Lisa Ilana Glasser, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

60322125 Issued in WA

Practice address

7683 SE 27TH St
#310
Mercer Island, WA 98040-2804

Phone

(206) 941-9306

NPI assigned

Aug 12, 2005

Last updated

Dec 12, 2013By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Lisa I Wolf Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1123804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386806400000",
    "number": "1407858111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7683 SE 27TH ST",
            "address_2": "#310",
            "city": "MERCER ISLAND",
            "state": "WA",
            "postal_code": "980402804",
            "telephone_number": "206-941-9306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7683 SE 27TH ST",
            "address_2": "#310",
            "city": "MERCER ISLAND",
            "state": "WA",
            "postal_code": "980402804",
            "telephone_number": "206-941-9306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLASSER",
        "first_name": "LISA",
        "middle_name": "ILANA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-12",
        "last_updated": "2013-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "WA",
            "license": "60322125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002018722",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "WOLF",
            "middle_name": "I",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Brent M George, MPT
• Gibson and Felker
• Kristen Kari Gibson, DDS
• Meredith L. Gilbert, PH.D.
• Lee S. Glass, MD
• Danette Swanson Glassy, MD
• Frances Gmur, M.D.
• Goichi Shiotsu DDS P S
• Negar Golchin, PHARMD, MPH
• Robert C Goode, MD

• Pediatrics Physician in Mercer Island, WA
• Providers in Mercer Island, WA by specialty
• Pediatrics Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 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.