Active NPI
Stefan Glowacki M.D.,P.C.
- Orthopaedic Surgery Physician
- Sterling Heights, MI
National Provider Identifier
1972827244
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- SG040818
- Legal business name
- STEFAN GLOWACKI M.D.,P.C.
- Practice address
- 42370 Van Dyke Ave
Suite 107
Sterling Heights, MI 48314-3487 - Phone
- (586) 991-0051
- Fax
- (586) 991-0064
- NPI assigned
- Mar 16, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Stefan Glowacki, M.D.
- Title
- President
- Phone
- (586) 991-0051
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | SG040818 | MI | Primary |
Addresses
Primary practice location
42370 Van Dyke Ave
Suite 107
Sterling Heights, MI 48314-3487
Mailing address
42370 Van Dyke Ave
Suite 107
Sterling Heights, MI 48314-3487
Phone (586) 991-0051
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2005071942 | Other | MI | BCBSM |
| 2000E03267 | Other | BCBSM | |
| 142048510 | Medicaid | MI |
National Provider Directory
National Provider DirectoryLocations
42370 Van Dyke Ave
Ste 107
Sterling Heights, MI 48314
Phone (586) 254-1177
40600 Van Dyke Ave
Ste 1
Sterling Heights, MI 48313
Phone (586) 795-0320
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Center Line, MI
- NPI 1558467373
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1268697600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1375833600000",
"number": "1972827244",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "42370 VAN DYKE AVE",
"address_2": "SUITE 107",
"city": "STERLING HEIGHTS",
"state": "MI",
"postal_code": "483143487",
"telephone_number": "586-991-0051",
"fax_number": "586-991-0064"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "42370 VAN DYKE AVE",
"address_2": "SUITE 107",
"city": "STERLING HEIGHTS",
"state": "MI",
"postal_code": "483143487",
"telephone_number": "586-991-0051",
"fax_number": "586-991-0064"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STEFAN GLOWACKI M.D.,P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2010-03-16",
"last_updated": "2013-08-07",
"status": "A",
"authorized_official_last_name": "GLOWACKI",
"authorized_official_first_name": "STEFAN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "586-991-0051",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": "MI",
"license": "SG040818",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSM",
"identifier": "2005071942",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSM",
"identifier": "2000E03267",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "142048510",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sterling Heights, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.