MELISSA GLICK


Address: 1705 Renaissance Blvd, Suite 120, Edmond, OK 73013-3022
Phone: 4057154496

MELISSA GLICK (NPI# 1730178567) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1730178567
Entity Type Individual
Full Name MELISSA GLICK
Credential P.A.
Practice Address 1705 Renaissance Blvd
Suite 120
Edmond
OK 73013-3022
Mailing Address Po Box 108810
Oklahoma City
OK 73101-8810
Practice Telephone 4057154496
Practice Fax Number 4057154499
Mailing Telephone 4058435855
Mailing Fax Number 4058435865
Enumeration Date 2005-10-14
Last Update Date 2013-11-13
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant 1131 OK Physician Assistants & Advanced Practice Nursing Providers

Other Providers MELISSA GLICK

NPI Name Taxonomy Address Enumeration
1356424550 Melissa Glick Physician Assistant 3300 Main St, 3rd Floor Suite C&d, Springfield, MA 01199-1002 2006-10-23

Office Location

Street Address 1705 RENAISSANCE BLVD
SUITE 120
City EDMOND
State OK
Zip Code 73013-3022

Providers in the same location

NPI Name Taxonomy Address Enumeration
1205829405 Michal Geralyn Christian Physician Assistant 1705 Renaissance Blvd, Ste 100, Edmond, OK 73013-3041 2005-08-24
1083137939 Oklahoma Arthritis Center, P.C. Family Medicine 1705 Renaissance Blvd, Edmond, OK 73013-3041 2017-07-24
1801286463 Noel R Williams Md PC Obstetrics & Gynecology 1705 Renaissance Blvd, Suite 120, Edmond, OK 73013-3041 2015-02-03
1497046924 James L. Fleckenstein Md Pllc Radiology 1705 Renaissance Blvd, Ste 160, Edmond, OK 73013-3041 2011-05-02
1265614200 Qclinic LLC Clinic/Center 1705 Renaissance Blvd, Suite 100, Edmond, OK 73013-3041 2007-11-30
1700065109 Valir Outpatient Clinics LLC Durable Medical Equipment & Medical Supplies 1705 Renaissance Blvd, Suite 105, Edmond, OK 73013-3041 2007-11-01
1295921286 Dental Facial Imaging LLC Clinic/Center 1705 Renaissance Blvd, Suite 135, Edmond, OK 73013-3041 2007-09-24
1619099926 W Gregory Morgan IIi Md PC General Practice 1705 Renaissance Blvd, Suite 100, Edmond, OK 73013-3041 2007-04-06
1477695864 David Speegle Family Medicine 1705 Renaissance Blvd, Ste 120, Edmond, OK 73013-3043 2007-02-13
1760521645 Taylor F Lancaster Radiology 1705 Renaissance Blvd, Ste 100, Edmond, OK 73013-3041 2007-02-06
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1407461866 Alison Church-pugh Case Manager/Care Coordinator 1441 Kelley Pointe Pkwy, Edmond, OK 73013 2020-09-12
1699395343 Dental Specialists of Edmond Dentist 16430 Muirfield Pl, Edmond, OK 73013 2020-04-23
1104477215 Kammerer Richey LLC Nurse Practitioner 902 Nw 139th Street Parway, Edmond, OK 73013 2019-09-20
1811459191 Peak Movement Centre, Pllc Clinic/Center 13816 Santa Fe Crossing Dr, Edmond, OK 73013 2019-04-04
1851858492 Luma Hilal Pharmacist 2228 Nw 15th Terrace, Edmond, OK 73013 2019-03-01
1578031571 Oklahoma Wellness Group LLC Internal Medicine 14101 North Esatern Avenue Suite B, Edmond, OK 73013 2018-11-07
1477034395 Specialty Care Pediatrics, Inc. Home Health 2256 Nw 164th Street, Edmond, OK 73013 2018-08-28
1972083921 Pooja Bhakta Physician Assistant Stanbro Healthcare Group LLC, 2000 E. 15th St., Suite 400-a, Edmond, OK 73013 2018-08-20
1417460577 Oklahoma Cvs Pharmacy LLC Durable Medical Equipment & Medical Supplies 15103 N Macarthur Blvd, Oklahoma City, OK 73013 2017-11-13
1356879753 Shawn Smith Optimal Pt and Performance, Pllc Physical Therapist 336 Ne 145th Pl, Edmond, OK 73013 2017-05-30
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1851990097 Lauren Heim Physician Assistant 7324 Bucks Xing, Edmond, OK 73034-3520 2020-10-19
1679132823 Amy Nguyen Physician Assistant 3800 Four Winns Strait, Edmond, OK 73013-8742 2019-06-11
1295393965 Emily Maria Carro Physician Assistant 716 Fox Bend Trl, Edmond, OK 73034-7355 2019-05-29
1679041800 Global Health Assists, LLC Physician Assistant 2011 W Danforth Rd # 222, Edmond, OK 73003-4685 2018-11-06
1972083921 Pooja Bhakta Physician Assistant Stanbro Healthcare Group LLC, 2000 E. 15th St., Suite 400-a, Edmond, OK 73013 2018-08-20
1124521851 Roeza Pllc Physician Assistant 15100 Traditions Blvd Ste 2, Edmond, OK 73013-1183 2018-03-08
1285141028 Jordan B. Matli Physician Assistant 18505 Auburn Meadows Dr, Edmond, OK 73012-0612 2018-01-02
1972016756 Precision Surgical Care, Pllc Physician Assistant 1050 E 2nd St #296, Edmond, OK 73034-5313 2017-11-15
1518498906 Charles Michael Braden Physician Assistant 3108 Jamin Paul Circle, Edmond, OK 73013-8025 2017-03-27
1932578762 Discovery Wellness LLC Physician Assistant 17625 Lead Ln, Edmond, OK 73012-6959 2015-09-23
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Competitor

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City EDMOND
Zip Code 73013

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Dataset Information

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.

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