DR. GLENN L WILSON (NPI# 1750479754) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750479754 |
| Entity Type | Individual |
| Full Name | DR. GLENN L WILSON |
| Other Name | DR. G. LEE WILSON |
| Credential | MD |
| Practice Address |
100 Medical Center Dr. Suite 101 Gadsden AL 35903-1130 |
| Practice Telephone | 2564928590 |
| Practice Fax Number | 2564924498 |
| Mailing Telephone | 2564928590 |
| Mailing Fax Number | 2564924498 |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2016-01-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 28405 | NC | Allopathic & Osteopathic Physicians |
| N | 207X00000X | Orthopaedic Surgery | MD28405 | AL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 131368 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689676652 | Glenn M Wilson | Dentist | 146 Danbury Rd, Suite C, New Milford, CT 06776-3427 | 2005-08-10 |
| 1417471426 | Glenn Gordon Wilson | Prosthetist | 514 S Washington St, Spokane, WA 99204-2620 | 2017-08-01 |
| 1720401789 | Glenn Wilson | Military Health Care Provider | 101 Bodin Cir, Travis Afb, CA 94535-1809 | 2014-01-28 |
| 1245672609 | Glenn Jay Wilson | Counselor | 267 6th St, Meeker, CO 81641 | 2013-07-25 |
| 1285859801 | Glenn L Wilson | Technician/Technologist | 120 W Main St, Suite 210, Mesquite, TX 75149-4264 | 2007-04-17 |
| 1730230111 | Glenn Dean Wilson | Dentist | 4601 Brainerd Rd, Chattanooga, TN 37411-3826 | 2007-01-14 |
| 1831294297 | Glenn David Wilson | Counselor | 1435 N Oakland Blvd, Waterford, MI 48327-1549 | 2006-09-13 |
| Street Address |
100 MEDICAL CENTER DR. SUITE 101 |
| City | GADSDEN |
| State | AL |
| Zip Code | 35903-1130 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548294143 | Elizabeth Ann Giles | Physician Assistant | 100 Medical Center Dr., Suite 101, Gadsden, AL 35903-1130 | 2006-07-10 |
| 1437194438 | William N. Haller IIi | Orthopaedic Surgery | 100 Medical Center Dr., Suite 101, Gadsden, AL 35903-1130 | 2006-06-17 |
| 1891730818 | Carl W Hartzog | Orthopaedic Surgery | 100 Medical Center Dr., Suite 101, Gadsden, AL 35903-1130 | 2006-06-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821519612 | Fresenius Kidney Care Gadsden Acq, LLC | Clinic/Center | 800 Goodyear Ave, Gadsden, AL 35903 | 2017-06-30 |
| 1992140545 | Kristy Bray | Nurse Practitioner | 1007 Goodyear Avenue, Gadsden, AL 35903 | 2013-05-08 |
| 1386918076 | Chinyere Hope Buchi-ahiabuike | Nurse Practitioner | 1216 Wilbanks Ave, Gadsden, AL 35903 | 2012-02-28 |
| 1003047606 | Housing Opportunities for Persons With Exceptionalities, Inc. | Community/Behavioral Health | 327 N. 10th Street, Gadsden, AL 35903 | 2009-07-30 |
| 1154596690 | Cardiovascular Imaging | Technician, Cardiology | 5606 2nd St, Hokes Bluff, AL 35903 | 2008-04-25 |
| 1114007713 | State of Alabama Department of Public Health | Home Health | 709 East Broad Street, Gadsden, AL 35903 | 2006-10-17 |
| 1336246321 | Terisa Ann Thomas | Specialist | 800 Goodyear Avenue, Suite B, Gadsden, AL 35903 | 2006-09-20 |
| 1508874512 | Steven Michael Sanders | Family Medicine | 1026 Goodyear Avenue, Suite 100, Gadsden, AL 35903 | 2006-08-04 |
| 1184673535 | Quality of Life Health Services, Inc. | Clinic/Center | 1216 Wilbanks Avenue, Gadsden, AL 35903 | 2006-05-10 |
| 1306838818 | Thomas A Pugliese | Internal Medicine | 900 Goodyear Avenue, Suite A, Gadsden, AL 35903 | 2005-08-19 |
| Find all providers in zip 35903 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| 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 Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235454844 | Adam Franklin Shaw | Orthopaedic Surgery | 507 S 4th St, Gadsden, AL 35901-5216 | 2010-04-07 |
| 1700945011 | Stephen F. Blackstock M.d., P.C. | Orthopaedic Surgery | 300 Medical Center Dr, Suite 100, Gadsden, AL 35903-1157 | 2006-12-06 |
| 1053409060 | James D Smith IIi | Orthopaedic Surgery | 100 Medical Center Dr, Suite 101, Gadsden, AL 35903-1134 | 2006-10-11 |
| 1699785790 | Northeast Orthopedic Clinic PC | Orthopaedic Surgery | 507 S 4th St, Gadsden, AL 35901-5216 | 2006-08-09 |
| 1750307708 | George Jackson Douthit Jr. | Orthopaedic Surgery | 507 S 4th St, Gadsden, AL 35901 | 2006-07-14 |
| 1578589529 | Christopher Gordon Kelley | Orthopaedic Surgery | 507 S 4th St, Gadsden, AL 35901-5216 | 2006-07-14 |
| 1558387506 | William Robert Stewart | Orthopaedic Surgery | 507 S 4th St, Gadsden, AL 35901 | 2006-07-14 |
| 1376569327 | Daniel Owen Ryan | Orthopaedic Surgery | 507 S 4th St, Gadsden, AL 35901 | 2006-07-14 |
| 1356373583 | Stephen Few Blackstock | Orthopaedic Surgery | 300 Medical Center Dr, Suite 100, Gadsden, AL 35903-1157 | 2006-07-07 |
| 1437194438 | William N. Haller IIi | Orthopaedic Surgery | 100 Medical Center Dr., Suite 101, Gadsden, AL 35903-1130 | 2006-06-17 |
| Find all providers in GADSDEN | ||||
Please comment or provide details below to improve the information on DR. GLENN L WILSON.
| 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.