Paul V. Glowacki MD LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

19985 Issued in NE

Legal business name

PAUL V. GLOWACKI MD LLC

Practice address

350 W 23Rd St
Suite G
Fremont, NE 68025-2592

Phone

(402) 721-5727

Fax

(402) 721-6096

NPI assigned

Dec 7, 2009

Last updated

Jan 22, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Paul Vincent Glowacki, M.D.NPI 1740238559

Title

Owner

Phone

(402) 721-5727

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Paul V Glowacki, M.D.

  • Family Medicine Physician
  • Fremont, NE
  • NPI 1740238559
  Authorized official Same address or phone
• Bryce A Exstrom, P.A.

  • Physician Assistant
  • Fremont, NE
  • NPI 1003866237
  NPD (past)
• Cherl Mues, NP

  • Family Nurse Practitioner
  • Fremont, NE
  • NPI 1225326358
  NPD (past)

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

{
    "created_epoch": "1260144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264118400000",
    "number": "1235467036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 W 23RD ST",
            "address_2": "SUITE G",
            "city": "FREMONT",
            "state": "NE",
            "postal_code": "680252592",
            "telephone_number": "402-721-5727",
            "fax_number": "402-753-6096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 W 23RD ST",
            "address_2": "SUITE G",
            "city": "FREMONT",
            "state": "NE",
            "postal_code": "680252592",
            "telephone_number": "402-721-5727",
            "fax_number": "402-721-6096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL V. GLOWACKI MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-07",
        "last_updated": "2010-01-22",
        "status": "A",
        "authorized_official_last_name": "GLOWACKI",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "VINCENT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-721-5727",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NE",
            "license": "19985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pathfinder Support Services, Inc.
• Patient First Testing
• Patient First Testing
• Arun-Angelo Patil, MD
• Jacquelynn L Paugels
• Melissa Marie Paul, PLMHP
• Rebecca Sue Paulsen, M.A. CCC-SLP
• Shawni Pavlik
• Alexis Pearson
• Alyssa Pearson, OD

• Family Medicine Physician in Fremont, NE
• Providers in Fremont, NE by specialty
• Family Medicine Physician in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.