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

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.

See every abbreviation used in this directory →

Practice location Address checks out

3 Richland Medical Park Dr Ste 310
Columbia, SC 29203-6862
Phone: (803) 434-8323
Fax: (803) 434-8326
Show map & directions

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

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