Active NPI
Erika Glatz
- Family Medicine Physician
- Fruitport, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 5151015842
- Practice address
- 3443 Farr Rd
Fruitport, MI 49415-8779 - Phone
- (231) 672-2900
- NPI assigned
- Apr 27, 2022
- Last updated
- Apr 27, 2022
- 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 | 5151015842 | MI | Primary |
Addresses
Primary practice location
3443 Farr Rd
Fruitport, MI 49415-8779
Mailing address
1675 Leahy St Ste 315a
Muskegon, MI 49442-5543
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
Care Compare profile
Medicare Care Compare- Specialty
- Geriatric Medicine
- Education
- Michigan State University College of Osteopathic Medicine, 2022
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1150 E Sherman Blvd
Suite 1175
Muskegon, MI 49444-1885
PO Box
Chicago, IL 60677
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5151015842 | MI | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Physician Network | Family Medicine | Current | Accepting new patients |
| Mercy Physician Network | Family Medicine | Current | Accepting new patients |
Locations
3443 Farr Rd
Fruitport, MI 49415
Phone (231) 672-2900
2006 Holton Rd
North Muskegon, MI 49445
Phone (231) 672-3333
1150 E Sherman Blvd
Ste 1175
Norton Shores, MI 49444
Phone (231) 672-6740
Interoperability endpoints
- eglatz1836782@direct.trinity-health.org
- https://api.platform.athenahealth.com/13864/brand/1/csg/1/fhir/r4
Organizations & group practices 3
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.
-
- Family Medicine Physician
- Muskegon, MI
- NPI 1023056744
-
dba Trinity Health Medical Group
- Internal Medicine Physician
- Muskegon, MI
- NPI 1922248772
-
dba Fruitport Family Medicine
- Family Medicine Physician
- Fruitport, MI
- NPI 1639502701
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Mercy Health Muskegon
- General Acute Care Hospital
- Muskegon, MI
- NPI 1831132133
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1651017600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1651017600000",
"number": "1952045783",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1675 LEAHY ST STE 315A",
"city": "MUSKEGON",
"state": "MI",
"postal_code": "494425543"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3443 FARR RD",
"city": "FRUITPORT",
"state": "MI",
"postal_code": "494158779",
"telephone_number": "231-672-2900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLATZ",
"first_name": "ERIKA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-04-27",
"last_updated": "2022-04-27",
"certification_date": "2022-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "5151015842",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fruitport, MI
- David Leon Dora, D.O.
- Susan Kay Ercia
- Amanda Marie Faino
- Fruitport Family Eye Care, PLLC
- Caitlin E Fulton, D.O.
- Jody Lynn Gregg, LMT
- Grover Pharmacy Inc. (Grover Pharmacy)
- Hackley Community Care Center Inc (Edgewood Elementary)
- Hackley Community Care Center Inc (Fruitport Middle School)
- Hackley Community Care Center, Inc (Fruitport High School)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 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.