Active NPI
Tatyana Gluzberg, MD
- Family Medicine Physician
- Murrells Inlet, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 32060
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 320600 | Medicaid | SC |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 32060 | SC | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mymichigan Medical Center Midland | Current | Accepting new patients | |
| Mymichigan Medical Center Alma | Family Medicine | Current | Accepting new patients |
| Mymichigan Medical Center Clare | Current | Accepting new patients | |
| Mymichigan Medical Center Midland | Family Medicine | Current | Accepting new patients |
| Mymichigan Medical Center Alma | Family Medicine | Current | Accepting new patients |
| Mymichigan Medical Center Gladwin | Current | Accepting new patients | |
| Mymichigan Medical Center Gladwin | Current | Accepting new patients | |
| Mymichigan Medical Center Alpena | Current | Accepting new patients | |
| Mymichigan Medical Group | Family Medicine | Current | 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
- 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.
-
- Emergency Medicine Physician
- Alma, MI
- NPI 1568914422
-
- Urgent Care Clinic/Center
- Clare, MI
- NPI 1225081862
-
- General Practice Physician
- Gladwin, MI
- NPI 1881869774
-
- Multi-Specialty Clinic/Center
- Midland, MI
- NPI 1205889490
Family Medicine
-
- Family Medicine Physician
- Midland, MI
- NPI 1740230127
-
- Family Medicine Physician
- Alma, MI
- NPI 1265596126
-
- Family Medicine Physician
- Alma, MI
- NPI 1396784880
-
- Rural Health Clinic/Center
- Alpena, MI
- NPI 1144722604
-
- Medicare Defined Swing Bed Hospital Unit
- Gladwin, MI
- NPI 1588374813
-
- Anesthesiology Physician
- Midland, MI
- NPI 1649010455
-
- Family Medicine Physician
- Murrells Inlet, SC
- NPI 1780643049
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.