John Edward Glick, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

NM 79-164 Issued in NM

Practice address

271 Paseo de Dia # 1a
Las Cruces, NM 88011-7341

Phone

(575) 323-6500

Fax

(575) 323-6501

NPI assigned

Aug 1, 2006

Last updated

Oct 7, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NM

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

Specialty

Internal Medicine

Education

University of California, Geffen School of Medicine, 1976

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hidalgo Medical ServicesGroup PAC ID 4587572250, 33 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Gila Regional Medical Center Hospital, Silver City, NM, CCN 321311

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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

• Hidalgo Medical Services

  dba HMS

  • Federally Qualified Health Center (FQHC)
  • Lordsburg, NM
  • NPI 1306843180
  Medicare reassignment Care Compare group NPD
• Hidalgo Medical Services

  dba Tu Casa

  • Federally Qualified Health Center (FQHC)
  • Silver City, NM
  • NPI 1467971986
  NPD
• Hidalgo Medical Services

  dba HMS Mining District Clinic

  • Federally Qualified Health Center (FQHC)
  • Santa Clara, NM
  • NPI 1487265666
  NPD
• Familycare Associates,PA

  • Family Medicine Physician
  • Las Cruces, NM
  • NPI 1821161407
  NPD (past)
• Hidalgo Medical Services

  dba HMS Silver High School Wellness Center

  • Federally Qualified Health Center (FQHC)
  • Silver City, NM
  • NPI 1255324562
  NPD (past)
• Wellmed Medical Group, PA

  • Internal Medicine Physician
  • San Antonio, TX
  • NPI 1437156486
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Gila Regional Medical Center

  • Critical Access Hospital
  • Silver City, NM
  • NPI 1336220839
  Care Compare affiliation

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665100800000",
    "number": "1811904337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2908 HILLRISE DR",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880114702",
            "telephone_number": "505-522-5222",
            "fax_number": "505-522-5223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "271 PASEO DE DIA # 1A",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880117341",
            "telephone_number": "575-323-6500",
            "fax_number": "575-323-6501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLICK",
        "first_name": "JOHN",
        "middle_name": "EDWARD",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2022-10-07",
        "certification_date": "2022-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NM",
            "license": "NM 79-164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alan Dale Givens, M.S. CCC-SLP/AUD
• Jilana Gladstone, PA-C
• Frances E Glasscock, MSN, RN, CS
• Margie K. Gleason, FNP-BC
• Alexa Glick, BCBA
• Marlea Glick
• Nolan Glick
• Ashley Goehler
• Georganna Lynette Goehler
• Megan Goepfert

• Internal Medicine Physician in Las Cruces, NM
• Providers in Las Cruces, NM by specialty
• Internal Medicine Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2022; 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.
• 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.