Active NPI
Steven B Glickfield, DO
- Pediatrics Physician
- West Bloomfield, MI
National Provider Identifier
1346356276
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- SG006183
- Practice address
- 6400 Farmington Rd
Ste 10
West Bloomfield, MI 48322 - Phone
- (248) 788-1200
- Fax
- (248) 788-2346
- NPI assigned
- Aug 22, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | SG006183 | MI | Primary |
Addresses
Primary practice location
6400 Farmington Rd
Ste 10
West Bloomfield, MI 48322
Mailing address
6400 Farmington Rd
Ste 10
West Bloomfield, MI 48322
Phone (248) 788-1200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3179897 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SG006183 | MI | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Bloomfield Pediatrics PLLC | Pediatrics | Past | Accepting new patients |
| West Bloomfield Pediatrics PLLC | Pediatrics | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Pediatrics Physician
- W Bloomfield, MI
- NPI 1992919203
-
- Pediatrics Physician
- Novi, MI
- NPI 1871660324
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1419206400000",
"number": "1346356276",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6400 FARMINGTON RD",
"address_2": "STE 10",
"city": "WEST BLOOMFIELD",
"state": "MI",
"postal_code": "48322",
"telephone_number": "248-788-1200",
"fax_number": "248-788-2346"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6400 FARMINGTON RD",
"address_2": "STE 10",
"city": "WEST BLOOMFIELD",
"state": "MI",
"postal_code": "48322",
"telephone_number": "248-788-1200",
"fax_number": "248-788-2346"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLICKFIELD",
"first_name": "STEVEN",
"middle_name": "B",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-22",
"last_updated": "2014-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MI",
"license": "SG006183",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3179897",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in West Bloomfield, MI
- Anthony Michael Gioannini, DPT, ATC
- Allison Gittleman, LMSW
- Laneisha J Glass, LPC, NCC, ACS
- Julie Glazebrook, M.A., CCC/SLP
- Bette Diane Glickfield, PH.D.
- Nicole Terri Glickman, LMSW
- Robyn Elana Glickman, PHD,LMFT,LLP.CAADC
- Sara B Glowzinski, CNS, APRN
- Monica Rose Goedert, RN
- Gold Star Physical Therapy PLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.