Active NPI
Donald J Glazer
- Foot & Ankle Surgery Podiatrist
- Henrico, VA
National Provider Identifier
1033388673
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 0103000433
- Legal business name
- DONALD J GLAZER
- Practice address
- 7702 E Parham Rd
Suite 318
Henrico, VA 23294-4371 - Phone
- (804) 741-2889
- Fax
- (804) 750-1546
- NPI assigned
- Feb 28, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Donald Jay Glazer, DPM
- Title
- Podiatrist/Owner
- Phone
- (804) 741-2889
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 0103000433 | VA | Primary |
| Durable Medical Equipment & Medical Supplies | 332B00000X | 0103000433 | VA |
Addresses
Primary practice location
7702 E Parham Rd
Suite 318
Henrico, VA 23294-4371
Mailing address
7702 E Parham Rd
Suite 318
Henrico, VA 23294-4371
Phone (804) 741-2889
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9332243 | Medicaid | VA |
Other names 1
- Comprehensive Foot Care
National Provider Directory
National Provider DirectoryLocations
7702 E Parham Rd
Ste 318
Richmond, VA 23294
Phone (804) 499-8811
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1204156800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1377043200000",
"number": "1033388673",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7702 E PARHAM RD",
"address_2": "SUITE 318",
"city": "HENRICO",
"state": "VA",
"postal_code": "232944371",
"telephone_number": "804-741-2889",
"fax_number": "804-750-1546"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7702 E PARHAM RD",
"address_2": "SUITE 318",
"city": "HENRICO",
"state": "VA",
"postal_code": "232944371",
"telephone_number": "804-741-2889",
"fax_number": "804-750-1546"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DONALD J GLAZER",
"organizational_subpart": "NO",
"enumeration_date": "2008-02-28",
"last_updated": "2013-08-21",
"status": "A",
"authorized_official_last_name": "GLAZER",
"authorized_official_first_name": "DONALD",
"authorized_official_middle_name": "JAY",
"authorized_official_title_or_position": "PODIATRIST/OWNER",
"authorized_official_telephone_number": "804-741-2889",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "VA",
"license": "0103000433",
"primary": true
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "VA",
"license": "0103000433",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9332243",
"state": "VA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Comprehensive Foot Care",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Henrico, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.