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STEPHEN H. GLASSLEY M.D.
NPI 1063497444
Family Medicine in Fort Wayne, IN

Active since December 08, 2005
2710 LAKE AVE, FORT WAYNE, IN 46805(260) 373-8070(260) 373-8071 Get Directions Write a Review

NPPES record last updated: March 26, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Stephen H. Glassley M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STEPHEN H. GLASSLEY M.D. (NPI 1063497444) is an individual family medicine provider in Fort Wayne, Indiana, licensed in Indiana (01018040A) and active in the NPI registry since December 2005.

NPPES Registry Identity

NPI1063497444
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameSTEPHEN H. GLASSLEYCredential: M.D.
Location Address2710 LAKE AVEFort Wayne, IN 46805-5412
Mailing Address1234 E Dupont Rd, Suite 1Fort Wayne, IN 46825-1545 · (260) 373-9700 · Fax (260) 373-9740
Phone(260) 373-8070
Fax(260) 373-8071
Sole ProprietorNo
Enumeration DateDecember 8, 2005
Last NPPES UpdateMarch 26, 2013
✔ NPI 1063497444 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IN · 01018040A
Definition
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.
2710 LAKE AVE, Fort Wayne, IN 46805
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Other Identifiers 13

Other00001076337 05United Healthcare
Medicare PIN069860PIN
Medicare PIN070830LIN
Other080130064IN · Railroad Medicare
Other4047058Aetna
Other1335IN · Physicians Health Plan
Medicare PIN138160LIN
Medicare PIN069980FIN
Other000000111940IN · Anthem
Medicare UPINB28060
Medicaid100048970IN
Medicare PIN070840GIN
Medicare PIN070860JIN

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JESSICA MARIE DZIONDZIAK
Nurse Practitioner
2710 LAKE AVE
FORT WAYNE, IN 46805
Allen County (260) 481-2700
SHERESA WILSON PA-C, LMHCA
Physician Assistant
2710 LAKE AVE
FORT WAYNE, IN 46805
Allen County (260) 481-2700
MS. SHERRI SUE ALBERTSON PMHNP BC
Nurse Practitioner (Psychiatric/Mental Health)
2710 LAKE AVE
FORT WAYNE, IN 46805
Allen County (260) 471-9440
KAREN S LOTHAMER RN, CNS
Nurse Practitioner
2710 LAKE AVE
FORT WAYNE, IN 46805
Allen County (260) 481-2700

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stephen Glassley's NPI number?

The NPI number for Stephen Glassley is 1063497444. It was assigned to this individual provider in the NPPES registry on December 8, 2005.

Where is Stephen Glassley located?

Stephen Glassley practices at 2710 Lake Ave, Fort Wayne, IN 46805. The listed phone number is (260) 373-8070.

What is Stephen Glassley's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Stephen Glassley was last updated on March 26, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.