| NPI | 1417935990 |
|---|---|
| NPI Type | NPI-1 Individual |
| Status | Active |
| Enumeration Date | 2006-01-05 |
| Last Updated | 2018-08-27 |
| Mailing Address | 365 Stirrup Key Blvd Marathon, FL 33050-2943 United States Phone: (954) 363-1011 | Fax: (954) 531-0703 📍 View Map |
| Primary Practice Address | 365 Stirrup Key Blvd Marathon, FL 33050-2943 United States Phone: (954) 363-1011 | Fax: (561) 807-7836 📍 View Map |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 207R00000X – Internal Medicine | FL | Me30630 |
Use our free NPI Lookup tool to find any healthcare provider in the NPPES registry. Search NPI →
About NPI 1417935990
Glenn Gidseg M.D. is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1417935990. The primary specialty listed is Internal Medicine. The provider is located in Marathon, FL. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-01-05. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1417935990?
NPI 1417935990 belongs to Glenn Gidseg M.D., a Internal Medicine in Marathon, FL. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.
Is NPI 1417935990 active?
The current status of NPI 1417935990 in the NPPES registry is Active. The record was last updated on 2018-08-27.
What specialty is NPI 1417935990?
NPI 1417935990 is classified under the taxonomy Internal Medicine. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1417935990?
You can verify NPI 1417935990 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1417935990?
The primary practice address on file for NPI 1417935990 is 365 Stirrup Key Blvd, Marathon, FL 33050-2943. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1417935990 issued?
NPI 1417935990 was first issued (enumerated) on 2006-01-05. The NPPES record was last updated on 2018-08-27.
Practice Location Map
Glenn Gidseg is located at 365 Stirrup Key Blvd, Marathon, FL. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Glenn Gidseg. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1417935990. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Internal Medicine | Me30630 | FL |