Individual provider Active NPI

Gregory L. Gliha, PA

  • Medical Physician Assistant
  • Wayne, MI
National Provider Identifier
1447389044
Registry record updated Nov 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
5601001483 Issued in MI
Practice address
34815 W Michigan Ave
Ste a
Wayne, MI 48184-1799
Phone
(734) 389-7103
Fax
(734) 389-7103
NPI assigned
Mar 2, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 17, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 5601001483 MI Primary

Addresses

Primary practice location

34815 W Michigan Ave
Ste a
Wayne, MI 48184-1799

Mailing address

251 Auburn St
Plymouth, MI 48170-1001
Phone (734) 454-1037

Other identifiers 1

IdentifierTypeStateIssuer
5601001483OtherMIPA LICENSE NUMBER

Other names 1

  • Greg Gliha Other name

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
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Physician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479340800000",
    "number": "1447389044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "251 AUBURN ST",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481701001",
            "telephone_number": "734-454-1037",
            "fax_number": "734-397-2892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34815 W MICHIGAN AVE",
            "address_2": "STE A",
            "city": "WAYNE",
            "state": "MI",
            "postal_code": "481841799",
            "telephone_number": "734-389-7103",
            "fax_number": "734-389-7103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLIHA",
        "first_name": "GREGORY",
        "middle_name": "L.",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-02",
        "last_updated": "2016-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MI",
            "license": "5601001483",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA LICENSE NUMBER",
            "identifier": "5601001483",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GREG",
            "last_name": "GLIHA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Wayne, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2016; 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.