Gregory R Glatz, DO

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

MI5101012635 Issued in MI

Practice address

805 S Oakland St
Saint Johns, MI 48879-2253

Phone

(989) 224-6881

Fax

(989) 227-3347

NPI assigned

Oct 3, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Sparrow Clinton Hospital

  • Multi-Specialty Clinic/Center
  • Saint Johns, MI
  • NPI 1306893078
  NPD
• Sparrow Clinton Hospital

  • Certified Registered Nurse Anesthetist
  • Saint Johns, MI
  • NPI 1326138173
  NPD
• Sparrow Clinton Hospital

  • Emergency Medicine Physician
  • Saint Johns, MI
  • NPI 1396827952
  NPD
• Lansing Urgent Care, PLC

  • Urgent Care Clinic/Center
  • Lansing, MI
  • NPI 1780987990
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1235223181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1205 BLANCHETTE DR",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488231878",
            "telephone_number": "989-224-6881",
            "fax_number": "989-227-3347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 S OAKLAND ST",
            "city": "SAINT JOHNS",
            "state": "MI",
            "postal_code": "488792253",
            "telephone_number": "989-224-6881",
            "fax_number": "989-227-3347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLATZ",
        "first_name": "GREGORY",
        "middle_name": "R",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MI",
            "license": "MI5101012635",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1146534444",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENCE NUMBER",
            "identifier": "MI5101012635",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hannah Love Frazier, LLMSW
• Kathleen Galloway
• Amy M Gentner, D.D.S.
• Paula Gillis, LPN
• Kailey Gimmey
• Heidi Jo Glew, LMSW
• David Jon Goeckel, DDS
• Robert Goerge, ATC
• Grace Haven Assisted Living
• Grace Haven Assisted Living LLC

• Emergency Medicine Physician in Saint Johns, MI
• Providers in Saint Johns, MI by specialty
• Emergency Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.