Sarah Rachel Glick, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

0101245615 Issued in VA

Practice address

4700 N. Las Vegas Blvd.
Mike O'Callaghan Federal Medical Center, 99 Mdos/Sgoc
Nellis AFB, NV 89191

Phone

(702) 653-2361

NPI assigned

Jul 30, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1185753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352937600000",
    "number": "1316137037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3812 KILGORES ROCKS AVE",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890854404",
            "telephone_number": "646-825-1506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 N. LAS VEGAS BLVD.",
            "address_2": "MIKE O'CALLAGHAN FEDERAL MEDICAL CENTER, 99 MDOS/SGOC",
            "city": "NELLIS AFB",
            "state": "NV",
            "postal_code": "89191",
            "telephone_number": "702-653-2361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLICK",
        "first_name": "SARAH",
        "middle_name": "RACHEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-30",
        "last_updated": "2012-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "VA",
            "license": "0101245615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julianne Giles-Raska, LCSW
• Nancy Lee Gillcrist, MD
• Adelaide Given, DO
• Dustin Billy Gleave, PA
• Justin Scott Gleed, PT, OCS, FAAOMPT
• Guy D Gober, MD
• Atul Kumar Goel, M.D.
• Henry John Goetzman, DO
• Kierra Aaliyah Goins, OD
• Rosemary Gonzalez

• Pediatrics Physician in Nellis AFB, NV
• Providers in Nellis AFB, NV by specialty
• Pediatrics Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2012; 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.