DR. ALEXANDER EDWARD GLICK (NPI# 1598081911) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598081911 |
| Entity Type | Individual |
| Full Name | DR. ALEXANDER EDWARD GLICK |
| Credential | M.D. |
| Practice Address |
22395 Edgewater Dr Port Charlotte FL 33980-2012 |
| Mailing Address |
4371 Veronica S Shoemaker Blvd Attn: Credentialing Fort Myers FL 33916-2216 |
| Practice Telephone | 9417667222 |
| Mailing Telephone | 2392748200 |
| Enumeration Date | 2010-04-09 |
| Last Update Date | 2018-04-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RH0000X |
Internal Medicine Specialization: Hematology |
ME128071 | FL | Allopathic & Osteopathic Physicians |
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
ME128071 | FL | Allopathic & Osteopathic Physicians |
| N | 207RX0202X |
Internal Medicine Specialization: Medical Oncology |
ME128071 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 017295300 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902196066 | Alexander F Glick | Pediatrics | 462 1st Ave Bldg A314a, New York, NY 10016-9196 | 2011-04-11 |
| Street Address |
22395 EDGEWATER DR |
| City | PORT CHARLOTTE |
| State | FL |
| Zip Code | 33980-2012 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528059227 | Vance M. Wright-browne | Internal Medicine | 22395 Edgewater Dr, Port Charlotte, FL 33980-2012 | 2005-11-02 |
| 1801430780 | Samantha Etienne | Nurse Practitioner | 22395 Edgewater Dr, Port Charlotte, FL 33980-2012 | 2019-11-04 |
| 1043865587 | Sherrie O'callaghan | Nurse Practitioner | 22395 Edgewater Dr, Port Charlotte, FL 33980-2012 | 2019-08-01 |
| 1124584206 | Crystal Kaplan | Nurse Practitioner | 22395 Edgewater Dr, Port Charlotte, FL 33980 | 2019-02-14 |
| 1881036218 | Robin H. Hammack | Nurse Practitioner | 22395 Edgewater Dr, Port Charlotte, FL 33980-2012 | 2013-07-26 |
| 1548533045 | Julie Rose Pauly | Nurse Practitioner | 22395 Edgewater Dr, Port Charlotte, FL 33980-2012 | 2012-02-14 |
| 1922302579 | Patricia J Ciampa-muske | Nurse Practitioner | 22395 Edgewater Dr, Port Charlotte, FL 33980-2012 | 2010-12-22 |
| 1265736813 | Maria L Gallo | Nurse Practitioner | 22395 Edgewater Dr, Port Charlotte, FL 33980-2012 | 2010-12-22 |
| 1063712826 | Arsh Singh | Internal Medicine | 22395 Edgewater Dr, Port Charlotte, FL 33980-2012 | 2010-10-27 |
| 1487852372 | Mary Frances Scott | Nurse Practitioner | 22395 Edgewater Dr, Port Charlotte, FL 33980-2012 | 2007-07-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144699646 | Raymond B Hendricks | Custodial Care Facility | 1306 Annette St, Port Charlotte, FL 33980 | 2015-09-15 |
| 1649616517 | Anne Yvonne Clarke | Nurse's Aide | 3378 Idlewild Street, Port Charlotte, FL 33980 | 2013-05-17 |
| 1427395680 | John F Guarino Md Pa | Surgery | 4245 Kings Hwy, Unit A, Port Charlotte, FL 33980 | 2013-01-08 |
| 1497049027 | Patricia Ann Drow | Occupational Therapist | 24469 Manchester Trail, Port Charlotte, FL 33980 | 2011-05-31 |
| 1811221484 | Amanda K Huffman | Clinical Nurse Specialist | 22655 Bayshore Rd Ste 130, Port Charlotte, FL 33980 | 2009-09-29 |
| 1093967739 | Donna Olson | Nurse Practitioner | 1100 Loveland Boulevard, Port Charlotte, FL 33980 | 2008-10-14 |
