Individual provider Active NPI

Erika Glazer, PA-C

  • Medical Physician Assistant
  • Owings Mills, MD
National Provider Identifier
1215372545
Registry record updated Apr 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
C0004663 Issued in MD
Practice address
7920 McDonogh Rd
Suite 201
Owings Mills, MD 21117-5273
Phone
(443) 321-2590
Fax
(866) 902-5997
NPI assigned
Apr 30, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X C0004663 MD Primary

Addresses

Primary practice location

7920 McDonogh Rd
Suite 201
Owings Mills, MD 21117-5273

Mailing address

7920 McDonogh Rd
Suite 201
Owings Mills, MD 21117-5273
Phone (443) 321-2590

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
C0004663MDMDMedical Physician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1367280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367280000000",
    "number": "1215372545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7920 MCDONOGH RD",
            "address_2": "SUITE 201",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211175273",
            "telephone_number": "443-321-2590",
            "fax_number": "866-902-5997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7920 MCDONOGH RD",
            "address_2": "SUITE 201",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211175273",
            "telephone_number": "443-321-2590",
            "fax_number": "866-902-5997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLAZER",
        "first_name": "ERIKA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-30",
        "last_updated": "2013-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MD",
            "license": "C0004663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Owings Mills, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 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.

Verify at the official NPI Registry.