GLENN MURRY (NPI# 1952389132) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952389132 |
| Entity Type | Individual |
| Full Name | GLENN MURRY |
| Credential | PAC |
| Practice Address |
33155 Annapolis Emergency Department Wayne MI 48184-2405 |
| Mailing Address |
38935 Ann Arbor Rd Livonia MI 48150-3354 |
| Practice Telephone | 7344674042 |
| Practice Fax Number | 7344675500 |
| Mailing Telephone | 7346320175 |
| Mailing Fax Number | 7346320182 |
| Enumeration Date | 2006-01-06 |
| Last Update Date | 2013-04-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 5601002456 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CAQH | 11712561 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023138252 | Glenn Murry | Licensed Psychiatric Technician | 1701 W Kanai Ave, Porterville, CA 93257-1873 | 2007-03-30 |
| Street Address |
33155 ANNAPOLIS EMERGENCY DEPARTMENT |
| City | WAYNE |
| State | MI |
| Zip Code | 48184-2405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952389421 | Heather E Rice | Emergency Medicine | 33155 Annapolis, Wayne, MI 48184 | 2006-01-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215570932 | Wayne Rx | Pharmacy | 4603 Wayne Rd, Wayne, MI 48184 | 2019-10-25 |
| 1669902433 | Randi Oswald | Massage Therapist | 34336 Richard St., Wayne, MI 48184 | 2017-06-14 |
| 1306393822 | Amanda Anastasoff | Technician, Other | 35640 West Michigan Avenue, Wayne, MI 48184 | 2016-09-01 |
| 1871941302 | Christopher Schrimscher | Technician, Other | 34560 Michigan Avenue W, Wayne, MI 48184 | 2016-05-25 |
| 1659757334 | Anna Bondy | Technician, Other | 35640 Michigan Ave. West, Wayne, MI 48184 | 2015-08-05 |
| 1992184550 | Carrie Walrath | Community Health Worker | 4234 Niagara, Wayne, MI 48184 | 2015-05-28 |
| 1588043459 | Suzanne Cutlip | Case Manager/Care Coordinator | 35425 Michigan Ave. W. Suite 1, Wayne, MI 48184 | 2015-05-26 |
| 1285021295 | Alicia Allen | Technician, Other | 35640 Michigan Avenue West, Wayne, MI 48184 | 2015-04-17 |
| 1164843850 | Julia Krivoy | Nurse Anesthetist, Certified Registered | 33155 Annapolis St., Beaumont/oakwood Hospital - Wayne, Wayne, MI 48184 | 2013-12-23 |
| 1992130553 | One Stop Pharmacy LLC | Pharmacy | 33950 Van Born Rd, Wayne, MI 48184 | 2013-09-13 |
| Find all providers in zip 48184 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912536301 | Stevenson Dominique | Physician Assistant | 1700 Nj-23 # 170, Wayne, NJ 07470 | 2020-04-07 |
| 1427699180 | Zoie Brianne Phillips | Physician Assistant | 200 Eagle Rd Ste 220, Wayne, PA 19087-3115 | 2019-10-03 |
| 1942724844 | Sarah Elizabeth Gilbert | Physician Assistant | 246 Hamburg Tpke Ste 306, Wayne, NJ 07470-2159 | 2017-08-01 |
| 1134655343 | Lindsay Haberman | Physician Assistant | 205 W Lancaster Ave Ste 2, Wayne, PA 19087-3343 | 2017-05-08 |
| 1679956395 | Tara Halpern | Physician Assistant | 15 Frederick Ct, Wayne, NJ 07470-2878 | 2015-06-30 |
| 1972886356 | Julianne Szabo | Physician Assistant | 342 Hamburg Tpke., Suite 205, Wayne, NJ 07470-2111 | 2011-09-22 |
| 1588677033 | David L. Rasizer | Physician Assistant | 12 Perera Ave, Wayne, NJ 07470-4330 | 2006-08-15 |
| 1760467294 | Robert K Adamczyk | Physician Assistant | 150 Hinchman Ave Ste 4, Wayne, NJ 07470 | 2005-12-07 |
| 1326649955 | Tiffany A Piatt | Physician Assistant | 342 Hamburg Tpke Ste 202, Wayne, NJ 07470-2166 | 2020-11-02 |
| 1548887391 | Shefin Mathew | Physician Assistant | 342 Hamburg Tpke Ste 202, Wayne, NJ 07470-2166 | 2020-06-28 |
| Find all providers in WAYNE | ||||
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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.