| 1821278029 | Paula Marie Allison | Dietitian, Registered | 23422 Burlingame Ave, Port Charlotte, FL 33980 | 2007-11-06 |
| 1689865891 | Keith Anthony Williams | Physical Medicine & Rehabilitation | 4265 Laura Street, Port Charlotte, FL 33980 | 2007-08-05 |
| 1578685491 | Richard Michael Cocchieri | Dentist | Florida Department of Health In Charlotte County, 1100 Loveland Boulevard, Port Charlotte, FL 33980 | 2007-04-03 |
| 1417989328 | John F Guarino | Surgery | 4245 Kings Highway, Unit A, Port Charlotte, FL 33980 | 2006-07-07 |
| Find all providers in zip 33980 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699931436 | Antonio L. Gabarda Md Pa | Internal Medicine | 2525 Harbor Blvd Ste 205, Port Charlotte, FL 33952-5342 | 2008-07-31 |
| 1104966639 | Justino Silvestre Md Pa | Internal Medicine | 3524 Tamiami Trail, Suite D, Port Charlotte, FL 33948 | 2007-02-07 |
| 1760463053 | Justino Silvestre | Internal Medicine | 3524 Tamiami Trl, Suite D, Port Charlotte, FL 33952-8100 | 2005-11-14 |
| 1528059227 | Vance M. Wright-browne | Internal Medicine | 22395 Edgewater Dr, Port Charlotte, FL 33980-2012 | 2005-11-02 |
| 1487647293 | Arshad Ahad | Internal Medicine | 3390 Tamiami Trl, 205, Port Charlotte, FL 33952-8157 | 2005-08-26 |
| 1720271505 | Arshad Ahad Md Pa | Internal Medicine | 3390 Tamiami Trl, Ste 205, Port Charlotte, FL 33952-8157 | 2007-08-24 |
| 1104993849 | Antonio Labitag Gabarda | Internal Medicine | 2525 Harbor Blvd, Suite 205, Port Charlotte, FL 33952-5317 | 2006-11-29 |
| 1619053998 | Ivor John Percent | Internal Medicine | 22395 Edgewater Dr, Port Charlotte, FL 33980-2012 | 2006-10-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194343210 | Jayaben Patel | Internal Medicine | 11818 Shire Wycliffe Ct, Tampa, FL 33626-3329 | 2020-07-07 |
| 1922628833 | Heme Onc Call, LLC | Internal Medicine | 5825 Sw 117th St, Pinecrest, FL 33156-5007 | 2020-04-21 |
| 1457851552 | Yvette M Herrington | Internal Medicine | 425 S Parsons Ave Ste 101, Brandon, FL 33511-5290 | 2018-02-15 |
| 1104360221 | Mid Florida Hematology and Oncology Centers Pa | Internal Medicine | 658 Oviedo Medical Drive, Oviedo, FL 32765 | 2016-12-08 |
| 1225424369 | Florence Arnold | Internal Medicine | 3830 Bee Ridge Rd Ste 301, Sarasota, FL 34233 | 2015-04-15 |
| 1073901187 | Edward Mcaloon | Internal Medicine | 108 Homeport Dr, Palm Harbor, FL 34683-5409 | 2014-12-26 |
| 1063818235 | Barry M. Krein | Internal Medicine | 4220 Careywood Dr, Melbourne, FL 32934-7679 | 2014-11-14 |
| 1912311630 | David Longacre | Internal Medicine | 2439 Weymouth Dr, Clearwater, FL 33764-6556 | 2014-06-20 |
| 1508270778 | Gerard Chaaya | Internal Medicine | 4306 Alton Rd Fl 3, Miami Beach, FL 33140-2840 | 2014-06-16 |
| 1982026670 | Mid Florida Hematology and Oncology Centers Pa | Internal Medicine | 2100 W 1st St, Sanford, FL 32771-1603 | 2014-01-14 |
| Find all providers with the same taxonomy | ||||
| City | PORT CHARLOTTE |
| Zip Code | 33980 |
Please comment or provide details below to improve the information on DR. ALEXANDER EDWARD GLICK.
| 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.