Dr. William Larry Gluck
Internal Medicine (Hematology & Oncology)

Address: 3 Butternut Dr, Ste B, Greenville, SC 29605-4653
Phone: 8642982826

Dr. William Larry Gluck (NPI# 1053316349) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1053316349
Entity Type Individual
Full Name Dr. William Larry Gluck
Credential MD
Gender Male
Practice Address 3 Butternut Dr
Ste B
Greenville
SC 29605-4653
Practice Telephone 8642982826
Practice Fax Number 8646727764
Mailing Address 1 Independence Pt Ste 212
Greenville
SC 29615-4536
Mailing Telephone 8647976303
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2005-06-15
Last Update Date 2018-01-31

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 207RH0003X Internal Medicine · Hematology & Oncology Allopathic & Osteopathic Physicians 12745 SC

Other Provider Identifier

State Identifier Issuer Type Code
SC 127455 MEDICAID

Physician Overview

NPI 1053316349
PAC ID by PECOS 4587602958
Professional Enrollment ID I20101014000988
Full Name William Larry Gluck
Organization Legal Name GHS PARTNERS IN HEALTH INC
Phone Number 8642417272
Gender M
Medical School UNIVERSITY OF PITTSBURGH SCHOOL OF MEDICINE
Graduation Year 1979
Primary Specialty HEMATOLOGY/ONCOLOGY
Group Practice PAC ID 8325950983
Number of Group Practice Members 1160
Accepts Medicare Assignment Y
Report Quality Measures Y
Use Electronic Health Records Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
420078 GHS GREENVILLE MEMORIAL HOSPITAL
420102 GHS PATEWOOD MEMORIAL HOSPITAL

Office Location

Street Address 3 BUTTERNUT DR
STE B
City GREENVILLE
State SC
Zip Code 29605-4653

Providers in the same location

NPI Name Taxonomy Address Enumeration
1871598201 Reginald John Brooker Internal Medicine 3 Butternut Dr, Ste B, Greenville, SC 29605-4653 2005-06-14
1659827756 Upstate Affiliate Organization General Acute Care Hospital 3 Butternut Dr, Suite B, Greenville, SC 29605-4653 2016-08-29
1366998460 Upstate Affiliate Organization General Acute Care Hospital 3 Butternut Dr, Suite B4, Greenville, SC 29605-4655 2016-08-29
1821403445 Kendall Michelle Reid Nurse Practitioner 3 Butternut Dr, Suite B, Greenville, SC 29605-4655 2014-06-23
1154603611 Wimberly Tipping Cox Nurse Practitioner 3 Butternut Dr, Suite B, Greenville, SC 29605-4655 2011-09-12
1770879603 Kari K Savage Nurse Practitioner 3 Butternut Dr, Suite B, Greenville, SC 29605-4655 2011-06-20
1356674527 Elizabeth Heritage Cull Internal Medicine 3 Butternut Dr, Suite B, Greenville, SC 29605-4655 2009-09-06
1861626764 Lisa Marie Johnson-losinski Nurse Practitioner 3 Butternut Dr, Suite B, Greenville, SC 29605-4655 2009-05-06
1528264314 Melissa A Saxon Nurse Practitioner 3 Butternut Dr, Suite B, Greenville, SC 29605-4655 2007-06-27
1447371281 Sharmila Pravin Mehta Internal Medicine 3 Butternut Dr, Greenville, SC 29605-4655 2007-04-02
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1306325626 Lauren Foster Fiscus Occupational Therapist 1900 Augusta Street, Suite 2500, Greenville, SC 29605 2018-08-08
1912499468 Tandem Transport, LLC Non-emergency Medical Transport (VAN) 32 E Faris Rd, Greenville, SC 29605 2018-05-31
1063914372 Harris Teeter LLC Durable Medical Equipment & Medical Supplies 1720 Augusta St, Greenville, SC 29605 2018-03-02
1144748385 Johanna Ruth Henry Speech-Language Pathologist 1900 Augusta St., Suite 2500, Greenville, SC 29605 2017-09-08
1477083483 Alexis Dean Pedigo Speech-Language Pathologist 1900 Augusta St, Suite 2500, Greenville, SC 29605 2017-06-13
1023569837 Blessed With Goodness, LLC In Home Supportive Care 716 E. Fairfield Road, Unit 120 (mailbox # 14), Greenville, SC 29605 2016-10-17
1972050953 Suha Umina Pharmacist 975 W. Faris Road, Greenville, SC 29605 2016-09-07
1124470976 Meredith Laine Cavagrotti Specialist/Technologist 700 Grove Rd, Greenville, SC 29605 2016-07-05
1205286895 Med-trans Corporation Ambulance 552 Perimeter Rd, Greenville, SC 29605 2016-06-15
1538534029 Lakeisha Abney Counselor 101 B Regency Commons Dr., Greer, SC 29605 2015-12-09
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Taxonomy Information

Taxonomy Code 207RH0003X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Hematology & Oncology

Taxonomy Definition

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: http://www.osteopathic.org/certification

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1124253315 Greenville Regional Hospital, Inc Internal Medicine 200 Healthcare Dr, Ste 1501, Greenville, IL 62246-1154 2009-05-18
1598922650 Xuezhong Yang Internal Medicine 317 Saint Francis Dr Ste 340, Greenville, SC 29601-3914 2008-05-16
1255349361 Jorge M Abdallah Internal Medicine 855 Johns Hopkins Dr, Greenville, NC 27834-7223 2006-08-04
1518901545 Robert D Siegel Internal Medicine 104 Innovation Dr, Ste. 2000, Greenville, SC 29607-5253 2006-06-16
1891732616 Devena E Alston-johnson Internal Medicine 104 Innovation Dr. Ste. 2000, Greenville, SC 29607 2006-06-01
1033101670 Lillian P Burke Internal Medicine 2080 W Arlington Blvd, Suite B, Greenville, NC 27834-3770 2005-08-19
1407851793 Kim Ong Gococo Internal Medicine 65 International Dr, Greenville, SC 29615-4816 2005-06-15
1871598201 Reginald John Brooker Internal Medicine 3 Butternut Dr, Ste B, Greenville, SC 29605-4653 2005-06-14
1043631773 Nitika Sharma Internal Medicine 600 Moye Blvd, Greenville, NC 27834-4300 2013-12-24
1417248360 Jessica Ann Reifer Hildebrand Internal Medicine 1850 W Arlington Blvd, Greenville, NC 27834-5704 2011-04-27
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Competitor

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City GREENVILLE
Zip Code 29605

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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