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 |