Active NPI
Joe Glickman Jr., M.D.
- Ophthalmology Physician
- Whitefish, MT
National Provider Identifier
1861763062
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 4451
- Practice address
- 142 Morrison Rd
Whitefish, MT 59937-7919 - Phone
- (406) 250-9831
- NPI assigned
- Jan 19, 2012
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 4451 | MT | Primary |
Addresses
Primary practice location
142 Morrison Rd
Whitefish, MT 59937-7919
Mailing address
PO Box 1613
Whitefish, MT 59937-1613
Phone (406) 250-9831
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
| License | State | Type | Specialty |
|---|---|---|---|
| 4451 | MT | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1326931200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1326931200000",
"number": "1861763062",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1613",
"city": "WHITEFISH",
"state": "MT",
"postal_code": "599371613",
"telephone_number": "406-250-9831"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "142 MORRISON RD",
"city": "WHITEFISH",
"state": "MT",
"postal_code": "599377919",
"telephone_number": "406-250-9831"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLICKMAN",
"first_name": "JOE",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-01-19",
"last_updated": "2012-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "MT",
"license": "4451",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Whitefish, MT
- Glacier Medical Associates
- Glacier Medical Associates
- Glacier Oral and Maxillofacial Surgery PC
- Glacier Pilates and Physical Therapy, LLC
- Glacier Ridge Pharmacy Inc (Alpine Ridge Pharmacy)
- Good Medicine Pharmacy Inc
- Maya Gordon, LCSW
- Steven K. Gordon, N.D.
- Great Northern Eye Care and Stumptown Spectacles, PLLC
- Eric L Greenberg, LCPC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.