Active NPI
James J Glazier MD PC
- Cardiovascular Disease Physician
- Detroit, MI
National Provider Identifier
1659448751
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- Legal business name
- JAMES J GLAZIER MD PC
- Practice address
- 4160 John R
Suite 525
Detroit, MI 48201 - Phone
- (313) 831-1100
- Fax
- (313) 831-1177
- NPI assigned
- Nov 30, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- James J Glazier, MD
- Title
- Sole Business Owner
- Phone
- (313) 831-1988
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | |||
| Cardiovascular Disease Physician | 207RC0000X | Primary | ||
| Interventional Cardiology Physician | 207RI0011X |
Addresses
Primary practice location
4160 John R
Suite 525
Detroit, MI 48201
Mailing address
4160 John R
Suite 525
Detroit, MI 48201
Phone (313) 831-1100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4180391 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050526000727 | MI | Part B Supplier - Clinic/Group Practice | 7416999743 |
Receives reassigned benefits from 1 practitioner Practice locations: Detroit, MI |
National Provider Directory
National Provider DirectoryLocations
4160 John R St
Ste 525
Detroit, MI 48201
Phone (313) 831-1100
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Cardiovascular Disease Physician
- Detroit, MI
- NPI 1346280260
Cardiovascular Disease, MI
-
- Rheumatology Physician
- Grosse Pointe, MI
- NPI 1316987142
Internal Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164844800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1205193600000",
"number": "1659448751",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4160 JOHN R",
"address_2": "SUITE 525",
"city": "DETROIT",
"state": "MI",
"postal_code": "48201",
"telephone_number": "313-831-1100",
"fax_number": "313-831-1177"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4160 JOHN R",
"address_2": "SUITE 525",
"city": "DETROIT",
"state": "MI",
"postal_code": "48201",
"telephone_number": "313-831-1100",
"fax_number": "313-831-1177"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JAMES J GLAZIER MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-30",
"last_updated": "2008-03-11",
"status": "A",
"authorized_official_last_name": "GLAZIER",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "SOLE BUSINESS OWNER",
"authorized_official_telephone_number": "313-831-1988",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": null,
"license": null,
"primary": true
},
{
"code": "207RI0011X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Interventional Cardiology",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4180391",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.