JOHN L. GLICK (NPI# 1821029166) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821029166 |
| Entity Type | Individual |
| Full Name | JOHN L. GLICK |
| Credential | M.D. |
| Practice Address |
19 Belmont Ave Ste 1205 Brattleboro VT 05301-4004 |
| Mailing Address |
19 Belmont Ave Brattleboro VT 05301-7109 |
| Practice Telephone | 8022549240 |
| Practice Fax Number | 8022578654 |
| Mailing Telephone | 8022549240 |
| Mailing Fax Number | 8022578654 |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2019-10-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
0420003993 | VT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VT | VT4335 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275807646 | John Glick | Physical Therapy Assistant | 200 N I Hwy 35 E, Waxahachie, TX 75165-5224 | 2012-03-02 |
| 1811904337 | John Edward Glick | Internal Medicine | 2908 Hillrise Dr, Las Cruces, NM 88011-4702 | 2006-08-01 |
| 1922463231 | John Glick | Physician Assistant | 1440 E County Line Rd, St 1200, Indianapolis, IN 46227-0963 | 2015-12-31 |
| 1497971626 | John Glick | General Practice | 1820 Country Club Rd, Harrisonburg, VA 22802-8858 | 2007-04-17 |
| 1821103706 | John Glick | Family Medicine | 1000 W 8th Ave, Yuma, CO 80759-2641 | 2006-08-20 |
| 1972537652 | John W. Glick | Psychiatry & Neurology | 1406 E 2nd St, Duluth, MN 55805-2378 | 2006-07-10 |
| 1285677591 | John H Glick | Internal Medicine | 3400 Spruce Street, 15 Penn Tower, Philadelphia, PA 19104 | 2006-06-14 |
| Street Address |
19 BELMONT AVE STE 1205 |
| City | BRATTLEBORO |
| State | VT |
| Zip Code | 05301-4004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013575372 | Roberta M. White | Psychologist | 72 Whetstone Rd, Brattleboro, VT 05301 | 2019-06-03 |
| 1225526940 | Audrey Johnston | Nurse Practitioner | Brattleboro Family Medicine, 53 Fairview Street, Brattleboro, VT 05301 | 2018-04-27 |
| 1811349582 | Jillian Barney | Physician Assistant | 17 Belmont Ave Richards Building (1st Floor), Barttleboro, VT 05301 | 2016-07-06 |
| 1326413899 | Gabriella Neacsu Katz | Nurse Practitioner | 1860 Weatherhead Hollow Rd, Guilford, VT 05301 | 2015-12-09 |
| 1942608914 | Kathryn Peterson | Registered Nurse | 105 Winter St Apt 2, Brattleboro, VT 05301 | 2014-12-08 |
| 1558762823 | Saryn T Lauzon | Registered Nurse | 2 Maplewood Drive, Brattleboro, VT 05301 | 2014-09-05 |
| 1912248691 | Robert Joseph Stack | Counselor | 1 Linden Street, Brattleboro, VT 05301 | 2013-03-06 |
| 1053651760 | Christopher M. Deszynski | Naturopath | 73 Main St Ste 4, Brattleboro, VT 05301 | 2013-02-18 |
| 1518236355 | Christine Hamrin | Licensed Practical Nurse | 54 Spruce Street, Brattleboro, VT 05301 | 2011-12-23 |
| 1881924934 | Margrit C. Mikulis | Naturopath | 147 Orchard St, Brattleboro, VT 05301 | 2010-01-12 |
| Find all providers in zip 05301 | ||||
| Taxonomy Code | 207RE0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Endocrinology, Diabetes & Metabolism |
| An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871768010 | Elliot Danforth Jr. | Internal Medicine | 84 Beartown Rd, Underhill, VT 05489-9365 | 2008-04-29 |
| 1104867779 | Jennifer J Kelly | Internal Medicine | 62 Tilley Dr Ste 202, South Burlington, VT 05403-4407 | 2006-06-08 |
| 1659338085 | Cesar H Magsino Jr. | Internal Medicine | 8 Albert Cree Dr, Rutland, VT 05701 | 2006-04-28 |
| 1922658921 | Northwestern Medical Center, Inc. | Internal Medicine | 133 Fairfield St, Saint Albans, VT 05478-1726 | 2019-09-12 |
| 1184179103 | Tina Kader | Internal Medicine | 111 Colchester Ave, Uvm Medical Center, Burlington, VT 05401-1473 | 2016-08-19 |
| 1710232467 | Maria Jose Velasco | Internal Medicine | 130 Fisher Rd, Berlin, VT 05602-9516 | 2012-07-18 |
| 1073634531 | Matthew Philip Gilbert | Internal Medicine | 3 Timber Ln, South Burlington, VT 05403-7205 | 2007-04-03 |
| 1598859480 | John Lewis Leahy | Internal Medicine | 1 S Prospect St, 5th Floor - Endocrine, Burlington, VT 05401-3456 | 2006-10-03 |
| 1528162039 | Barbara Anne O'mara | Internal Medicine | 215 N Main St, Va, White River Junction, VT 05009-0001 | 2006-09-13 |
| 1689778110 | Andrew Jay Bauman | Internal Medicine | 215 N Main St, White River Junction, VT 05009-0001 | 2006-09-13 |
| Find all providers with the same taxonomy | ||||
| City | BRATTLEBORO |
| Zip Code | 05301 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.