NPIMap

Individual provider Active NPI

Marilyn Knoll Glaser, MD

  • Family Medicine Physician
  • White Sulphur Springs, WV
National Provider Identifier
1669459616
Registry record updated Aug 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
15169 Issued in WV
Practice address
3076 Big Draft Rd
White Sulphur Springs, WV 24986
Phone
(304) 445-7940
Fax
(304) 445-2437
NPI assigned
Dec 29, 2005
Last updated
Aug 21, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 21, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 15169 WV Primary

Addresses

Primary practice location

3076 Big Draft Rd
White Sulphur Springs, WV 24986

Mailing address

3076 Big Draft Rd
White Sulphur Springs, WV 24986
Phone (304) 445-7940

Other identifiers 1

IdentifierTypeStateIssuer
0041987000MedicaidWV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100329000279 WV Practitioner - Family Practice 6002942117 Reassigns benefits to 1 organization
Practice locations: Alderson, WV

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Medical College of Pennsylvania, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

444 Elmwood Ave
Alderson, WV 24910-5602
Phone (304) 445-7940

PO Box
680 13318 Wolf Creek Rd
Alderson, WV 24910-0680

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.84 of 100Reported as individual
Quality
100
Improvement activities
40
Cost
92.81

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Healthpath Medical & Psychiatric Care LLC CurrentSince Oct 1, 2024 Accepting new patients
Healthpath Medical & Psychiatric Care LLC CurrentSince Oct 1, 2024 Accepting new patients

Locations

110 Association Dr
Charleston, WV 25311
Phone (304) 208-0707

Interoperability endpoints

  • Direct secure messaging: marilynglaser@afm-wv.direct.office.nextgen.com

Organizations & group practices 2

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.

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1135814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787270400000",
    "number": "1669459616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3076 BIG DRAFT RD",
            "city": "WHITE SULPHUR SPRINGS",
            "state": "WV",
            "postal_code": "24986",
            "telephone_number": "304-445-7940",
            "fax_number": "304-445-2437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3076 BIG DRAFT RD",
            "city": "WHITE SULPHUR SPRINGS",
            "state": "WV",
            "postal_code": "24986",
            "telephone_number": "304-445-7940",
            "fax_number": "304-445-2437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLASER",
        "first_name": "MARILYN",
        "middle_name": "KNOLL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-12-29",
        "last_updated": "2026-08-21",
        "certification_date": "2026-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "15169",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0041987000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in White Sulphur Springs, WV

Sources for this page

Verify at the official NPI Registry.