Glenn Barnett Wolffe, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

0101039931 Issued in VA

Practice address

6338 Church Street
Chincoteague, VA 23336

Phone

(757) 990-1287

Fax

(757) 336-2211

NPI assigned

Nov 2, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Frederick Health Hospital Inc

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

{
    "created_epoch": "1193961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529366400000",
    "number": "1336328772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6338 CHURCH STREET",
            "city": "CHINCOTEAGUE",
            "state": "VA",
            "postal_code": "23336",
            "telephone_number": "757-990-1287",
            "fax_number": "410-912-6386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6338 CHURCH STREET",
            "city": "CHINCOTEAGUE",
            "state": "VA",
            "postal_code": "23336",
            "telephone_number": "757-990-1287",
            "fax_number": "757-336-2211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLFFE",
        "first_name": "GLENN",
        "middle_name": "BARNETT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-02",
        "last_updated": "2018-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D68067",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "DE",
            "license": "C1-0008915",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101039931",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "00X848P02",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Morrison Murphy Broas LLC
• Christopher John Nzcy, PT
• Peninsula Regional Medical Center
• Lucille Tubandt, R.PH.
• Virginia Lifeline Ambulance Service Inc

• Family Medicine Physician in Chincoteague, VA
• Providers in Chincoteague, VA by specialty
• Family Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.