GLEN A HISS M.D. NPI 1952327447

Obstetrics & Gynecology in Spokane, WA

Individual Male Obstetrics & Gynecology PECOS Enrolled

About GLEN HISS

Glen Hiss is a provider established in Spokane, Washington and his medical specialization is obstetrics & gynecology. The NPI number of Glen Hiss is 1952327447 and was assigned on July 2006. The practitioner's primary taxonomy code is 207V00000X with license number MD00023748 (WA). The provider is registered as an individual and his NPI record was last updated 12 years ago. Glen Hiss is enrolled in PECOS.

NPI

1952327447

Provider Name GLEN A HISS M.D.
Provider Location Address105 W 8TH AVE STE 6020 SPOKANE, WA 99204
Provider Mailing Address105 W 8TH AVE STE 6020 SPOKANE, WA 99204
GenderMale
NPI Entity TypeIndividual
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date07-15-2006
Last Update Date07-08-2007

Primary Taxonomy

Taxonomy Code207V00000X
ClassificationObstetrics & Gynecology
TypeAllopathic & Osteopathic Physicians
License No.MD00023748
License StateWA
Taxonomy DescriptionAn obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

Business Address

GLEN A HISS M.D.
105 W 8TH AVE STE 6020
SPOKANE, WA
ZIP 99204
Phone: (509) 455-5050
Fax: (509) 789-6204

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Mailing Address

GLEN A HISS M.D.
105 W 8TH AVE STE 6020
SPOKANE, WA
ZIP 99204
Phone: (509) 455-5050
Fax: (509) 789-6204

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
A07468MEDICARE UPIN (02)WA
0301871MEDICARE ID-TYPE UNSPECIFIED (04)WA
1015445MEDICAID (05)WA

Other Providers at the same location


The following 9 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1104835578 TERESA M KELLY A.R.N.P.
Individual
Nurse Practitioner (Obstetrics & Gynecology)105 W 8TH AVE STE 6020
SPOKANE, WA 99204
(509) 455-5050
1114943669NORTHWEST OB-GYN, P.S.
Organization
Obstetrics & Gynecology105 W 8TH AVE STE 6020
SPOKANE, WA 99204
(509) 455-5050
1124227566DR. STEPHEN JEBARAJ PAKKIANATHAN M.D.
Individual
Obstetrics & Gynecology105 W 8TH AVE STE 6020
SPOKANE, WA 99204
(509) 455-5050
1134138787DR. KATHRYN MARGARET MILES MD
Individual
Obstetrics & Gynecology105 W 8TH AVE STE 6020
SPOKANE, WA 99204
(509) 455-5050
1134147739 PETER E FERN M.D.
Individual
Obstetrics & Gynecology (Gynecology)105 W 8TH AVE STE 6020
SPOKANE, WA 99204
(509) 455-5050
1225026354MRS. SARA E HOLT ARNP
Individual
Nurse Practitioner (Obstetrics & Gynecology)105 W 8TH AVE STE 6020
SPOKANE, WA 99204
(509) 455-5050
1427001494DR. DANIEL JAMES ZWIESLER M.D.
Individual
Obstetrics & Gynecology105 W 8TH AVE STE 6020
SPOKANE, WA 99204
(509) 455-5050
1841210291 SHARRON E BRADLEY ARNP
Individual
Nurse Practitioner (Obstetrics & Gynecology)105 W 8TH AVE STE 6020
SPOKANE, WA 99204
(509) 455-5050
1851300917 JEFFREY L HILTON M.D.
Individual
Obstetrics & Gynecology105 W 8TH AVE STE 6020
SPOKANE, WA 99204
(509) 455-5050

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.

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