Individual provider Active NPI

Wayne B Glazier, M.D.

  • Urology Physician
  • Worcester, MA
National Provider Identifier
1184671877
Registry record updated Mar 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
39441 Issued in MA
Practice address
85 Prescott St
Suite 403
Worcester, MA 01605-2610
Phone
(508) 753-7259
Fax
(508) 753-9577
NPI assigned
May 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 39441 MA Primary

Addresses

Primary practice location

85 Prescott St
Suite 403
Worcester, MA 01605-2610

Mailing address

85 Prescott St
Suite 403
Worcester, MA 01605-2610
Phone (508) 753-7259

Other identifiers 1

IdentifierTypeStateIssuer
0176184MedicaidMA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041206001044 MA Practitioner - Urology 9638135270 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Vincent Physician Services, Inc. Urology CurrentSince Apr 4, 2019 Accepting new patients

Locations

813 Southbridge St
Auburn, MA 01501
Phone (508) 784-1278

85 Prescott St
Ste 403
Worcester, MA 01605
Phone (507) 753-7259

85 Prescott St
Ste 304
Worcester, MA 01605
Phone (508) 753-7259

123 Summer St
#273
Worcester, MA 01608
Phone (508) 363-6327

Organizations & group practices 2

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": "1148774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393977600000",
    "number": "1184671877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 PRESCOTT ST",
            "address_2": "SUITE 403",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016052610",
            "telephone_number": "508-753-7259",
            "fax_number": "508-753-9577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 PRESCOTT ST",
            "address_2": "SUITE 403",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016052610",
            "telephone_number": "508-753-7259",
            "fax_number": "508-753-9577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLAZIER",
        "first_name": "WAYNE",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-28",
        "last_updated": "2014-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "MA",
            "license": "39441",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0176184",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Worcester, MA

Sources for this page

Verify at the official NPI Registry.