Active NPI
Paul Glazer, M.D., P.C.
- Orthopaedic Surgery of the Spine Physician
- Chestnut Hill, MA
National Provider Identifier
1700817228
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery of the Spine Physician
- Legal business name
- PAUL GLAZER, M.D., P.C.
- Practice address
- 822 Boylston St
Chestnut Hill, MA 02467-2595 - Phone
- (617) 860-6388
- NPI assigned
- Jul 5, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Paul A Glazer, M.D.
- Title
- President
- Phone
- (617) 860-6388
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery of the Spine Physician | 207XS0117X | Primary |
Addresses
Primary practice location
822 Boylston St
Chestnut Hill, MA 02467-2595
Mailing address
545 Hammond St
Chestnut Hill, MA 02467-1703
Phone (617) 232-5455
Other practice location 1
330 Brookline Ave
CC2
Boston, MA 02215-5400
Phone (617) 667-2225
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9720910 | Medicaid | MA |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Orthopaedic Surgery of the Spine Physician
- Glendale, WI
- NPI 1811925381
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152057600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1541462400000",
"number": "1700817228",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "545 HAMMOND ST",
"city": "CHESTNUT HILL",
"state": "MA",
"postal_code": "024671703",
"telephone_number": "617-232-5455",
"fax_number": "617-232-5002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "822 BOYLSTON ST",
"city": "CHESTNUT HILL",
"state": "MA",
"postal_code": "024672595",
"telephone_number": "617-860-6388"
}
],
"practiceLocations": [
{
"address_1": "330 Brookline Ave",
"address_2": "CC2",
"address_purpose": "LOCATION",
"city": "Boston",
"state": "MA",
"postal_code": "022155400",
"country_code": "US",
"telephone_number": "617-667-2225",
"fax_number": "617-667-2233",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "PAUL GLAZER, M.D., P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-05",
"last_updated": "2018-11-06",
"status": "A",
"authorized_official_last_name": "GLAZER",
"authorized_official_first_name": "PAUL",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "617-860-6388",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207XS0117X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9720910",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chestnut Hill, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 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.