Glick Medical Group, PLLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

GLICK MEDICAL GROUP, PLLC

Practice address

7659 E Pinnacle Peak Rd Ste 105
Scottsdale, AZ 85255-6298

Phone

(480) 222-4600

Fax

(480) 222-4619

NPI assigned

Sep 21, 2021

Organization subpart

Yes

Parent organization

INTEGRATIVE HEALTH INSTITUTE LLCAs reported in NPPES

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

Authorized official

Name

Shantel Glick, PA-CNPI 1841342631

Title

Owner

Phone

(623) 329-5416

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Integrative Health Institute Doing business as

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Part of

Integrative Health Institute LLC

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/24665/brand/1/csg/1/fhir/r4

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Integrative Health Institute LLC

  • General Practice Physician
  • Scottsdale, AZ
  • NPI 1093060717
  NPPES parent name

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bryan R Glick, D.O.

  • Family Medicine Physician
  • Scottsdale, AZ
  • NPI 1164620308
  Medicare reassignment NPD
• Shantel Tanae Glick, PA-C

  • Physician Assistant
  • Peoria, AZ
  • NPI 1841342631
  NPD Authorized official

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

{
    "created_epoch": "1632182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633910400000",
    "number": "1285305144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7659 E PINNACLE PEAK RD STE 105",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852556298",
            "telephone_number": "480-222-4600",
            "fax_number": "480-222-4619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7659 E PINNACLE PEAK RD STE 105",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852556298",
            "telephone_number": "480-222-4600",
            "fax_number": "480-222-4619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLICK MEDICAL GROUP, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "INTEGRATIVE HEALTH INSTITUTE LLC",
        "enumeration_date": "2021-09-21",
        "last_updated": "2021-10-11",
        "certification_date": "2021-10-11",
        "status": "A",
        "authorized_official_last_name": "GLICK",
        "authorized_official_first_name": "SHANTEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "623-329-5416",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FAMILY PRACTICE",
            "identifier": "Z178737",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Integrative Health Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kimberly Glenn
• Laura Elizabeth Glenn, NMD
• Robert Glenn, PA
• Tyler J Glenn, M.D.
• Paula Louise Glessner-Vallee, DNP, WHNP-BC
• Bryan R Glick, D.O.
• Claudia Rose Glickman, M.S.
• Michele Gliniecki, N.M.D.
• Global Holdings Treatment Center, LLC
• Global Internal Medicine Associates LLC

• Primary Care Clinic/Center in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Primary Care Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.