Glen A Hiss, M.D.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

MD00023748 Issued in WA

Practice address

105 W 8TH Ave Ste 6020
Spokane, WA 99204-2319

Phone

(509) 455-5050

Fax

(509) 789-6204

NPI assigned

Jul 15, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1952327447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 W 8TH AVE STE 6020",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992042319",
            "telephone_number": "509-455-5050",
            "fax_number": "509-789-6204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 W 8TH AVE STE 6020",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992042319",
            "telephone_number": "509-455-5050",
            "fax_number": "509-789-6204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HISS",
        "first_name": "GLEN",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "WA",
            "license": "MD00023748",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1015445",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Leila Hirtler
• Linda Hiscox
• Candice Hisel, MA-P
• Olivia Fortier Hiskey, PHARMD
• Hispanic Business Professional Association Foundation of the Inl
• Amy Marie Hite, DPT
• Ryan P Hite, DPT
• Kristina Hivrenko
• Riley Hix
• Lauren Margaret Hixon

• Obstetrics & Gynecology Physician in Spokane, WA
• Providers in Spokane, WA by specialty
• Obstetrics & Gynecology Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.