Glen Stuhring, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD00020392 Issued in WA

Practice address

14048 Juanita Dr NE
Kirkland, WA 98034-9712

Phone

(425) 899-5300

Fax

(425) 899-5304

NPI assigned

Nov 18, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in WA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Glen T Stuhring MD

  dba Preventive and Family Medicine

  • Primary Care Clinic/Center
  • Shoreline, WA
  • NPI 1609427566
  NPD (past) Authorized official

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

{
    "created_epoch": "1132272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417737600000",
    "number": "1275515702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14048 JUANITA DR NE",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980349712",
            "telephone_number": "425-899-5300",
            "fax_number": "425-899-5304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14048 JUANITA DR NE",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980349712",
            "telephone_number": "425-899-5300",
            "fax_number": "425-899-5304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUHRING",
        "first_name": "GLEN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-18",
        "last_updated": "2014-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD00020392",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR & INDUSTRIES",
            "identifier": "0327683",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01345685",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Strother Dermatology and Laser Treatment Center PLLC (Laser Treatment Center)
• Michael Sean Strother, MD
• Scott Robert Stuart, MD
• Hilary Dianne Stubbs
• Gretchen Rain Stuenkel, MOTR/L
• Thomas Alvin Sturgell, D.D.S.
• Skye Sturgeon, DAOM
• Milena Jankovich Sturm, MOTR/L
• Patricia Stutzman, CBT, RBT
• Henry Su, MD

• Family Medicine Physician in Kirkland, WA
• Providers in Kirkland, WA by specialty
• Family Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2014; 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.

Verify at the official NPI Registry.