Glenn Richard Huth, MD

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

29802-20 Issued in WI

Practice address

5045 W Grande Market Dr
Appleton, WI 54913

Phone

(920) 886-9380

Fax

(920) 886-9381

NPI assigned

May 16, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584316800000",
    "number": "1386696987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 88040",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532880040",
            "telephone_number": "920-886-9380",
            "fax_number": "920-886-9381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5045 W GRANDE MARKET DR",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "54913",
            "telephone_number": "920-886-9380",
            "fax_number": "920-886-9381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUTH",
        "first_name": "GLENN",
        "middle_name": "RICHARD",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2020-03-16",
        "certification_date": "2020-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WI",
            "license": "29802-020",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "WI",
            "license": "29802-20",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Indira Husic, DNP FNP APNP
• Kathleen N Huskey
• Deena Marie Huss, PTA
• Brennan P Hussey, PT
• Shana M Hussin, RD,CD
• Steve Trong Huynh
• John R Iglar, M.D.
• Ihc-St. Elizabeth Emergency Physicians, LLC
• Ihc-Wound Care Services LLC
• Deborah A Ihde, MD

• Cardiovascular Disease Physician in Appleton, WI
• Providers in Appleton, WI by specialty
• Cardiovascular Disease Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2020; 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.