Active NPI
Glen Nelson Wheeler, M.D.
- Family Medicine Physician
- Harrisburg, PA
National Provider Identifier
1184620734
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD012793E
- Practice address
- 110 S 17TH St
Harrisburg, PA 17104-1123 - Phone
- (717) 232-9971
- Fax
- (717) 920-3039
- NPI assigned
- Jun 27, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | MD012793E | PA | |
| Family Medicine Physician | 207Q00000X | MD012793E | PA | Primary |
Addresses
Primary practice location
110 S 17TH St
Harrisburg, PA 17104-1123
Mailing address
110 S 17TH St
Harrisburg, PA 17104-1123
Phone (717) 232-9971
Other practice location 1
400 Loucks Rd
York, PA 17404-1724
Phone (717) 845-2273
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20171016001418 | NJ | Practitioner - Family Practice | 2062488539 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Family Health Care PC | Family Medicine | Past | Accepting new patients |
| Family Medical Care, Inc. | Past | Accepting new patients | |
| Inspira Health Network Medical Group, P.C. | Past | Accepting new patients | |
| Allcare Family Health PC | Family Medicine | Past | Accepting new patients |
| Medexpress Urgent Care, PC - Pennsylvania | Past | Accepting new patients |
Organizations & group practices 5
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.
-
- Family Medicine Physician
- Lebanon, PA
- NPI 1942229992
-
- Family Medicine Physician
- Lebanon, PA
- NPI 1356360309
-
- Multi-Specialty Clinic/Center
- Harrisburg, PA
- NPI 1538123815
-
- Urgent Care Clinic/Center
- York, PA
- NPI 1558642991
-
- Multi-Specialty Clinic/Center
- Glassboro, NJ
- NPI 1922177856
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716422400000",
"number": "1184620734",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 S 17TH ST",
"city": "HARRISBURG",
"state": "PA",
"postal_code": "171041123",
"telephone_number": "717-232-9971",
"fax_number": "717-920-3039"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 S 17TH ST",
"city": "HARRISBURG",
"state": "PA",
"postal_code": "171041123",
"telephone_number": "717-232-9971",
"fax_number": "717-920-3039"
}
],
"practiceLocations": [
{
"address_1": "400 Loucks Rd",
"address_purpose": "LOCATION",
"city": "York",
"state": "PA",
"postal_code": "174041724",
"country_code": "US",
"telephone_number": "717-845-2273",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WHEELER",
"first_name": "GLEN",
"middle_name": "NELSON",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-27",
"last_updated": "2024-05-23",
"certification_date": "2024-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "PA",
"license": "MD012793E",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PA",
"license": "MD012793E",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Harrisburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2024; 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.