Active NPI
Glen Wheeler, MD
- Obstetrics & Gynecology Physician
- Taunton, MA
National Provider Identifier
1295898641
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 79939
- Practice address
- 2007 Bay Street
Suite 104
Taunton, MA 02780 - Phone
- (508) 821-7731
- Fax
- (508) 821-4688
- NPI assigned
- Dec 18, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 79939 | MA | Primary |
Addresses
Primary practice location
2007 Bay Street
Suite 104
Taunton, MA 02780
Mailing address
PO Box 500
West Falmouth, MA 02574
Phone (508) 821-7731
Other identifiers 15
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 079939 | Other | TUFTS HEALTH PLAN | |
| 9157891 | Other | CIGNA HEALTH CARE | |
| 0116149 | Medicaid | MA | |
| 412871 | Other | PHCS | |
| 7190101 | Other | AETNA USHC NON HMO | |
| MA0013265 | Other | TRICARE CHAMPUS | |
| 22245 | Other | RI | BCBS |
| 2291716 | Other | AETNA USHC HMO GROUP | |
| 0090151 | Other | HEALTHY START PROGRAM MA | |
| M17398 | Other | MA | BCBS GROUP |
| 000000026441 | Other | BMC HEALTHNET PLAN | |
| 137062 | Other | HARVARD PILGRIM | |
| J18446 | Other | MA | BCBS |
| 2316139 | Other | AETNA USHC HMO | |
| 407279 | Other | BLUE CHIP COORD PARTNERS |
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)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1295898641",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 500",
"city": "WEST FALMOUTH",
"state": "MA",
"postal_code": "02574",
"telephone_number": "508-821-7731",
"fax_number": "508-821-4688"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2007 BAY STREET",
"address_2": "SUITE 104",
"city": "TAUNTON",
"state": "MA",
"postal_code": "02780",
"telephone_number": "508-821-7731",
"fax_number": "508-821-4688"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHEELER",
"first_name": "GLEN",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "MA",
"license": "79939",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS HEALTH PLAN",
"identifier": "079939",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA HEALTH CARE",
"identifier": "9157891",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0116149",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHCS",
"identifier": "412871",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA USHC NON HMO",
"identifier": "7190101",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE CHAMPUS",
"identifier": "MA0013265",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "22245",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA USHC HMO GROUP",
"identifier": "2291716",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHY START PROGRAM MA",
"identifier": "0090151",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS GROUP",
"identifier": "M17398",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BMC HEALTHNET PLAN",
"identifier": "000000026441",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM",
"identifier": "137062",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "J18446",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA USHC HMO",
"identifier": "2316139",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CHIP COORD PARTNERS",
"identifier": "407279",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Taunton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.