Individual provider · Type 1 NPI

Thomas Glen Hettich, PA-C

Physician Assistant · Germantown, MD

NPI number 1992765747 Active

Practice location

21044 Frederick Rd
Germantown, MD 20876-4132

Call (240) 238-5432 Map

Mailing address

3534 Diaz St
Trinity, FL 34655-2163

Other practice locations

  • 3250 Zemke Ave, Attn: Soccent Clinic, Tampa, FL 33621-5023 · (813) 827-9213

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XPA9108323 (FL)
Physician Assistant Primary 363A00000XC0009860 (MD)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1992765747

Thomas Glen Hettich, PA-C's National Provider Identifier is 1992765747, issued on Mar 24, 2006. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Germantown, MD. The record was last updated on May 29, 2025.