ROBERT WALTER GLAZEWSKI PA C NPI 1649218546

NPI Information

  • NPI: 1649218546
  • Provider Name: ROBERT WALTER GLAZEWSKI, PA C
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1909 214TH ST SE STE 300
    BOTHELL, WA
    ZIP 98021
  • Phone: (425) 412-7200

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NPI Details

Robert Walter Glazewski, PA C is a family medicine in Bothell, WA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Robert Walter Glazewski, PA C NPI is 1649218546. 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:

1909 214TH ST SE STE 300
BOTHELL, WA
ZIP 98021-418
Phone: (425) 412-7200

The NPI 1649218546 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Administration of influenza virus vaccine (HCPCS:G0008)

The enumeration date for this NPI number is 6/3/2006 and was last updated on 5/18/2021.

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
1363A00000XPhysician AssistantPA10003728WASHINGTONNo
2363A00000XPhysician Assistant1039568WASHINGTONNo
3207Q00000XFamily MedicinePA10003728WASHINGTONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
17073596MEDICAIDWASHINGTON
27910GLOTHERWASHINGTONLIWA
30227451OTHERWASHINGTONLIWA
48413GLOTHERWASHINGTONBSWA
50194427OTHERWASHINGTONLIWA
68318719MEDICAIDWASHINGTON

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: 11/21/2025

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