Glenn Porter Ward, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

00012567 Issued in AL

Practice address

1405 7TH St SE
Decatur, AL 35601-3341

Phone

(256) 355-6414

Fax

(256) 355-6646

NPI assigned

May 12, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in AL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• bcbs alabama network 01E0
• bcbs alabama network 01A0
• bcbs alabama network 01I0
• bcbs alabama network 01G0
• bcbs alabama network 01H0
• bcbs alabama network 01B0

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.

• DHP of Alabama PC

  • Surgery Physician
  • Birmingham, AL
  • NPI 1497187207
  Medicare reassignment NPD
• Surgical Associates of N Alabama

  • Surgery Physician
  • Decatur, AL
  • NPI 1598721144
  NPD (past)

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375660800000",
    "number": "1699726968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1029",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356021029",
            "telephone_number": "256-355-6414",
            "fax_number": "256-355-6646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 7TH ST SE",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356013341",
            "telephone_number": "256-355-6414",
            "fax_number": "256-355-6646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARD",
        "first_name": "GLENN",
        "middle_name": "PORTER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-12",
        "last_updated": "2013-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AL",
            "license": "00012567",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "020038026",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000016013",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "51016013WAR",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH",
            "identifier": "1710231",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lauren Wallace, D.M.D
• Stephany Walters
• Fillis Walton, MA
• Michael Wang, M.D.
• Angela Ward
• Tyde Ward
• Hannah Warren
• Watchman's Health PC
• Treena Lavern Waters, BS
• Charles Langdon Watkins, CRNA

• Surgery Physician in Decatur, AL
• Providers in Decatur, AL by specialty
• Surgery Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2013; 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.