GLENN ROSCHETZKY PA NPI 1649909078

NPI Information

NPI: 1649909078
Provider Name: GLENN ROSCHETZKY, PA
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

Address:
3 RICHLAND MEDICAL PARK DR
COLUMBIA, SC
ZIP 29203
Phone: (803) 434-8323
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Glenn Roschetzky, PA is a surgical physician assistant in Columbia, SC. Glenn Roschetzky, PA NPI is 1649909078. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3 RICHLAND MEDICAL PARK DR
COLUMBIA, SC
ZIP 29203-849
Phone: (803) 434-8323

The enumeration date for this NPI number is 6/9/2022 and was last updated on 6/10/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AS0400X	Physician Assistant	Surgical	4445	SOUTH CAROLINA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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