NPIMap

Individual provider Active NPI

Glenn Geoffrey Preston, M.D.

  • Hematology & Oncology Physician
  • Spencer, IA
National Provider Identifier
1194796243
Registry record updated Apr 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
40571 Issued in IA
Practice address
1200 1St Ave E
Abben Cancer Center
Spencer, IA 51301-4330
Phone
(712) 264-6550
Fax
(712) 264-6553
NPI assigned
Jan 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 40571 IA Primary

Addresses

Primary practice location

1200 1St Ave E
Abben Cancer Center
Spencer, IA 51301-4330

Mailing address

1200 1St Ave E
Abben Cancer Center
Spencer, IA 51301-4330
Phone (712) 264-6550

Other identifiers 4

IdentifierTypeStateIssuer
7129775OtherTXAETNA HMO
P000321077OtherTXRAILROAD MEDICARE
181115001MedicaidTX
8S2183OtherTXBLUECROSS/BLUESHIELD TX.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, MI2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20130305000038 IA Practitioner - Hematology/Oncology 9032121611 Reassigns benefits to 1 organization
I20230413001270 MI Practitioner - Medical Oncology 9032121611 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Medical Oncology
Education
University of Missouri, Columbia School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mymichigan Medical Center AlpenaGroup PAC ID 8527969922, 97 clinicians
Mymichigan Medical Center TawasGroup PAC ID 9638070766, 36 clinicians

Practice addresses (Care Compare)

1501 W Chisholm St
Mymichigan Medical Oncology and Hemat
Alpena, MI 49707-1401
Phone (989) 356-7353

200 Hemlock Rd
Tawas City, MI 48763-2000
Phone (989) 362-3411

Hospital & facility affiliations

  • Mymichigan Medical Center Alpena Hospital, Alpena, MI, CCN 230036
  • Tawas St Joseph Hospital Hospital, Tawas City, MI, CCN 230100
  • Mymichigan Medical Center West Branch Hospital, West Branch, MI, CCN 230095
  • Saint Mary'S Standish Community Hospital Hospital, Standish, MI, CCN 231305
  • University of Michigan Health System Hospital, Ann Arbor, MI, CCN 230046

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
40571IAMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Spencer Municipal Hospital Current Accepting new patients
Spencer Municipal Hospital CurrentSince Feb 1, 2013 Accepting new patients
Mymichigan Medical Center Tawas Current Accepting new patients
Spencer Municipal Hospital CurrentSince Feb 1, 2013 Accepting new patients
Mymichigan Medical Center Tawas CurrentSince Feb 1, 2025 Accepting new patients
Mymichigan Medical Center Tawas CurrentSince Feb 1, 2025 Accepting new patients
Spencer Municipal Hospital Current Accepting new patients
Mymichigan Medical Center Alpena Hematology & Oncology CurrentSince Apr 1, 2023 Accepting new patients
Mymichigan Medical Center Alpena Current Accepting new patients
Mymichigan Medical Center Alpena Past Accepting new patients
Cancer Care Network of South Texas PA Hematology & Oncology Past Accepting new patients
Cancer Care Network of South Texas PA Hematology & Oncology Past Accepting new patients

Locations

1200 1st Ave E
Spencer, IA 51301
Phone (712) 264-6164

1501 W Chisholm St
Alpena, MI 49707
Phone (989) 356-7000

4000 Wellness Dr
Midland, MI 48670
Phone (844) 832-1956

110 Beech St
Ste A
Tawas City, MI 48763
Phone (989) 362-0197

295 Maple St
Ste 202
Tawas City, MI 48763
Phone (989) 362-6108

200 Hemlock St
Tawas City, MI 48763
Phone (989) 362-0153

200 Hemlock Rd
Tawas City, MI 48763
Phone (989) 362-3411

Interoperability endpoints

  • Direct secure messaging: glenn.preston@avera.sdhealthlink.net
  • Direct secure messaging: gpreston134884@mymichiganhealth.midirect.net

Organizations & group practices 12

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 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1138320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366329600000",
    "number": "1194796243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 1ST AVE E",
            "address_2": "ABBEN CANCER CENTER",
            "city": "SPENCER",
            "state": "IA",
            "postal_code": "513014330",
            "telephone_number": "712-264-6550",
            "fax_number": "712-264-6553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 1ST AVE E",
            "address_2": "ABBEN CANCER CENTER",
            "city": "SPENCER",
            "state": "IA",
            "postal_code": "513014330",
            "telephone_number": "712-264-6550",
            "fax_number": "712-264-6553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRESTON",
        "first_name": "GLENN",
        "middle_name": "GEOFFREY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-27",
        "last_updated": "2013-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "IA",
            "license": "40571",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "7129775",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P000321077",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "181115001",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS/BLUESHIELD TX.",
            "identifier": "8S2183",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spencer, IA

Sources for this page

Verify at the official NPI Registry.