Glec PLLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

GLEC PLLC

Practice address

3903 Hollywood Rd
Saint Joseph, MI 49085-9149

Phone

(269) 408-1100

Fax

(269) 408-1329

NPI assigned

Jul 7, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Justine B Corday

Title

Chief Development Officer

Phone

(214) 953-9365

Specialties & licenses 1

Addresses

Other names 1

• Great Lakes Endoscopy Center Doing business as

Listed as

Great Lakes Endoscopy CenterCCN 23C0001086

Medicare certification status

Terminated Voluntary: merger or closure, Oct 1, 2023From the Provider of Services file

Practitioners 2

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

• Bruce A Jones, M.D.

  • Gastroenterology Physician
  • Saint Joseph, MI
  • NPI 1275526675
  NPD
• Rickey L Snipes, M.D.

  • Gastroenterology Physician
  • Saint Joseph, MI
  • NPI 1477546869
  NPD

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186358400000",
    "number": "1528091360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3903 HOLLYWOOD RD",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490859149",
            "telephone_number": "269-408-1100",
            "fax_number": "269-408-1329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3903 HOLLYWOOD RD",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490859149",
            "telephone_number": "269-408-1100",
            "fax_number": "269-408-1329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLEC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-07",
        "last_updated": "2007-08-06",
        "status": "A",
        "authorized_official_last_name": "CORDAY",
        "authorized_official_first_name": "JUSTINE",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CHIEF DEVELOPMENT OFFICER",
        "authorized_official_telephone_number": "214-953-9365",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Great Lakes Endoscopy Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michelle Giannola, LPC
• Benjamin Thomas Gielda, M.D.
• Amreeta Gill, PSYD
• Cara Michele Gillespie, PT
• Mary Gloria Gillespie, M.A.
• Matthew Wesley Globerson, DO
• Allison Gola, PA
• Sharanya Golagabathula
• Nycole Goldberg, LPC
• Trisha Marie Gomez, MD

• Ambulatory Surgical Clinic/Center in Saint Joseph, MI
• Providers in Saint Joseph, MI by specialty
• Ambulatory Surgical Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.