Harry G Glen, MD

Primary specialty

SpecialistTaxonomy code 174400000X

License

ME46138 Issued in FL

Practice address

500 Faunce Corner Rd
Suite 110
N Dartmouth, MA 02747-1278

Phone

(508) 717-0270

Fax

(508) 995-3060

NPI assigned

Aug 3, 2006

Last updated

Jun 3, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://app.meldrx.com/api/fhir/ec21ei41

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Independence Eye Associates, PC

  • Ophthalmology Physician
  • Fall River, MA
  • NPI 1568089415
  NPD
• Emerald Coast Eye Institute LLC

  • Ophthalmology Physician
  • Fort Walton Beach, FL
  • NPI 1669421467
  NPD (past)
• Emerald Coast Eye Institute, LLC

  • Durable Medical Equipment & Medical Supplies
  • Fort Walton Beach, FL
  • NPI 1164638680

  Ophthalmology

  NPD (past)

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307059200000",
    "number": "1962410324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 SOUTH EAST RANCH ROAD",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "33478",
            "telephone_number": "561-252-0946",
            "fax_number": "561-575-6850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 FAUNCE CORNER RD",
            "address_2": "SUITE 110",
            "city": "N DARTMOUTH",
            "state": "MA",
            "postal_code": "027471278",
            "telephone_number": "508-717-0270",
            "fax_number": "508-995-3060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLEN",
        "first_name": "HARRY",
        "middle_name": "G",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-03",
        "last_updated": "2011-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME46138",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MA",
            "license": "230681",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Debra A Felder, CRNA
• Laurajane Leclair Fitzsimons, M.ED, C.A.G.S., LMHC
• Ebonie Flowers
• Albert J Fox, M.D.
• Arnold E Gellman, M.D.
• Allison L Gorski, MD
• Katherine Guillotte, PT, DPT
• Michael J Harrison, MD
• Hawthorn Family Dental
• Hawthorn Medical Associates LLC

• Specialist in N Dartmouth, MA
• Providers in N Dartmouth, MA by specialty
• Specialist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.