ANDREW GLIDEWELL (NPI# 1477049781) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477049781 |
| Entity Type | Individual |
| Full Name | ANDREW GLIDEWELL |
| Credential | PA-C |
| Practice Address |
3278 Mitchell Blvd Moody Afb GA 31699-1500 |
| Practice Telephone | 2292572778 |
| Enumeration Date | 2018-07-10 |
| Last Update Date | 2018-07-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538170022 | Andrew Aaron Glidewell | Physical Therapist | 1200 Suncast Lane, Suite 5, El Dorado Hills, CA 95762 | 2006-08-10 |
| Street Address |
3278 MITCHELL BLVD |
| City | MOODY AFB |
| State | GA |
| Zip Code | 31699-1500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811982903 | Yvette Guzman | Pediatrics | 3278 Mitchell Blvd, Moody Afb, Moody Afb, GA 31699-1500 | 2005-09-14 |
| 1578179958 | Lawanna Renee Barron | Social Worker | 3278 Mitchell Blvd, Moody Afb, GA 31699-1500 | 2020-09-21 |
| 1831725381 | Bradley James Connahey | Military Health Care Provider | 3278 Mitchell Blvd, Moody Afb, GA 31699-1500 | 2020-03-17 |
| 1215431309 | Taylor Montana Martin | Military Health Care Provider | 3278 Mitchell Blvd, Moody Afb, GA 31699-1500 | 2018-03-22 |
| 1982120796 | Byron Reed | Military Health Care Provider | 3278 Mitchell Blvd, Moody Afb, GA 31699-1500 | 2017-08-15 |
| 1568909091 | Bailey Holt | Military Health Care Provider | 3278 Mitchell Blvd, Moody Afb, GA 31699-1500 | 2017-01-23 |
| 1770941254 | Ashley Patterson | Contractor | 3278 Mitchell Blvd, Building 900, Moody Afb, GA 31699-1500 | 2016-01-29 |
| 1982088340 | Sarah E Stone | Nurse Practitioner | 3278 Mitchell Blvd, Moody Afb, GA 31699-5529 | 2015-07-16 |
| 1427439165 | Armand Allkanjari | General Practice | 3278 Mitchell Blvd, Moody Afb, GA 31699-1500 | 2015-06-17 |
| 1417362211 | 23rd Medical Group | Pharmacy | 3278 Mitchell Blvd, Moody Afb, GA 31699-1500 | 2014-07-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548771876 | Aldo Enrique Revilla | Psychologist | Bermiss Rd, Moody Afb, Valdosta, GA 31699 | 2017-10-13 |
| 1699903146 | Elizabeth L Fauber | Military Health Care Provider | 9551 Luke Street, Apo, AP 31699 | 2009-06-23 |
| 1063646230 | James Michael White | Military Health Care Provider | 3278 Mithell Blvd, Bldg. 900, Moody Afb, GA 31699 | 2009-05-04 |
| 1265415590 | Rosalie Andrea Castillo | Family Medicine | 347th Medical Group, 3278 Mitchell Blvd, Valdosta, GA 31699 | 2005-11-21 |
| 1902379555 | Amber Leigh Tordoff | Student in an Organized Health Care Education/Training Program | 23d Medical Group 3278 Mitchell Blvd, Building 900, Apo, AA 31699 | 2019-01-07 |
| 1083147367 | Jordan Robbins | Dentist | 23rd Medical Group 3278 Mitchell Blvd, Moody Afb, GA 31699 | 2017-04-04 |
| 1518364678 | Rachel Collins | Specialist/Technologist | 23 Mdos Sgoy, 3278 Mitchell Blvd, Moody Afb, GA 31699-0001 | 2014-12-04 |
| 1083988356 | Brock Allen Mcnabb | Social Worker | 23rd Medical Group 3278 Mitchell Blvd, Moody Afb, GA 31699-0001 | 2012-03-02 |
| 1760711162 | Christopher Wayne Daniels | Physician Assistant | 23 Medical Group, 3278 Mitchell Blvd, Moody A F B, GA 31699-0001 | 2009-12-14 |
| 1447487749 | Roong Robert Burket | Military Health Care Provider | 347 Oss Osm, Moody A F B, GA 31699-0001 | 2009-06-15 |
| Find all providers in zip 31699 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437526340 | George A Devita | Physician Assistant | 23d Medical Group 3278 Mitchell Blvd, Moody Afb, GA 31699-1793 | 2015-08-26 |
| 1194898635 | Lashaun Lee Vetzel | Physician Assistant | 3278 Mitchell Blvd, Moody Afb, GA 31699-5645 | 2006-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245838374 | Erica Elizabeth West | Physician Assistant | 1155 Mount Vernon Hwy Ste 101, Atlanta, GA 30338-5439 | 2020-10-12 |
| 1801402888 | Meredith Gaines | Physician Assistant | 603 W 1st St Unit 1, Rome, GA 30161-3067 | 2020-09-16 |
| 1770108805 | Kelsey Lynne Greeff | Physician Assistant | 3400 Old Milton Pkwy Ste C, Alpharetta, GA 30005-3707 | 2020-06-15 |
| 1518596733 | Rebecca Faye Tsyrlin | Physician Assistant | 2655 Dallas Hwy Sw Ste 340, Marietta, GA 30064-7518 | 2020-04-08 |
| 1487291878 | Ashley Cohen | Physician Assistant | 250 E Ponce De Leon Ave Ste 800, Decatur, GA 30030-3438 | 2019-12-04 |
| 1932757606 | Andrea J Holley | Physician Assistant | 1629 Austin Meadows Dr, Decatur, GA 30032-3888 | 2019-08-27 |
| 1265089759 | Alexis Chester Jones | Physician Assistant | 3000 Old Alabama Rd # 128, Johns Creek, GA 30022-5860 | 2019-08-20 |
| 1841851680 | Lauren Price Fogarty | Physician Assistant | 5445 Meridian Marks Rd Ste 430, Atlanta, GA 30342-4755 | 2019-06-24 |
| 1386208262 | Jessica A Drews | Physician Assistant | 2342 Cortez Way Ne, Brookhaven, GA 30319-3914 | 2019-04-26 |
| 1174187421 | Krisna Patel | Physician Assistant | 1805 Honey Creek Cmns Se Ste B, Conyers, GA 30013-5829 | 2019-04-23 |
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| 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.