DR. PENNY S GLICKMAN (NPI# 1619975638) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619975638 |
| Entity Type | Individual |
| Full Name | DR. PENNY S GLICKMAN |
| Credential | M.D. |
| Practice Address |
635 N Maitland Ave Maitland FL 32751-4422 |
| Practice Telephone | 4076294901 |
| Practice Fax Number | 4076290168 |
| Mailing Telephone | 4076294901 |
| Mailing Fax Number | 4076290168 |
| Enumeration Date | 2005-07-13 |
| Last Update Date | 2013-07-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
ME58160 | FL | Allopathic & Osteopathic Physicians |
| Street Address |
635 N MAITLAND AVE |
| City | MAITLAND |
| State | FL |
| Zip Code | 32751-4422 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912337924 | Kenneth Rodriguez Emmanuelli | Internal Medicine | 635 N Maitland Ave, Maitland, FL 32751-4422 | 2013-11-13 |
| 1568657732 | Neha Parikh Rickson | Internal Medicine | 635 N Maitland Ave, Maitland, FL 32751-4422 | 2007-09-11 |
| 1326011925 | Julie A Bauer | Internal Medicine | 635 N Maitland Ave, Maitland, FL 32751-4422 | 2006-02-13 |
| 1427043439 | Central Florida Endocrine & Diabetes Consultants P A | Internal Medicine | 635 N Maitland Ave, Maitland, FL 32751-4422 | 2005-09-15 |
| 1104824127 | Carlos A Pacheco | Internal Medicine | 635 N Maitland Ave, Maitland, FL 32751-4422 | 2005-07-13 |
| 1235137167 | Sohail H Ali | Internal Medicine | 635 N Maitland Ave, Maitland, FL 32751-4422 | 2005-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891302899 | Compassionate Care Psychiatry | Psychiatry & Neurology | 1717 Goldveiw Drive, Maitland, FL 32751 | 2020-09-24 |
| 1437763497 | Allstar Kids Behavioral Services, Inc | Counselor | 467 Lake Howell Rd Suite 102, Maitland, FL 32751 | 2020-09-06 |
| 1003428269 | Cmg- New Season- St. Louis Metro Treatment Center | Counselor | 2500 Maitland Center Parkway 250, Maitland, FL 32751 | 2020-08-19 |
| 1821616228 | Katherine Tchir | Anesthesiologist Assistant | 851 Trafalgar Court Suite 200e, Maitland, FL 32751 | 2020-07-12 |
| 1699309518 | Karin Scotchie | Occupational Therapist | 1700 Monroe Rd, Maitland, FL 32751 | 2020-02-29 |
| 1184255929 | Counseling Specialists, Inc. | Counselor | 610 N. Wymore Rd., Suite 110, Maitland, FL 32751 | 2020-01-30 |
| 1427528074 | Auricular Health Center | Clinic/Center | 237 Lookout Place, Maitland, FL 32751 | 2018-11-27 |
| 1710456181 | Yadiel Munoz | Counselor | 5786, 225 S Swoope Ave # 211, Maitland, FL 32751 | 2018-11-15 |
| 1780152678 | Rebecca Hernandez | Case Manager/Care Coordinator | 1000 Winderley Pl Unit 221, Maitland, FL 32751 | 2018-11-08 |
| 1548742901 | David Cromer | Social Worker | 225 S. Swoope Ave #211, Maitland, FL 32751 | 2018-09-02 |
| Find all providers in zip 32751 | ||||
| Taxonomy Code | 207RE0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Endocrinology, Diabetes & Metabolism |
| An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912337924 | Kenneth Rodriguez Emmanuelli | Internal Medicine | 635 N Maitland Ave, Maitland, FL 32751-4422 | 2013-11-13 |
| 1326011925 | Julie A Bauer | Internal Medicine | 635 N Maitland Ave, Maitland, FL 32751-4422 | 2006-02-13 |
| 1427043439 | Central Florida Endocrine & Diabetes Consultants P A | Internal Medicine | 635 N Maitland Ave, Maitland, FL 32751-4422 | 2005-09-15 |
| 1104824127 | Carlos A Pacheco | Internal Medicine | 635 N Maitland Ave, Maitland, FL 32751-4422 | 2005-07-13 |
| 1235137167 | Sohail H Ali | Internal Medicine | 635 N Maitland Ave, Maitland, FL 32751-4422 | 2005-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922612886 | The Sugar Doctors LLC | Internal Medicine | 423 Highway 466 Apt 8206, Lady Lake, FL 32159-6307 | 2020-09-08 |
| 1144848292 | Olga Kaliebe Md LLC | Internal Medicine | 2823 W Fountain Blvd, Tampa, FL 33609-4011 | 2020-07-06 |
| 1063037810 | Endo Now LLC | Internal Medicine | 5460 Village Drive,viera, Rockledge, FL 32955 | 2020-06-08 |
| 1346873015 | Chrysalis Health of Florida P.a. | Internal Medicine | 382 Ne 191st St # 52404, Miami, FL 33179-3899 | 2020-02-20 |
| 1598300741 | Center for Integrative & Functional Endocrinology LLC | Internal Medicine | 17900 Nw 5th St Ste 202, Pembroke Pines, FL 33029-2809 | 2019-11-12 |
| 1346801834 | Medical Centers of Miami LLC | Internal Medicine | 6600 Cow Pen Rd Ste 100, Miami Lakes, FL 33014-7618 | 2019-06-25 |
| 1013402783 | Thyroid Diabetes Endocrinology and Wellness Inc | Internal Medicine | 8075 Gate Pkwy W Ste 306, Jacksonville, FL 32216-3685 | 2018-06-26 |
| 1447750773 | Smh Physician Services Inc | Internal Medicine | 1370 E Venice Ave Ste 209, Venice, FL 34285-9084 | 2018-02-13 |
| 1376087593 | Dar Endocrinology Services LLC | Internal Medicine | 100 Buenaventura Blvd Ste 102, Kissimmee, FL 34743-4513 | 2016-12-07 |
| 1073064127 | Tampa General Medical Group Inc | Internal Medicine | 10740 Palm River Road, Ste 360, Tampa, FL 33619 | 2016-10-24 |
| Find all providers with the same taxonomy | ||||
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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.