Active NPI
Charles Arthur Gluck, M.D.
- Gastroenterology Physician
- Hollywood, FL
National Provider Identifier
1912908591
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- ME37105
- Practice address
- 4700 Sheridan St
Suite F
Hollywood, FL 33021-3420 - Phone
- (954) 961-8400
- Fax
- (954) 963-8508
- NPI assigned
- Aug 9, 2005
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | ME37105 | FL | Primary |
Addresses
Primary practice location
4700 Sheridan St
Suite F
Hollywood, FL 33021-3420
Mailing address
4700 Sheridan St
Suite M
Hollywood, FL 33021-3420
Phone (954) 961-8400
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)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gastro Consultants, MD, PA | Gastroenterology | Current | Accepting new patients |
Locations
4700 Sheridan St
Ste F
Hollywood, FL 33021
Phone (954) 961-8400
4700 Sheridan St
Ste M
Hollywood, FL 33021
Phone (954) 961-8400
11011 Sheridan St
Ste 109
Hollywood, FL 33026
Phone (954) 431-7724
Organizations & group practices 1
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": "1123545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1912908591",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4700 SHERIDAN ST",
"address_2": "SUITE M",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330213420",
"telephone_number": "954-961-8400",
"fax_number": "954-961-1118"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4700 SHERIDAN ST",
"address_2": "SUITE F",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330213420",
"telephone_number": "954-961-8400",
"fax_number": "954-963-8508"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLUCK",
"first_name": "CHARLES",
"middle_name": "ARTHUR",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-09",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "FL",
"license": "ME37105",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hollywood, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.