Active NPI
Christopher James Glenn, M.D.
- Obstetrics Physician
- Kingwood, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics Physician
- License
- J5579
- Practice address
- 19701 Kingwood Dr BLDG 5
Kingwood, TX 77339-3773 - Phone
- (281) 319-4111
- Fax
- (281) 319-4623
- NPI assigned
- Nov 7, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics Physician | 207VX0000X | J5579 | TX | Primary |
Addresses
Primary practice location
19701 Kingwood Dr BLDG 5
Kingwood, TX 77339-3773
Mailing address
19701 Kingwood Dr BLDG 5
Kingwood, TX 77339-3773
Phone (281) 319-4111
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 113814105 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20051107000375 | TX | Practitioner - Obstetrics/Gynecology | 2264450477 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- University of Texas Medical School at Houston, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
22999 Hwy 59 N
Kingwood, TX 77339-4412
Phone (800) 967-2289
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| J5579 | TX | MD | Obstetrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Woodlands Womens Care PLLC | Current | Accepting new patients | |
| Privia Medical Group Gulf Coast, PLLC | Current | Accepting new patients | |
| Privia Medical Group Gulf Coast PLLC | Current | Accepting new patients | |
| Memorial Hermann Health System | Past | Accepting new patients |
Locations
646 FM 517 Rd W
Dickinson, TX 77539
Phone (281) 309-9001
7777 Southwest Fwy
Ste 312
Houston, TX 77074
7900 Fannin St
Houston, TX 77054
Phone (713) 512-7505
1200 Binz St
Ste 1490
Houston, TX 77004
Phone (713) 512-7027
7900 Fannin St
Ste 4000
Houston, TX 77054
Phone (713) 512-7027
1213 Hermann Dr
Ste 230
Houston, TX 77004
Phone (713) 533-0900
7600 Beechnut St
Houston, TX 77074
Phone (713) 456-5000
19701 Kingwood Dr
Bldg 5
Kingwood, TX 77339
Phone (281) 319-4111
22999 Highway 59 N
Ste 150
Kingwood, TX 77339
Phone (281) 358-2426
22999 Highway 59 N
Kingwood, TX 77339
Phone (281) 348-3322
10970 Shadow Creek Pkwy
Ste 100
Pearland, TX 77584
Phone (281) 398-8500
1120 Medical Plaza Dr
Ste 255
Shenandoah, TX 77380
Phone (832) 663-6367
9250 Pinecroft Dr
Shenandoah, TX 77380
Phone (281) 364-2300
17510 W Grand Pkwy S
Ste 430
Sugar Land, TX 77479
Phone (713) 578-3820
1001 Medical Plaza Dr
Ste 280
The Woodlands, TX 77380
Phone (281) 363-4445
Interoperability endpoints
- glenn.christopher.1@8042.direct.athenahealth.com
Organizations & group practices 5
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.
-
- Obstetrics & Gynecology Physician
- Houston, TX
- NPI 1578969465
TX
-
- Interventional Pain Medicine Physician
- San Antonio, TX
- NPI 1457167033
-
- General Acute Care Hospital
- Houston, TX
- NPI 1730132234
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131321600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1394409600000",
"number": "1992786149",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19701 KINGWOOD DR BLDG 5",
"city": "KINGWOOD",
"state": "TX",
"postal_code": "773393773",
"telephone_number": "281-319-4111",
"fax_number": "281-319-4623"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19701 KINGWOOD DR BLDG 5",
"city": "KINGWOOD",
"state": "TX",
"postal_code": "773393773",
"telephone_number": "281-319-4111",
"fax_number": "281-319-4623"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLENN",
"first_name": "CHRISTOPHER",
"middle_name": "JAMES",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-07",
"last_updated": "2014-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "207VX0000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Obstetrics",
"state": "TX",
"license": "J5579",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "113814105",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kingwood, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2014; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.