MELISSA GLICK PA-C NPI 1356424550

NPI Information

  • NPI: 1356424550
  • Provider Name: MELISSA GLICK, PA-C
  • Classification: Physician Assistant - 363AM0700X
  • Specialization: Medical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3300 MAIN ST
    3RD FLOOR SUITE C&D
    SPRINGFIELD, MA
    ZIP 01199
  • Phone: (413) 794-7491

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NPI Details

Melissa Glick, PA-C is a medical physician assistant in Springfield, MA with 24 years of experience. Melissa Glick, PA-C NPI is 1356424550. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3300 MAIN ST
3RD FLOOR SUITE C&D
SPRINGFIELD, MA
ZIP 01199-002
Phone: (413) 794-7491
Fax: (413) 794-7136

The NPI 1356424550 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/23/2006 and was last updated on 11/1/2021.

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
1363AM0700XPhysician AssistantMedical1341MASSACHUSETTSYes

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: 3/30/2025

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