Individual provider Active NPI

David Gleitzman, D.P.M.

  • Podiatrist
  • Morgantown, WV
National Provider Identifier
1164507935
Registry record updated Oct 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
00141 Issued in WV
Practice address
2000 Hampton Ctr
#B
Morgantown, WV 26505-1704
Phone
(304) 599-9000
Fax
(304) 599-4091
NPI assigned
Oct 27, 2006
Last updated
Oct 5, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 00141 WV Primary

Addresses

Primary practice location

2000 Hampton Ctr
#B
Morgantown, WV 26505-1704

Mailing address

2000 Hampton Ctr
#B
Morgantown, WV 26505-1704
Phone (304) 599-9000

Other identifiers 1

IdentifierTypeStateIssuer
0100139000MedicaidWV

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

State licenses

LicenseStateTypeSpecialty
141WVMDMental Health Counselor
141OHMDAcupuncturist
00141WVMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Footwise Podiatry of W.VA. Inc. Podiatrist CurrentSince Jul 1, 1991 Accepting new patients

Locations

1191 Pineview Dr
Ste H1
Morgantown, WV 26505
Phone (304) 599-9000

2000 Hampton Ctr
Ste B
Morgantown, WV 26505
Phone (304) 599-9000

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191542400000",
    "number": "1164507935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 HAMPTON CTR",
            "address_2": "#B",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265051704",
            "telephone_number": "304-599-9000",
            "fax_number": "304-599-4091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 HAMPTON CTR",
            "address_2": "#B",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265051704",
            "telephone_number": "304-599-9000",
            "fax_number": "304-599-4091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLEITZMAN",
        "first_name": "DAVID",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-27",
        "last_updated": "2007-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "WV",
            "license": "00141",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0100139000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Morgantown, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 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.

Verify at the official NPI Registry.