Glenn S. Wheet, MD, PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

01048975A Issued in IN

Legal business name

GLENN S. WHEET, MD, PC

Practice address

900 Lincoln Way W
Mishawaka, IN 46544-1716

Phone

(574) 259-6937

Fax

(574) 259-6939

NPI assigned

Mar 27, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Glenn Scott Wheet, M.D.NPI 1588700876

Title

President

Phone

(574) 259-6937

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Glenn Scott Wheet, M.D.

  • Family Medicine Physician
  • Mishawaka, IN
  • NPI 1588700876
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1316065444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 LINCOLN WAY W",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465441716",
            "telephone_number": "574-259-6937",
            "fax_number": "574-259-6939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 LINCOLN WAY W",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465441716",
            "telephone_number": "574-259-6937",
            "fax_number": "574-259-6939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLENN S. WHEET, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WHEET",
        "authorized_official_first_name": "GLENN",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "574-259-6937",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01048975A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000350460",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eric A Gingerich
• Rhonda Gipson-Willis, LCSW
• Anthony William Gish, OD
• GKZ Partners Inc
• Jessica Grace Glassman, NP
• Bryan C Glenn, D.C.
• Lorrajean A Gleva
• Jessica A Gnoth
• Destinee Goble
• Imelda Godbold, RN

• Family Medicine Physician in Mishawaka, IN
• Providers in Mishawaka, IN by specialty
• Family Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.