GLENN LEE DOBBS (NPI# 1083649909) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083649909 |
| Entity Type | Individual |
| Full Name | GLENN LEE DOBBS |
| Credential | D.O. |
| Practice Address |
1205 Hadley Rd Mooresville IN 46158-1789 |
| Mailing Address |
8051 S. Emerson Avenue #400 Indianapolis IN 46237-8633 |
| Practice Telephone | 3175843454 |
| Practice Fax Number | 3175843435 |
| Mailing Telephone | 3178653600 |
| Mailing Fax Number | 3178653850 |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2012-09-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 02001767A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200105500 | 05 | |
| IN | ANTHEM PROVIDER # | 000000576533 | 01 |
| Street Address |
1205 HADLEY RD |
| City | MOORESVILLE |
| State | IN |
| Zip Code | 46158-1789 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558357079 | Michael Lenwood Boothe | Obstetrics & Gynecology | 1205 Hadley Rd, Mooresville, IN 46158-1737 | 2005-09-20 |
| 1558708032 | Brittany E Johnson | Obstetrics & Gynecology | 1205 Hadley Rd, Mooresville, IN 46158 | 2013-05-24 |
| 1285909002 | Southside Ob/gyn P.C. | Obstetrics & Gynecology | 1205 Hadley Rd, Mooresville, IN 46158-1737 | 2012-03-12 |
| 1063673358 | Virginia Ann Dangerfield Takagi | Obstetrics & Gynecology | 1205 Hadley Rd, Mooresville, IN 46158-1737 | 2008-06-19 |
| 1245443423 | Meridian Gynecological Center | Obstetrics & Gynecology | 1205 Hadley Rd, Mooresville, IN 46158-1737 | 2007-05-07 |
| 1174747505 | Dawn Marie Gunderson | Nurse Practitioner | 1205 Hadley Rd, Mooresville, IN 46158-1737 | 2007-04-13 |
| 1629017199 | Jamie L Cooper | Obstetrics & Gynecology | 1205 Hadley Rd, Mooresville, IN 46158-1737 | 2006-06-06 |
| 1578540688 | G. Alan Von Stein | Obstetrics & Gynecology | 1205 Hadley Rd, Mooresville, IN 46158-1737 | 2005-12-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396352613 | Victoria Shay Parsons | Pharmacist | 523 Sr-67 N, Mooresville, IN 46158 | 2020-09-30 |
| 1083150049 | Terri Joann Hughes | Hearing Instrument Specialist | Mobile / Home Care, Mooresville, IN 46158 | 2017-01-16 |
| 1578938650 | Harrison County Hospital | Skilled Nursing Facility | 302 North Johnson Road, Mooresville, IN 46158 | 2015-12-01 |
| 1598100323 | William Oh | Colon & Rectal Surgery | 1215 Hadley Rd Ste 201, Mooresville, IN 46158 | 2013-05-07 |
| 1134405855 | Antonios Spiros Kantzavelos | Pharmacist | 115 Fields Road, Mooresville, IN 46158 | 2011-10-26 |
| 1588940308 | Sarah E Grindle | Pharmacist | 115 Fields Rd., Mooresville, IN 46158 | 2011-10-25 |
| 1487884805 | Abundant Life Chiropractic | Chiropractor | 902 N Old State Rd 67, Mooresville, IN 46158 | 2009-07-20 |
| 1770614760 | W F Kirby | Optometrist | 11625 N Oldfield Ln, Mooresville, IN 46158 | 2007-03-08 |
| 1730269192 | Travis L Bauer | Dentist | 420 S Indiana St, Mooresville, IN 46158 | 2006-10-17 |
| 1457396707 | Sidney L Gilbert | Pediatrics | 100 Town Center Drive, Suite B, Mooresville, IN 46158 | 2006-06-19 |
| Find all providers in zip 46158 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184244881 | Carolinas Physicians Network Inc | Obstetrics & Gynecology | 150 Professional Park Dr Ste 200, Mooresville, NC 28117-5604 | 2020-04-22 |
| 1740544600 | Nicole Sharon Wellbaum | Obstetrics & Gynecology | 131 Medical Park Rd Ste 102, Mooresville, NC 28117-8523 | 2012-06-26 |
| 1477585107 | Todd Jerry Adams | Obstetrics & Gynecology | 235 Medical Park Rd, Suite 201, Mooresville, NC 28117-8545 | 2006-07-06 |
| 1174593313 | James D Wilson | Obstetrics & Gynecology | 131 Medical Park Rd, Ste 102, Mooresville, NC 28117 | 2006-01-23 |
| 1558357079 | Michael Lenwood Boothe | Obstetrics & Gynecology | 1205 Hadley Rd, Mooresville, IN 46158-1737 | 2005-09-20 |
| 1801899901 | Nicole Suzette Perry | Obstetrics & Gynecology | 100 Town Center Rd S, Ste B, Mooresville, IN 46158-2321 | 2005-05-23 |
| 1053878868 | Novant Medical Group, Inc. | Obstetrics & Gynecology | 106 Langtree Village Dr Ste 200, Mooresville, NC 28117-7571 | 2019-02-28 |
| 1487012886 | Novant Medical Group, Inc. | Obstetrics & Gynecology | 106 Langtree Village Drive, Suite 200, Mooresville, NC 28117 | 2016-02-01 |
| 1558708032 | Brittany E Johnson | Obstetrics & Gynecology | 1205 Hadley Rd, Mooresville, IN 46158 | 2013-05-24 |
| 1285909002 | Southside Ob/gyn P.C. | Obstetrics & Gynecology | 1205 Hadley Rd, Mooresville, IN 46158-1737 | 2012-03-12 |
| Find all providers in MOORESVILLE | ||||
| City | MOORESVILLE |
| Zip Code | 46158 |
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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.