Glomar Medical Inc.
NPI 1053913095ActiveOrganization· Nurse Practitioner, Gerontology· Palm Bay, FL
Nurse Practitioner, Gerontology in Palm Bay, Florida, registered in NPPES in November 2020. The authorized official on file is Neil J. Frey, APRN, Chief Executive Officer. Enrolled in Medicare as part b supplier - clinic/group practice and part b supplier - clinic/group practice.
Overview
| NPI | 1053913095 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 13, 2020 |
| Last updated in NPPES | Dec 3, 2020 |
| Certified by provider | Dec 3, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Gerontology Primary | 363LG0600X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (AR); Part B Supplier - Clinic/Group Practice (FL) |
|---|
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