Individual provider Active NPI

Thomas Walter Glodek, M.D.

  • Obstetrics & Gynecology Physician
  • Litchfield Park, AZ
National Provider Identifier
1841486644
Registry record updated Sep 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Practice address
12720 W Solano Dr
Litchfield Park, AZ 85340-4118
Phone
(623) 203-6959
Fax
(623) 535-5003
NPI assigned
Sep 15, 2007
Last updated
Sep 15, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 15, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X IL Primary

Addresses

Primary practice location

12720 W Solano Dr
Litchfield Park, AZ 85340-4118

Mailing address

12720 W Solano Dr
Litchfield Park, AZ 85340-4118
Phone (623) 203-6959

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)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036084797ILMDObstetrics & Gynecology Physician

NPI Registry JSON

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

{
    "created_epoch": "1189814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189814400000",
    "number": "1841486644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12720 W SOLANO DR",
            "city": "LITCHFIELD PARK",
            "state": "AZ",
            "postal_code": "853404118",
            "telephone_number": "623-203-6959",
            "fax_number": "623-535-5003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12720 W SOLANO DR",
            "city": "LITCHFIELD PARK",
            "state": "AZ",
            "postal_code": "853404118",
            "telephone_number": "623-203-6959",
            "fax_number": "623-535-5003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLODEK",
        "first_name": "THOMAS",
        "middle_name": "WALTER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-09-15",
        "last_updated": "2007-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Litchfield Park, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.