Individual provider Active NPI

Tatyana Gluzberg, MD

  • Family Medicine Physician
  • Murrells Inlet, SC
National Provider Identifier
1790991339
Registry record updated Feb 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
32060 Issued in SC
Practice address
4959 Highway 17 Bypass S.
Murrells Inlet, SC 29576-5041
Phone
(843) 357-1299
Fax
(843) 357-2264
NPI assigned
May 14, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 32060 SC Primary

Addresses

Primary practice location

4959 Highway 17 Bypass S.
Murrells Inlet, SC 29576-5041

Mailing address

PO Box 2747
Murrells Inlet, SC 29576-2662
Phone (843) 357-1299

Other identifiers 1

IdentifierTypeStateIssuer
320600MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211217001767 MI Practitioner - Family Practice 7214073485 Reassigns benefits to 5 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
32060SCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mymichigan Medical Center Midland CurrentSince Dec 22, 2021 Accepting new patients
Mymichigan Medical Center Alma Family Medicine CurrentSince Dec 22, 2021 Accepting new patients
Mymichigan Medical Center Clare CurrentSince Dec 22, 2021 Accepting new patients
Mymichigan Medical Center Midland Family Medicine CurrentSince Dec 22, 2021 Accepting new patients
Mymichigan Medical Center Alma Family Medicine CurrentSince Dec 22, 2021 Accepting new patients
Mymichigan Medical Center Gladwin CurrentSince Dec 22, 2021 Accepting new patients
Mymichigan Medical Center Gladwin CurrentSince Dec 22, 2021 Accepting new patients
Mymichigan Medical Center Alpena CurrentSince Dec 22, 2021 Accepting new patients
Mymichigan Medical Group Family Medicine CurrentSince Dec 22, 2021 Accepting new patients
Mymichigan Medical Center Alma Current Accepting new patients
LB & KM LLC Family Medicine Past Accepting new patients

Locations

321 E Warwick Dr
Alma, MI 48801
Phone (989) 463-0957

700 W 5th St
Clare, MI 48617
Phone (989) 386-9911

602 Beech St
Ste 1100
Clare, MI 48617
Phone (989) 386-9911

515 Quarter St
Gladwin, MI 48624
Phone (989) 246-6201

1105 E Cedar Ave
Gladwin, MI 48624
Phone (989) 246-6490

815 N Clare Ave
Harrison, MI 48625
Phone (989) 539-4096

4000 Wellness Dr
Midland, MI 48670
Phone (844) 832-1956

4500 N Campus Ridge Dr
Midland, MI 48640
Phone (989) 837-9250

2618 W Sugnet Rd
Midland, MI 48640
Phone (989) 633-5237

3009 N Saginaw Rd
Midland, MI 48640
Phone (989) 633-1350

5785 E Broadway Rd
Mt Pleasant, MI 48858
Phone (989) 773-9421

640 Court St
West Branch, MI 48661
Phone (989) 343-3730

Interoperability endpoints

  • Direct secure messaging: tgluzberg119224@mymichiganhealth.midirect.net

Organizations & group practices 11

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

NPI Registry JSON

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549843200000",
    "number": "1790991339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2747",
            "city": "MURRELLS INLET",
            "state": "SC",
            "postal_code": "295762662",
            "telephone_number": "843-357-1299",
            "fax_number": "843-957-2264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4959 HIGHWAY 17 BYPASS S.",
            "city": "MURRELLS INLET",
            "state": "SC",
            "postal_code": "295765041",
            "telephone_number": "843-357-1299",
            "fax_number": "843-357-2264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLUZBERG",
        "first_name": "TATYANA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-14",
        "last_updated": "2019-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "32060",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "320600",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Murrells Inlet, SC

Sources for this page

Verify at the official NPI Registry.