GLENN A. SMITH MD – NPI #1295842409
Family Medicine

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.

Health Care Provider Taxonomy Code for Family Medicine

GLENN SMITH is a physician located in TWO RIVERS, WI. NPPES has assigned the NPI number 1295842409 to GLENN SMITH on August 24, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. He is also known by his doing business as (dba) GLENN ARTHUR SMITH. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 2 years ago on Jan 15, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for GLENN SMITH below.

NPI Profile for
GLENN A. SMITH

NPI Number
1295842409
Enumeration Date

(about 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
GLENN A. SMITH
Doing Business As (dba): GLENN ARTHUR SMITH
Credentials
MD
Primary location
2219 GARFIELD ST
TWO RIVERS, WI 54241
Phone: (920) 793-2281 Fax: (920) 793-3669
Mailing address
PO BOX 735044
CHICAGO, IL 60673-5044
Phone: (800) 326-2250 Fax:
Sole Proprietor
No
Updated
Certification Date
Jan 15, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for GLENN SMITH

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidWI31673600
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)		 WI 31392
208100000X
- Physical Medicine & Rehabilitation		 WI 31392

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

View All Endpoint(s)
Endpoint
[email protected]
Endpoint type
Direct Messaging Address
Endpoint Description
Content Type
Affiliation
N
Endpoint Location
2219 GARFIELD ST,
TWO RIVERS, WI 77025-1669
Endpoint
https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/
Endpoint type
FHIR URL
Endpoint Description
Content Type
Affiliation
N
Endpoint Location
2219 GARFIELD ST,
TWO RIVERS, WI 77025-1669

Additional Information

Education
UNIVERSITY OF WISCONSIN SCHOOL OF MEDICINE - Graduated 1989
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
GLENN SMITH is affiliated with the following medical group(s):
  • HOSPITAL
    • AURORA MEDICAL CTR MANITOWOC COUNTY
      5000 MEMORIAL DRIVE
      TWO RIVERS, WI 54241
    • HOLY FAMILY MEMORIAL
      2300 WESTERN AVE
      MANITOWOC, WI 54221
  • HOME HEALTH AGENCY
    • AURORA AT HOME
      931 DISCOVERY ROAD
      GREEN BAY, WI 54311
  • NURSING HOME
    • HAMILTON HEALTH SERVICES
      1 HAMILTON DR
      TWO RIVERS, WI 54241

Why is my NPI data (personal information) being displayed publicly?
If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

How do I correct or change the NPI data displayed here?
At any time, providers can make changes to their NPI profile at NPPES. Login to NPPES to make changes online or call (800) 465-3203 for assistance. Changes made at NPPES will be reflected on this web site within a few days.

Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.