JOHN GLICK (NPI# 1922463231) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922463231 |
| Entity Type | Individual |
| Full Name | JOHN GLICK |
| Credential | PA-C |
| Practice Address |
1440 E County Line Rd St 1200 Indianapolis IN 46227-0963 |
| Mailing Address |
6626 E 75th St Suite 500 Indianapolis IN 46250-2805 |
| Practice Telephone | 3174976270 |
| Enumeration Date | 2015-12-31 |
| Last Update Date | 2020-09-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 10001956A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 300005120 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275807646 | John Glick | Physical Therapy Assistant | 200 N I Hwy 35 E, Waxahachie, TX 75165-5224 | 2012-03-02 |
| 1811904337 | John Edward Glick | Internal Medicine | 2908 Hillrise Dr, Las Cruces, NM 88011-4702 | 2006-08-01 |
| 1821029166 | John L. Glick | Internal Medicine | 19 Belmont Ave Ste 1205, Brattleboro, VT 05301-4004 | 2006-07-05 |
| 1497971626 | John Glick | General Practice | 1820 Country Club Rd, Harrisonburg, VA 22802-8858 | 2007-04-17 |
| 1821103706 | John Glick | Family Medicine | 1000 W 8th Ave, Yuma, CO 80759-2641 | 2006-08-20 |
| 1972537652 | John W. Glick | Psychiatry & Neurology | 1406 E 2nd St, Duluth, MN 55805-2378 | 2006-07-10 |
| 1285677591 | John H Glick | Internal Medicine | 3400 Spruce Street, 15 Penn Tower, Philadelphia, PA 19104 | 2006-06-14 |
| Street Address |
1440 E COUNTY LINE RD ST 1200 |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46227-0963 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821274101 | Oncology Hematology Care Center Inc | Internal Medicine | 1440 E County Line Rd, Indianapolis, IN 46227-0963 | 2008-01-16 |
| 1427595032 | Jordan R Bushnell | Nurse Practitioner | 1440 E County Line Rd, Indianapolis, IN 46227-0963 | 2017-01-21 |
| 1538532155 | Christie Andreone | Physician Assistant | 1440 E County Line Rd, Suite 2100, Indianapolis, IN 46227-0963 | 2015-11-04 |
| 1275953135 | Mid America Clinical Laboratories, LLC | Clinical Medical Laboratory | 1440 E County Line Rd, Suite 1300, Indianapolis, IN 46227-0963 | 2014-04-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679184477 | Zachry Skinner | Specialist/Technologist | 1683 E Hanna Ave, Indianapolis, IN 46227 | 2020-08-14 |
| 1104481415 | Corinne Mcdonald | Music Therapist | 7502 Madison Avenue, Indianapolis, IN 46227 | 2019-05-02 |
| 1205318649 | Kesha Conner | Counselor | 8320 Madison Ave Indianapolis, In, Indianapolis, IN 46227 | 2018-09-01 |
| 1609369719 | Victoria Lynn West Arnold | Physician Assistant | 1550 E County Line Rd Ste 320, Indianapolis, IN 46227 | 2018-06-13 |
| 1518466960 | Debra Cottongim | Physical Therapy Assistant | 6329 South East St, Ste A, Indianapolis, IN 46227 | 2018-02-12 |
| 1962943019 | Fresenius Medical Care Indiana, LLC | Clinic/Center | 6826 Madison Ave, Indianapolis, IN 46227 | 2017-03-09 |
| 1205386687 | Kylie Rochelle Bontrager | Dentist | 3658 East Street, Indianapolis, IN 46227 | 2016-10-10 |
| 1013371137 | Kayla Ford | Occupational Therapist | 3230 Rue Chanel, Apt 162, Indianapolis, IN 46227 | 2016-04-06 |
| 1639551344 | Sara Allyn Shrivastav | Technician, Other | 3711 E Southport Rd, Indianapolis, IN 46227 | 2015-06-18 |
| 1598146565 | Theodore Christian Seger | Family Medicine | 610 E Southport Rd Ste 205, Indianapolis, IN 46227 | 2015-06-15 |
| Find all providers in zip 46227 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639779739 | Brock Sokolowski | Physician Assistant | 4581 Nikki Dr Apt D, Indianapolis, IN 46237-1703 | 2020-10-28 |
| 1699373357 | Dillon Etter | Physician Assistant | 2848 N Delaware St, Indianapolis, IN 46205-4118 | 2020-10-15 |
| 1962017210 | Taylor Lee Bowen | Physician Assistant | 2760 Woodwind Way, Indianapolis, IN 46268-4233 | 2020-09-14 |
| 1912512476 | William Terrell Parmenter | Physician Assistant | 2230 English Ave, Indianapolis, IN 46201-4017 | 2020-09-11 |
| 1457966376 | Angela Shearon | Physician Assistant | 4325 N College Ave, Indianapolis, IN 46205-1931 | 2020-09-09 |
| 1639797004 | John Padraic Allbritton | Physician Assistant | 9339 Notre Dame Dr Apt D, Indianapolis, IN 46240-4168 | 2020-07-11 |
| 1154949907 | Jonathon Michael Hirsch | Physician Assistant | 5801 N Olney St Apt 9, Indianapolis, IN 46220-5181 | 2020-07-08 |
| 1437776838 | Megan Leanna Reynolds | Physician Assistant | 3841 Rookwood Ave, Indianapolis, IN 46208-3926 | 2020-07-01 |
| 1669099412 | Alisa Elaine Schrump | Physician Assistant | 7618 Old Hickory Ct, Indianapolis, IN 46259-9575 | 2020-06-28 |
| 1144846148 | Melanie M. Herrold | Physician Assistant | 5255 E Stop 11 Rd Ste 200, Indianapolis, IN 46237-6341 | 2020-06-25 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46227 |
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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.