Glenn Toth, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

33436 Issued in WI

Practice address

403 N Grand Ave
Waukesha, WI 53186-4913

Phone

(262) 547-3055

Fax

(262) 547-2129

NPI assigned

Aug 6, 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

Medicare fee-for-service enrollment

Enrolled in WI

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

Interoperability endpoints

• Direct secure messaging: glenn.toth.1@14940.direct.athenahealth.com
• Direct secure messaging: glenn.toth.1@30745.direct.athenahealth.com

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Badger Hospice, LLC

  • Community Based Hospice Care Agency
  • Brookfield, WI
  • NPI 1013453505

  W-2 Managing Employee

  CMS ownership

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.

• Village Primary Care Providers LLC

  • Nurse Practitioner
  • Palmyra, WI
  • NPI 1003324617

  Family Medicine, WI

  Medicare reassignment NPD
• Kettle Moraine Health Center, S.C.

  • Chiropractor
  • Delafield, WI
  • NPI 1083772735
  NPD (past)

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

{
    "created_epoch": "1154822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1851300933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 N GRAND AVE",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531864913",
            "telephone_number": "262-547-3055",
            "fax_number": "262-547-2129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 N GRAND AVE",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531864913",
            "telephone_number": "262-547-3055",
            "fax_number": "262-547-2129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOTH",
        "first_name": "GLENN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "33436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• John G Touzios, MD
• Towering Pines Acupuncture and Oriental Medicine
• Leigh K Tracy, COTA
• Robbi M Tracy, APNP

• All providers in Waukesha, WI
• Family Medicine Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.