Jason Walter Glass, CSFA

Primary specialty

Surgical AssistantTaxonomy code 246ZC0007X

License

180668

Practice address

15 Medical Dr NE BLDG B
Cartersville, GA 30121-8005

Phone

(770) 382-1736

NPI assigned

Jul 3, 2018

Last updated

Jul 3, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1530576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530576000000",
    "number": "1467948323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 MEDICAL DR NE BLDG B",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301218005",
            "telephone_number": "770-382-1736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 MEDICAL DR NE BLDG B",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301218005",
            "telephone_number": "770-382-1736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLASS",
        "first_name": "JASON",
        "middle_name": "WALTER",
        "credential": "CSFA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-03",
        "last_updated": "2018-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": null,
            "license": "180668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Riaz Qadeer Gill, MD
• Scott D Gillogly, M.D.
• Bradley Gilmore
• Girasoles Counseling LLC
• Andrew Frank Glass, M.D.
• Shane Gleason, BSW
• Wendy Glinton, CRC
• Kathryn Kohn Gnann, CPNP
• Macie Lane Goff, CNM
• Susan Goff, P.T.

• Surgical Assistant in Cartersville, GA
• Providers in Cartersville, GA by specialty
• Surgical Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2018; 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.