Glenn Rudolph Schwenk Jr., MD

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

01030262A Issued in IN

Practice address

12188 A North Meridian St
Suite 375
Carmel, IN 46032-4578

Phone

(317) 926-1056

Fax

(317) 579-0476

NPI assigned

Aug 1, 2005

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 2

Medicare fee-for-service enrollment

Enrolled in IN

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

Practice roles

Locations

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.

• Legacy Path LLC

  • Anatomic Pathology & Clinical Pathology Physician
  • South Bend, IN
  • NPI 1205693728

  Anatomic Pathology & Clinical Pathology, IN

  Medicare reassignment NPD
• American Health Network of Indiana LLC

  • Radiology Clinic/Center
  • New Albany, IN
  • NPI 1164304424
  NPD (past)
• Anderson Pathologists Inc. PC

  • Clinical Medical Laboratory
  • Anderson, IN
  • NPI 1750366993
  NPD (past)
• Community Hospitals of Indiana Inc

  • Internal Medicine Physician
  • Greenwood, IN
  • NPI 1326091836
  NPD (past)
• Major Hospital

  • General Acute Care Hospital
  • Shelbyville, IN
  • NPI 1174555692
  NPD (past)
• American Health Network of Ohio, LLC

  • Radiology Clinic/Center
  • Columbus, OH
  • NPI 1548142987
  NPD (past)

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

{
    "created_epoch": "1122854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1261526400000",
    "number": "1831199835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12188 A NORTH MERIDIAN ST",
            "address_2": "SUITE 375",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460324578",
            "telephone_number": "317-926-1056",
            "fax_number": "317-579-0476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12188 A NORTH MERIDIAN ST",
            "address_2": "SUITE 375",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460324578",
            "telephone_number": "317-926-1056",
            "fax_number": "317-579-0476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHWENK",
        "first_name": "GLENN",
        "middle_name": "RUDOLPH",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-01",
        "last_updated": "2009-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "IN",
            "license": "01030262A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100378730",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "000000231409",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Abigail Schumann, OTR
• Heather Rae Schumann, MD
• Barrett Ethan Schwartz
• Michele Lloyd Schwartz
• Kecia Marie Schwarzkopf, MSN, RN, AGPCNP-BC
• Margaret Victoria Schwimer, R.N
• Scott a Cooper Inc
• Scott Riddell MD LLC
• Jaylynn Scott
• Marianne Scott, RPH

• All providers in Carmel, IN
• Anatomic Pathology & Clinical Pathology Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2009; 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.