422-2016
Phone (859) 236-7712
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000046067 | Other | KY | BCBS |
| 64167869 | Medicaid | KY | |
| 4353956 | Other | AETNA | |
| 07-00063 | Other | KY | UNITED HEALTH CARE |
| H07059 | Other | KY | HEALTHWISE |
| P00099700 | Other | KY | MEDICARE RR |
| 16786 | Other | KY | LICENSE |
Medicare participation
Medicare enrollment files- 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cumberland Family Medical Center Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Federally Qualified Health Center (FQHC)
- Danville, KY
- NPI 1215918917
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131926400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1311206400000",
"number": "1134101488",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "333 S 3RD ST",
"address_2": "SUITE A",
"city": "DANVILLE",
"state": "KY",
"postal_code": "404222016",
"telephone_number": "859-236-7712",
"fax_number": "859-236-7246"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 S 3RD ST",
"address_2": "SUITE A",
"city": "DANVILLE",
"state": "KY",
"postal_code": "404222016",
"telephone_number": "859-236-7712",
"fax_number": "859-236-7246"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLOVER",
"first_name": "MICHAEL",
"middle_name": "W",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-14",
"last_updated": "2011-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "KY",
"license": "16786",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "000000046067",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64167869",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4353956",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH CARE",
"identifier": "07-00063",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHWISE",
"identifier": "H07059",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RR",
"identifier": "P00099700",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "16786",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Danville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2011; 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.