Glendale Medical Group LLC
NPI 1942776323ActiveOrganization· General Practice· Phoenix, AZ
General Practice in Phoenix, Arizona, registered in NPPES in October 2018. The authorized official on file is Michael Cormier, DC, Authorized Official.
Overview
| NPI | 1942776323 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 23, 2018 |
| Last updated in NPPES | Feb 12, 2024 |
| Certified by provider | Feb 12, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Primary | 208D00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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