Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Glenn William Pottmeyer, DO

Individual provider Critical Care Medicine (Internal Medicine) Physician · NPI 1417452475

Glenn William Pottmeyer, DO is a Pulmonary Disease in Fort Wayne, Indiana. Graduated from West Virginia School of Osteopathic Medicine in 2018, 8 years ago. Practices with Parkview Health System Inc, a 1,336-clinician group and accepts Medicare assignment. Licensed in Indiana and Michigan.

Years since qualifying
8
Trained at
West Virginia School of Osteopathic Medicine
Licensed in
IN, MI
In the registry since
2018
Specialties on file
5
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

2231 Carew St
Fort Wayne, IN 46805-4713
Phone: (260) 266-7856
Fax: (260) 266-5279
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pulmonary Disease Physician (primary) Taxonomy 207RP1001X · Licence 02007826A (IN)
Critical Care Medicine (Internal Medicine) Physician Taxonomy 207RC0200X · Licence 5101026112 (MI)
Pulmonary Disease Physician Taxonomy 207RP1001X · Licence 5101026112 (MI)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence 5101026112 (MI)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1417452475
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMarch 29, 2018
Last updated in NPPESAugust 2, 2024
Certification dateAugust 2, 2024
Mailing address11109 Parkview Plaza Dr # 117, Fort Wayne, IN 46845-1701

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPULMONARY DISEASE
Medical schoolWEST VIRGINIA SCHOOL OF OSTEOPATHIC MEDICINE
Graduated 2018 (8 years in practice)
Group practice Parkview Health System Inc — 1336 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations13 on file with Medicare

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