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STEPHEN H. GLASSLEY M.D. NPI 1063497444


NPI Information

NPI: 1063497444
Provider Name: STEPHEN H. GLASSLEY, M.D.
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
Address:
2710 LAKE AVE
FORT WAYNE, IN
ZIP 46805
Phone: (260) 373-8070
Get Directions

Stephen H. Glassley, M.D. is a family medicine in Fort Wayne, IN. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Stephen H. Glassley, M.D. NPI is 1063497444. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2710 LAKE AVE
FORT WAYNE, IN
ZIP 46805-412
Phone: (260) 373-8070
Fax: (260) 373-8071

The enumeration date for this NPI number is 12/8/2005 and was last updated on 3/26/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily Medicine01018040AINDIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
100001076337 05OTHERUNITED HEALTHCARE
2069860PMEDICARE PININDIANA
3070830LMEDICARE PININDIANA
4080130064OTHERINDIANARAILROAD MEDICARE
54047058OTHERAETNA
61335OTHERINDIANAPHYSICIANS HEALTH PLAN
7138160LMEDICARE PININDIANA
8069980FMEDICARE PININDIANA
9000000111940OTHERINDIANAANTHEM
10B28060MEDICARE UPIN
11100048970MEDICAIDINDIANA
12070840GMEDICARE PININDIANA
13070860JMEDICARE PININDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.