HEATHER GLOSE PA-C
NPI 1023410461
Physician Assistant - Medical in Williamsville, NY

Q: What is Heather Glose's NPI number?

The NPI number for Heather Glose is 1023410461. It was assigned to this individual provider in the NPPES registry on September 17, 2014.

Q: What is Heather Glose's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Heather Glose was last updated on February 13, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 17, 2014

325 ESSJAY RD STE 170, WILLIAMSVILLE, NY 14221(716) 631-2517 Get Directions Write a Review

NPPES record last updated: February 13, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 13, 2019, Mar 21, 2017 (2 updates tracked since 2017).

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About Heather Glose Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HEATHER GLOSE PA-C (NPI 1023410461) is an individual medical provider in Williamsville, New York, licensed in New York (017985) and active in the NPI registry since September 2014.

NPPES Registry Identity

NPI1023410461

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameHEATHER GLOSECredential: PA-C

Location Address325 ESSJAY RD STE 170Williamsville, NY 14221-8243

Mailing Address325 Essjay RdWilliamsville, NY 14221-8243 · (716) 631-2517 · Fax (716) 634-5650

Phone(716) 631-2517

Sole ProprietorNo

Enumeration DateSeptember 17, 2014

Last NPPES UpdateFebruary 13, 20192 updates tracked since enumeration

✔ NPI 1023410461 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in NY · 017985

325 ESSJAY RD STE 170, Williamsville, NY 14221

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Other Identifiers 1

Other017985NY · License

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARK R KUCZMANSKI P.A.

Physician Assistant (Medical)

325 ESSJAY RD STE 170
WILLIAMSVILLE, NY 14221

Erie County (716) 631-2517

ALOK D GUPTA MD

Internal Medicine (Gastroenterology)

325 ESSJAY RD STE 170
WILLIAMSVILLE, NY 14221

Erie County (716) 631-2517

JAMES POUPALOS

Family Medicine

325 ESSJAY RD STE 170
WILLIAMSVILLE, NY 14221

Erie County (716) 603-1341

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Heather Glose's NPI number?

The NPI number for Heather Glose is 1023410461. It was assigned to this individual provider in the NPPES registry on September 17, 2014.

Where is Heather Glose located?

Heather Glose practices at 325 Essjay Rd Ste 170, Williamsville, NY 14221. The listed phone number is (716) 631-2517.

What is Heather Glose's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Heather Glose was last updated on February 13, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.