Raimund R Glosson, PHYSICIAN ASSISTANT

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

0110001204 Issued in VA

Practice address

576 Jefferson Ave
Fort Eustis, VA 23604-1602

Phone

(757) 314-7595

Fax

(757) 314-7601

NPI assigned

Oct 24, 2005

Last updated

Jul 13, 2026By 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)

Not enrolled

State licenses

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

{
    "created_epoch": "1130112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1477543379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 YORK LN",
            "city": "YORKTOWN",
            "state": "VA",
            "postal_code": "236924029",
            "telephone_number": "757-890-2710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "576 JEFFERSON AVE",
            "city": "FORT EUSTIS",
            "state": "VA",
            "postal_code": "236041602",
            "telephone_number": "757-314-7595",
            "fax_number": "757-314-7601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLOSSON",
        "first_name": "RAIMUND",
        "middle_name": "R",
        "name_prefix": "Mr.",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-24",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "VA",
            "license": "0110001204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ramesh Gautam, DNP
• Keitra Tunisha George, DDS
• Sara Gillette
• Richard Daivd Glaeser, M.D
• Jeffrey Thomas Glasser, PHARMD RPH
• Virginia A Glover, M.S.
• Victoria Godwin
• Franciene Golding, FNP
• John Lee Goldstone, DDS
• Michael Keesee Gregory, DDS

• Surgical Physician Assistant in Fort Eustis, VA
• Providers in Fort Eustis, VA by specialty
• Surgical Physician Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.