DR. GLENN THIEL (NPI# 1912352873) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912352873 |
| Entity Type | Individual |
| Full Name | DR. GLENN THIEL |
| Credential | M.D. |
| Practice Address |
N20015 Echo Lake Rd Niagra WI 54151 |
| Mailing Address |
Po Box 312 Pembine WI 54156-0312 |
| Practice Telephone | 7153246019 |
| Mailing Telephone | 7153246019 |
| Enumeration Date | 2016-04-28 |
| Last Update Date | 2016-04-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 25458 | WI | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487676656 | Glenn W Thiel | Family Medicine | 1710 Prairie City Rd Ste 125, Folsom, CA 95630-4042 | 2006-07-24 |
| Street Address |
N20015 ECHO LAKE RD |
| City | NIAGRA |
| State | WI |
| Zip Code | 54151 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629614391 | Wallee Stebbens | Technician | W724 County Rd N, Niagara, WI 54151 | 2019-11-18 |
| 1215587035 | David Stebbins | Technician | 724 County Rd N, Niagara, WI 54151 | 2019-09-13 |
| 1740708262 | Radiant Natural Health Clinic Sc | Acupuncturist | 619 Washington Ave, Niagara, WI 54151 | 2017-09-05 |
| 1740403260 | Robert B Pultz | Dentist | 621 Washington Ave, Niagara, WI 54151 | 2007-04-11 |
| 1811015548 | In Home Rehab of Dickinson County | Occupational Therapist | N19748 Timm's Lake Road, Suite 1, Niagara, WI 54151 | 2007-03-27 |
| 1336143726 | Maryhill Manor Inc | Skilled Nursing Facility | 501 Madison Avenue, Niagara, WI 54151 | 2005-06-13 |
| 1003938960 | Niagara Area Emergency Unit, Inc. | Ambulance | 1241 Jackson St, Niagara, WI 54151 | 2007-04-04 |
| 1447385133 | Mary Patricia Holzbauer | Social Worker | 1201 Jackson St, Marinette County Health and Human Services, Niagara, WI 54151 | 2007-02-22 |
| 1235228586 | Jane Marie Moker | Counselor | Marinette County Health and Human Services, 1201 Jackson St, Marinette, WI 54151 | 2006-10-12 |
| 1013006329 | George Paul Thottakara | Counselor | 1201 Jackson St, Marinette County Health and Human Services, Niagara, WI 54151 | 2006-10-12 |
| Find all providers in zip 54151 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275012171 | Kathleen Ray Price | Emergency Medicine | 146 Old Orchard Ln, Neenah, WI 54956-4954 | 2018-08-10 |
| 1043730690 | Jonathan Weseman | Emergency Medicine | 3003 University Dr, Marinette, Marinette, WI 54143 | 2017-06-25 |
| 1780115634 | Sean Anthony Mackman | Emergency Medicine | 9200 W Wisconsin Ave # 1p, Milwaukee, WI 53226-3522 | 2017-03-22 |
| 1114375367 | Arthur How Jen Chiu | Emergency Medicine | 1726 Chadbourne Ave, Madison, WI 53726-4108 | 2016-05-28 |
| 1437512613 | Jacob Tyler Clark | Emergency Medicine | 1035 Kepler Dr, Green Bay, WI 54311-8320 | 2016-04-04 |
| 1639532526 | Rinal Patel | Emergency Medicine | 9200 W Loomis Rd Ste 212, Franklin, WI 53132 | 2016-03-30 |
| 1871955187 | Scott Erickson | Emergency Medicine | 4876 N Sheffield Ave, Whitefish Bay, WI 53217-5962 | 2016-03-25 |
| 1992166821 | Nicholas W Hawley | Emergency Medicine | 3003 W Good Hope Rd # Bcm320, Milwaukee, WI 53209-2042 | 2016-03-20 |
| 1164802138 | Adam Nicholson | Emergency Medicine | 600 Highlanc Ave, Madison, WI 53792-0001 | 2015-06-04 |
| 1811384464 | Megan O Bedolla | Emergency Medicine | 2338 E Ohio Ave, Milwaukee, WI 53207 | 2015-04-21 |
| Find all providers with the same taxonomy | ||||
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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.