GLENN T WETZEL (NPI# 1023074010) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023074010 |
| Entity Type | Individual |
| Full Name | GLENN T WETZEL |
| Credential | MD |
| Practice Address |
848 Adams Ave Memphis TN 38103 |
| Mailing Address |
49 N Dunlap St Ste 345 Memphis TN 38103-2802 |
| Practice Telephone | 9012877337 |
| Mailing Telephone | 9012875092 |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2018-07-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0001X |
Internal Medicine Specialization: Clinical Cardiac Electrophysiology |
39312 | TN | Allopathic & Osteopathic Physicians |
| N | 2080P0202X |
Pediatrics Specialization: Pediatric Cardiology |
39312 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3325777 | 05 |
| Street Address |
848 ADAMS AVE |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437159126 | Barry G Gilmore | Emergency Medicine | 848 Adams Ave, Memphis, TN 38103-2816 | 2005-07-26 |
| 1942816350 | Emily Craven | Registered Nurse | 848 Adams Ave, Memphis, TN 38103-2816 | 2020-09-21 |
| 1851905475 | Sherry Ivy | Clinical Nurse Specialist | 848 Adams Ave, Memphis, TN 38103-2816 | 2020-09-01 |
| 1841800398 | Sarah Phillips | Student in an Organized Health Care Education/Training Program | 848 Adams Ave, Memphis, TN 38103-2816 | 2020-08-07 |
| 1922617240 | Megan Leigh Smith | Nurse Practitioner | 848 Adams Ave, Memphis, TN 38103-2816 | 2020-07-23 |
| 1235753187 | Kelsey Aquadro Mace | Occupational Therapist | 848 Adams Ave, Memphis, TN 38103-2816 | 2020-06-05 |
| 1669094017 | Kelley Little | Physical Therapist | 848 Adams Ave, Memphis, TN 38103-2816 | 2020-05-08 |
| 1669093571 | Amy Claire Petro | Speech-Language Pathologist | 848 Adams Ave, Memphis, TN 38103-2816 | 2020-05-01 |
| 1285255299 | Heather Leann Clabo | Occupational Therapist | 848 Adams Ave, Memphis, TN 38103-2816 | 2020-04-30 |
| 1922629146 | Julie Cleary Dillon | Speech-Language Pathologist | 848 Adams Ave, Memphis, TN 38103-2816 | 2020-04-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619505724 | Michelle Lynn Esposito | Dietitian, Registered | 1st Floor Research Center - 50 North Dunlap St, Memphis, TN 38103 | 2020-04-01 |
| 1962030221 | Allison Burge Clayton | Dietitian, Registered | 50 N Dunlap, Nutrition Therapy Dept, 1st Floor Research Tower, Memphis, TN 38103 | 2020-03-31 |
| 1093375420 | Radar Ems, LLC | Social Worker | 50 S. B.b. King Blvd, Suite 350, Memphis, TN 38103 | 2019-06-18 |
| 1528529021 | Denise Andrews Matthews | Nursing Care | 342 Island Dr #105, Memphis, TN 38103 | 2019-03-27 |
| 1881160059 | Christopher Paul Hernandez | Nurse Practitioner | 877 Jeffeon Ave, Memphis, TN 38103 | 2018-10-15 |
| 1194245712 | Cameron Waters Clinard | Optometrist | 127 Isle Creek Dr, Memphis, TN 38103 | 2017-06-24 |
| 1750732582 | Amanda Leigh Eaves | Nurse Practitioner | 364 S Front St Ste 201, Memphis, TN 38103 | 2016-06-22 |
| 1417304569 | John Clark Shell | Family Medicine | 150 Harbor Creek Dr, Memphis, TN 38103 | 2016-05-18 |
| 1750753695 | Tomisha V. Byard | Nurse Practitioner | 718 Habor Bend Road, Memphis, TN 38103 | 2015-10-29 |
| 1053795179 | Melissa Anne Wilkes | Social Worker | 1240 Harbor River Drive, Memphis, TN 38103 | 2015-07-18 |
| Find all providers in zip 38103 | ||||
| Taxonomy Code | 207RC0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Clinical Cardiac Electrophysiology |
| A field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538391446 | Indranill Basu Ray | Internal Medicine | 6005 Park Ave Ste 500b, Memphis, TN 38119 | 2009-08-12 |
| 1831332626 | Karine Guerrier | Internal Medicine | 848 Adams Ave, Ste. L400, Memphis, TN 38103 | 2009-04-09 |
| 1588753727 | Mark A Coppess | Internal Medicine | 8060 Wolf River Blvd, Memphis, TN 38138-1727 | 2006-10-12 |
| 1447342811 | Eric E Johnson | Internal Medicine | 8060 Wolf River Blvd, Memphis, TN 38138-1727 | 2006-09-29 |
| 1053362749 | Memphis Cardiac Care Center, Pllc | Internal Medicine | 1325 Eastmoreland Ave, Suite 440, Memphis, TN 38104-3519 | 2006-05-15 |
| 1124078647 | James Porterfield | Internal Medicine | 1211 Union Ave, Suite 475, Memphis, TN 38104-6638 | 2006-05-12 |
| 1326098567 | Arrhythmia Consultants, PC | Internal Medicine | 1211 Union Ave, Suite 475, Memphis, TN 38104-6638 | 2006-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861015935 | Basu Ray Cardiology Associates PC | Internal Medicine | 1755 Groveway Dr, Germantown, TN 38139-5554 | 2020-05-25 |
| 1548266786 | Tibor Sandor Szabo | Internal Medicine | 7460 Wolf River Blvd, Germantown, TN 38138-1760 | 2005-06-22 |
| 1275811713 | Knoxville Hma Cardiology Ppm, LLC | Internal Medicine | 1225 E Weisgarber Rd, Knoxville, TN 37909-2604 | 2011-08-02 |
| 1518279686 | Chattanooga Hamilton County Hospital Authority | Internal Medicine | 979 E 3rd St, Suite C-520, Chattanooga, TN 37403-2136 | 2010-07-06 |
| 1174842181 | Specialty Physician Group LLC | Internal Medicine | 7460 Wolf River Blvd, Germantown, TN 38138-1760 | 2010-06-01 |
| 1518122613 | Martin Antonio Espinosa | Internal Medicine | 222 22nd Ave N, Suite 400, Nashville, TN 37203-1852 | 2008-07-28 |
| 1093978751 | Rashmi Ujaneppa Hottigoudar | Internal Medicine | 7557b Dannaher Dr Ste 225, Powell, TN 37849-3568 | 2008-07-02 |
| 1265606255 | Przemyslaw Peter Borek | Internal Medicine | 2400 Patterson St Ste 502, Nashville, TN 37203-6511 | 2008-04-22 |
| 1124201298 | Sean Patrick Whalen | Internal Medicine | 3601 The Vanderbilt Clinic, Nashville, TN 37232-0001 | 2007-12-12 |
| 1003097593 | Mehul B Patel | Internal Medicine | 7460 Wolf River Blvd, Germantown, TN 38138-1760 | 2007-11-26 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.