Active NPI
Glenn Barron Cheshire, M.D.
- Family Medicine Physician
- Chesapeake, VA
National Provider Identifier
1700030848
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 0101229833
- Practice address
- 1218 Lilac Ave
Chesapeake, VA 23325-2920 - Phone
- (757) 373-1543
- Fax
- (757) 962-5202
- NPI assigned
- Nov 14, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 0101229833 | VA | Primary |
| Hospitalist Physician | 208M00000X | 0101229833 | VA |
Addresses
Primary practice location
1218 Lilac Ave
Chesapeake, VA 23325-2920
Mailing address
1218 Lilac Ave
Chesapeake, VA 23325-2920
Phone (757) 373-1543
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101229833 | VA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Riverside Physician Services Inc | Family Medicine | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Family Medicine Physician
- Newport News, VA
- NPI 1013933977
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1226620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1357084800000",
"number": "1700030848",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1218 LILAC AVE",
"city": "CHESAPEAKE",
"state": "VA",
"postal_code": "233252920",
"telephone_number": "757-373-1543",
"fax_number": "757-962-5202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1218 LILAC AVE",
"city": "CHESAPEAKE",
"state": "VA",
"postal_code": "233252920",
"telephone_number": "757-373-1543",
"fax_number": "757-962-5202"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHESHIRE",
"first_name": "GLENN",
"middle_name": "BARRON",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-11-14",
"last_updated": "2013-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "VA",
"license": "0101229833",
"primary": true
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "VA",
"license": "0101229833",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chesapeake, VA
- Chesapeake Rehab Equipment Inc
- Chesapeake Rehabilitation and Care Center, LLC
- Chesapeake Service Systems, Inc
- Chesapeake SNF LLC
- Chesapeake Weight Loss Consultants PLLC
- Mark Alan Chesney, HMC/IDC, US NAVY
- Chiming Cheung, OD
- Jennifer Sue Cheung, M.D.
- Anna Catherine Chidester
- Paul Donald Chidester, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.