Doctor profile · Federal record
Dr. Gloryanne Gautier Nieves, MD
Surgery Physician · Surgery Physician · Philadelphia, PA
- NPI 1164049854
- 6 yrs on file
- Female
- Group practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
333 Cottman Ave
Philadelphia, PA 191112497
(888) 369-2427 - Additional location
-
5401 Old York RD # Klein101
Philadelphia, PA 191413030
(215) 456-3443
fax (215) 456-7602 - Mailing address
-
3509 N Broad St Ste 226
Philadelphia, PA 191404105
Credentials & registration
- NPI registered
- June 2020 — 6 yrs on file
- Profile last updated
- July 6, 2025
- Specialty taxonomy
- 208600000X — NUCC code
- State licenses (2)
- Pennsylvania #MD489864 · Pennsylvania #MT221949
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1164049854. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$227
Transactions
3
Manufacturers
2
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| W. L. Gore & Associates, INC. | 2 | $197.56 | |
| AstraZeneca Pharmaceuticals Lp | 1 | $29.52 |
By nature of payment
Frequently asked questions
What is Dr. Gloryanne Gautier Nieves's medical specialty?
Dr. Gloryanne Gautier Nieves practices Surgery Physician in Philadelphia, PA.
Where does Dr. Gloryanne Gautier Nieves practice?
Dr. Gloryanne Gautier Nieves practices at 333 Cottman Ave, Philadelphia, PA 191112497. Office phone: 8883692427.
What is Dr. Gloryanne Gautier Nieves's NPI?
Dr. Gloryanne Gautier Nieves's National Provider Identifier (NPI) is 1164049854, issued by NPPES.