Active NPI
Erin Belanger Glomset, PA-C
- Physician Assistant
- Lawton, OK
National Provider Identifier
1780967257
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 2165
- Practice address
- 5606 SW Lee Blvd Ste 201
Lawton, OK 73505-9651 - Phone
- (580) 699-3000
- NPI assigned
- Sep 21, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 2165 | OK | Primary |
Addresses
Primary practice location
5606 SW Lee Blvd Ste 201
Lawton, OK 73505-9651
Mailing address
915 SW 79TH St
Lawton, OK 73505-6427
Phone (985) 860-2642
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2165046 | Medicaid | OK |
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)
- Enrolled
- Credentials
- Physician Assistant
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1464307200000",
"number": "1780967257",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "915 SW 79TH ST",
"city": "LAWTON",
"state": "OK",
"postal_code": "735056427",
"telephone_number": "985-860-2642"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5606 SW LEE BLVD STE 201",
"city": "LAWTON",
"state": "OK",
"postal_code": "735059651",
"telephone_number": "580-699-3000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLOMSET",
"first_name": "ERIN",
"middle_name": "BELANGER",
"name_prefix": "Mrs.",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-09-21",
"last_updated": "2016-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "OK",
"license": "2165",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2165046",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lawton, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 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.