Michael Allen Glick, DO

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

License

692 Issued in NV

Practice address

6580 S Virginia St
Reno, NV 89511-1117

Phone

(775) 853-9959

NPI assigned

Mar 13, 2007

Last updated

Jul 8, 2007By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

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

• Saint Mary's Multi-Specialty Clinic, Inc.

  dba Saint Mary's Clinic at Walmart

  • Clinic/Center
  • Sparks, NV
  • NPI 1003120650
  NPD (past)
• South Virginia Walk-in Clinic, LLC

  • Family Medicine Physician
  • Reno, NV
  • NPI 1902884851
  NPD (past)

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1447383393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6580 S VIRGINIA ST",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895111117",
            "telephone_number": "775-853-9959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6580 S VIRGINIA ST",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895111117",
            "telephone_number": "775-853-9959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLICK",
        "first_name": "MICHAEL",
        "middle_name": "ALLEN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "NV",
            "license": "692",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Glenda F Matsumura MD Inc
• Glendinning Sleep Specialists PLLC
• Daniel Glenn
• Daryan Glenn, RN
• Andrea Glick, CSW-INTERN
• Rebecca Glinka, RN
• Global Elite Medical Services LLC
• Global Elite Wound Care
• Gigi Glogovac, RD
• Diana Glomb-Rogan, LCSW

• Adult Medicine Physician in Reno, NV
• Providers in Reno, NV by specialty
• Adult Medicine Physician in Nevada

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.