Active NPI
Glenn Francis Ragalie, M.D.
- Pulmonary Disease Physician
- Wauwatosa, WI
National Provider Identifier
1740382555
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 21819
- Practice address
- 1155 N Honey Creek Pkwy
Wauwatosa, WI 53213-3189 - Phone
- (414) 615-5936
- Fax
- (414) 615-5927
- NPI assigned
- Sep 2, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | 21819 | WI | Primary |
Addresses
Primary practice location
1155 N Honey Creek Pkwy
Wauwatosa, WI 53213-3189
Mailing address
1621 Church St
Wauwatosa, WI 53213-2541
Phone (414) 258-7498
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30330900 | Medicaid | WI |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157155200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1485734400000",
"number": "1740382555",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1621 CHURCH ST",
"city": "WAUWATOSA",
"state": "WI",
"postal_code": "532132541",
"telephone_number": "414-258-7498"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1155 N HONEY CREEK PKWY",
"city": "WAUWATOSA",
"state": "WI",
"postal_code": "532133189",
"telephone_number": "414-615-5936",
"fax_number": "414-615-5927"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAGALIE",
"first_name": "GLENN",
"middle_name": "FRANCIS",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-02",
"last_updated": "2017-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "WI",
"license": "21819",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30330900",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wauwatosa, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.