Individual provider Active NPI

Hermanda Glaser, M.D.

  • Family Medicine Physician
  • Lakewood Ranch, FL
National Provider Identifier
1114984689
Registry record updated Apr 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME94379 Issued in FL
Practice address
7365 Merchant CT Ste 1
Lakewood Ranch, FL 34240-8446
Phone
(941) 362-2744
Fax
(941) 362-2745
NPI assigned
Apr 28, 2006
Last updated
Apr 16, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 16, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME94379 FL Primary

Addresses

Primary practice location

7365 Merchant CT Ste 1
Lakewood Ranch, FL 34240-8446

Mailing address

7365 Merchant CT Ste 1
Lakewood Ranch, FL 34240-8446
Phone (941) 362-2744

Other names 1

  • Hermanda Glaser Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060605000227 FL Practitioner - Family Practice 9830100973 Practice locations: Lakewood Ranch, FL

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME94379FLMDFamily Medicine Physician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1146182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618531200000",
    "number": "1114984689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7365 MERCHANT CT STE 1",
            "city": "LAKEWOOD RANCH",
            "state": "FL",
            "postal_code": "342408446",
            "telephone_number": "941-362-2744",
            "fax_number": "941-362-2745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7365 MERCHANT CT STE 1",
            "city": "LAKEWOOD RANCH",
            "state": "FL",
            "postal_code": "342408446",
            "telephone_number": "941-362-2744",
            "fax_number": "941-362-2745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLASER",
        "first_name": "HERMANDA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-28",
        "last_updated": "2021-04-16",
        "certification_date": "2021-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME94379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HERMANDA",
            "last_name": "GLASER",
            "credential": "M.D., P.A.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Lakewood Ranch, FL

Sources for this page

Verify at the official NPI Registry.