REBECCA ANN GLUCK (NPI# 1356732242) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356732242 |
| Entity Type | Individual |
| Full Name | REBECCA ANN GLUCK |
| Credential | PA-C |
| Practice Address |
2700 N Charles St Baltimore MD 21218-4300 |
| Mailing Address |
401 N Michigan Ave Suite 1200 Chicago IL 60611-4264 |
| Practice Telephone | 4105546300 |
| Practice Fax Number | 4105543919 |
| Mailing Telephone | 3126350973 |
| Mailing Fax Number | 8132909691 |
| Enumeration Date | 2015-02-12 |
| Last Update Date | 2015-10-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
C0005673 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | LICENSE NO | C005673 | 01 |
| Street Address |
2700 N CHARLES ST |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21218-4300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275537995 | Charles Street Healthcare, LLC | Skilled Nursing Facility | 2700 N Charles St, Baltimore, MD 21218-4300 | 2005-06-10 |
| 1568090603 | Cassandra Hall | Occupational Therapy Assistant | 2700 N Charles St, Baltimore, MD 21218-4300 | 2020-04-01 |
| 1891212023 | Catherine Louise Mitchell | Physical Therapist | 2700 N Charles St, Baltimore, MD 21218-4300 | 2017-08-28 |
| 1164886024 | Charles Street Healthcare, LLC | Skilled Nursing Facility | 2700 N Charles St, Baltimore, MD 21218-4300 | 2016-04-07 |
| 1265488431 | Suja Roy | Nurse Practitioner | 2700 N Charles St, Baltimore, MD 21218-4300 | 2006-05-26 |
| 1972566479 | Dca of North Baltimore LLC | Clinic/Center | 2700 N Charles St, Baltimore, MD 21218-4300 | 2006-04-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851933725 | Tierra Bouyer | Speech-Language Pathologist | 2040 East 32nd Street, Baltimore, MD 21218 | 2019-10-12 |
| 1093273559 | Brenda H. Wells | Social Worker | 200 E. North Ave., Baltimore, MD 21218 | 2019-03-04 |
| 1619441011 | Harwood Behavioral Health Partners, LLC | Community/Behavioral Health | 2514 Greenmount Avenue, Baltimore, MD 21218 | 2019-01-18 |
| 1649740291 | Elise Christine Starkey | Occupational Therapist | 801 Argonne Drive, Baltimore, MD 21218 | 2018-11-27 |
| 1851861421 | Alagra S Bass | Social Worker | 1900 N. Howard Street Suite 300, Baltimore, MD 21218 | 2018-11-27 |
| 1396213575 | Desiree Luerene Israel | Social Worker | 2000 Greenmount Ave Ste 101, Baltimore, MD 21218 | 2018-11-06 |
| 1952885451 | Harwood Behavioral Health Partners, LLC | Clinic/Center | 2514 Greenmount Ave, Baltimore, MD 21218 | 2018-09-20 |
| 1528548047 | Rozi Khan | Student in an Organized Health Care Education/Training Program | 325 East University Pkwy 1-3, Bltimore, MD 21218 | 2018-08-14 |
| 1558866202 | Prabij N/a Dhungana | Student in an Organized Health Care Education/Training Program | 201 E. University Parkway, Dept of Medicine, Baltimore, MD 21218 | 2018-03-26 |
| 1588163562 | Generation 5 Healthcare, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 707 Belgian Ave., Baltimore, MD 21218 | 2018-02-06 |
| Find all providers in zip 21218 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902381353 | Brandon Wilson | Physician Assistant | 5601 Lochraven Blvd, Baltimore, MD 21239 | 2018-10-02 |
| 1245718733 | Kaitlyn Ayerle | Physician Assistant | 9900 Franklin Square Dr Ste B, Baltimore, MD 21236-5915 | 2018-08-06 |
| 1376037572 | Marie Hoffman | Physician Assistant | 1838 Greene Tree Rd Ste 400, Baltimore, MD 21208-7103 | 2018-06-20 |
| 1902315625 | Randy Kimery | Physician Assistant | 3421 Benson Ave Ste 210, Baltimore, MD 21227-1064 | 2017-09-26 |
| 1447701958 | Yuliya Shmyga Fischer | Physician Assistant | 345 St Paul Pl, Baltimore, MD 21202-1937 | 2016-10-19 |
| 1851845655 | Tamarah Thompson | Physician Assistant | 1830 E Monument St Ste 452, Baltimore, MD 21287-0020 | 2016-08-09 |
| 1194194449 | Alexzandra Kristyna Briedis | Physician Assistant | 1311 Olive St, Baltimore, MD 21230-4255 | 2015-09-16 |
| 1295124030 | Miriam Weiss | Physician Assistant | 6602 Troy Ct, Baltimore, MD 21209-2636 | 2015-01-16 |
| 1972992824 | Kelley Crane | Physician Assistant | 4940 Eastern Ave Ste A-150, Baltimore, MD 21224-2735 | 2015-01-15 |
| 1447688353 | Adina Bergmann | Physician Assistant | 3630 Milford Mill Rd, Baltimore, MD 21244-3328 | 2013-10-31 |
| Find all providers in BALTIMORE | ||||
Please comment or provide details below to improve the information on REBECCA ANN GLUCK.
| 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.