Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Glenn Michael Roschetzky, PA

Individual provider Surgical Physician Assistant · NPI 1649909078

Glenn Michael Roschetzky, PA is a Surgical Physician Assistant in Columbia, South Carolina. Licensed in South Carolina. Registered with an NPI since 2022.

Licensed in
SC
In the registry since
2022
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

3 Richland Medical Park Dr Ste 310
Columbia, SC 29203-6862
Phone: (803) 434-8323
Fax: (803) 434-8326
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 4445 (SC)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 4445 (SC)

Record details

NPI number1649909078
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJune 9, 2022
Last updated in NPPESJuly 22, 2022
Certification dateJuly 22, 2022

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients155
Services billed 187 a service is one billed item, such as a visit, a test or a procedure
Average patient age75

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

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