MR. GLEN WHEELER (NPI# 1295898641) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295898641 |
| Entity Type | Individual |
| Full Name | MR. GLEN WHEELER |
| Credential | MD |
| Practice Address |
2007 Bay Street Suite 104 Taunton MA 02780 |
| Mailing Address |
Po Box 500 West Falmouth MA 02574 |
| Practice Telephone | 5088217731 |
| Practice Fax Number | 5088214688 |
| Mailing Telephone | 5088217731 |
| Mailing Fax Number | 5088214688 |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 79939 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PHCS | 412871 | 01 | |
| TRICARE CHAMPUS | MA0013265 | 01 | |
| BMC HEALTHNET PLAN | 000000026441 | 01 | |
| TUFTS HEALTH PLAN | 079939 | 01 | |
| HARVARD PILGRIM | 137062 | 01 | |
| RI | BCBS | 22245 | 01 |
| AETNA USHC HMO GROUP | 2291716 | 01 | |
| MA | BCBS | J18446 | 01 |
| AETNA USHC HMO | 2316139 | 01 | |
| AETNA USHC NON HMO | 7190101 | 01 | |
| CIGNA HEALTH CARE | 9157891 | 01 | |
| MA | 0116149 | 05 | |
| BLUE CHIP COORD PARTNERS | 407279 | 01 | |
| HEALTHY START PROGRAM MA | 0090151 | 01 | |
| MA | BCBS GROUP | M17398 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205131638 | Glen Slayton Wheeler | Physical Therapist | 2726 Electric Rd Ste 101, Roanoke, VA 24018-3528 | 2011-01-15 |
| 1184620734 | Glen Nelson Wheeler | Family Medicine | 110 S 17th St, Harrisburg, PA 17104-1123 | 2005-06-27 |
| Street Address |
2007 BAY STREET SUITE 104 |
| City | TAUNTON |
| State | MA |
| Zip Code | 02780 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134295751 | Maria Molina | Obstetrics & Gynecology | 2007 Bay Street, Suite 104, Taunton, MA 02780 | 2006-11-27 |
| 1487992269 | Marilyn R. Spinale | Audiologist | 2007 Bay Street, Suite B-100, Taunton, MA 02780 | 2013-01-29 |
| 1992062384 | Laila Von Andrian | Dentist | 2007 Bay Street, Tufts Dental Facility At Northwoods Medical Center, Taunton, MA 02780 | 2012-04-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235766338 | Peter A. Bertelli | Registered Nurse | Attn: Peter A. Bertelli, Rn, 70 Main Street, Taunton, MA 02780 | 2020-03-26 |
| 1790321388 | Daniel Bettencourt | Counselor | 1 Washington St. Taunton, Ma 02780, Taunton, MA 02780 | 2019-11-19 |
| 1629620067 | Lauren Mulkern | Behavior Technician | 36 Saints Way, Taunton, MA 02780 | 2019-07-16 |
| 1154891737 | Sara Keller | Physical Therapist | 68 Dean Street, Taunton, MA 02780 | 2018-11-27 |
| 1366931594 | Alicia Marie Donahue | Optometrist | 2005 Bay Street Suite 206, Taunton, MA 02780 | 2018-05-03 |
| 1922522879 | Kathryn Louise Drapeau | Registered Nurse | 17 Patriot Road, Taunton, MA 02780 | 2017-08-02 |
| 1174057913 | Marie Lorquet | Registered Nurse | 111 Bay St, Taunton, MA 02780 | 2017-04-19 |
| 1912351693 | Samantha Hollis | Social Worker | 126 Dighton Avenue, Taunton, MA 02780 | 2016-04-19 |
| 1689030843 | Alexandra Rhae Lynn | Counselor | 1 Washington St., Taunton, MA 02780 | 2016-01-04 |
| 1386058261 | Carmen Iris Rivera | Registered Nurse | 111 Worcester St, Taunton, MA 02780 | 2014-06-18 |
| Find all providers in zip 02780 | ||||
| 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 |
|---|---|---|---|---|
| 1982749404 | Thaddeus Anthony Figlock | Obstetrics & Gynecology | 236 Winthrop St, Taunton, MA 02780-4429 | 2007-02-21 |
| 1134295751 | Maria Molina | Obstetrics & Gynecology | 2007 Bay Street, Suite 104, Taunton, MA 02780 | 2006-11-27 |
| 1699700054 | Laurie A Curry | Obstetrics & Gynecology | 91 Washington St, Suite 201, Taunton, MA 02780-7404 | 2006-07-12 |
| 1922239193 | Sherron Tashmyer Colgram | Obstetrics & Gynecology | 72 Washington St, Suite 1000, Taunton, MA 02780-2491 | 2009-08-05 |
| 1922039478 | Fariborz Khorsand-ravan | Obstetrics & Gynecology | 88 Washington St, C/o Morton Hospital, Taunton, MA 02780-2465 | 2006-07-05 |
| 1417926213 | Stephen Machinton | Obstetrics & Gynecology | 95 Washington St, Suite 4, Taunton, MA 02780-2481 | 2006-03-15 |
| 1518935063 | Maria T De Vera | Obstetrics & Gynecology | 72 Washington St, Suite 2100, Taunton, MA 02780-2491 | 2006-03-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881205037 | The Practice Ob/gyn Steward, PC | Obstetrics & Gynecology | 275 Varnum Ave Ste 103, Lowell, MA 01854-2109 | 2020-08-12 |
| 1558905570 | Alliance Ob Gyn LLC | Obstetrics & Gynecology | 380 Merrimack St Ste 2a, Methuen, MA 01844-5871 | 2019-11-01 |
| 1235794041 | North Andover Women's Care Pllc | Obstetrics & Gynecology | 100 Andover Bypass, Suite 300, North Andover, MA 01845 | 2019-05-07 |
| 1447732573 | Mystick Women's Health, Inc. | Obstetrics & Gynecology | 13 Bradlee Road, Medford, MA 02155 | 2018-09-05 |
| 1164909925 | Estefania D. Rivera Mudafort | Obstetrics & Gynecology | 850 Harrison Ave Fl 5, Boston, MA 02118-4001 | 2018-07-25 |
| 1376035881 | Erika R Wallace | Obstetrics & Gynecology | 800 Washington Street #22, Obgyn Residency Office, Boston, MA 02111 | 2018-05-31 |
| 1649760851 | Andrea Jaresova | Obstetrics & Gynecology | 330 Brookline Ave # Shapiro8, Boston, MA 02215-5491 | 2018-05-14 |
| 1063920767 | Jean Wilner Noel | Obstetrics & Gynecology | 11 Nevins St Ste 302, Boston, MA 02135-3514 | 2018-01-16 |
| 1740705243 | Ronan Paul Sugrue | Obstetrics & Gynecology | 75 Francis Street Brigham and Womens' Hospital, Department of Obstetrics and Gynecology, Boston, MA 02115 | 2017-08-07 |
| 1386173144 | Matthew Shear | Obstetrics & Gynecology | 330 Brookline Ave # 3, Boston, MA 02215-5400 | 2017-06-06 |
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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.