Individual provider Active NPI

Jacob Jackson Glaser, MD

  • Surgical Critical Care Physician
  • Temple, TX
National Provider Identifier
1710958046
Registry record updated Aug 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Critical Care PhysicianTaxonomy code 2086S0102X
License
Q7047 Issued in TX
Practice address
2401 S 31St St # Msarm200
Temple, TX 76508-5303
Phone
(254) 724-2111
NPI assigned
Jan 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X MD60854012 WA
Surgical Critical Care Physician 2086S0102X MD60854012 WA
Trauma Surgery Physician 2086S0127X MD60854012 WA
Surgical Critical Care Physician 2086S0102X Q7047 TX Primary

Addresses

Primary practice location

2401 S 31St St # Msarm200
Temple, TX 76508-5303

Mailing address

PO Box 844658
Dallas, TX 75284-4658

Other practice location 1

1321 Colby Ave Ste 2A
Everett, WA 98201-1665
Phone (425) 404-8227

Other practice location 2

Madigan Army Medical Center 9040 Jackson Ave
Tacoma, WA 98431-4504
Phone (253) 986-2252

Other practice location 3

3551 Roger Brooke Dr
Fort Sam Houston, TX 78234-4504
Phone (210) 916-5398

Other practice location 4

1802 Yakima Ave Ste 104
Tacoma, WA 98405-5303
Phone (253) 426-6272

Other identifiers 1

IdentifierTypeStateIssuer
2016798MedicaidWA

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address jglaser958822@wm.providencedirect.org Direct
Direct Messaging Address jglaser859563@fhsce.catholichealth.net Direct Franciscan Medical Group
Direct Messaging Address jglaser1423485@direct.sw.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, TX, FL3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20181113001027 WA Practitioner - General SurgeryPractitioner - Critical Care (Intensivists) 8022235431 Reassigns benefits to 3 organizations
I20190917000529 TX Practitioner - General SurgeryPractitioner - AnesthesiologyPractitioner - Critical Care (Intensivists) 8022235431 Reassigns benefits to 2 organizations
I20241018002813 FL Practitioner - Critical Care (Intensivists)Practitioner - General Surgery 8022235431 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Critical Care (Intensivists)
Education
New York Medical College, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Scott and White ClinicGroup PAC ID 8123923604, 2,426 clinicians

Practice addresses (Care Compare)

1605 S 31St St
Baylor Scott and White Center for Dia
Temple, TX 76508-0001
Phone (254) 215-0100

2401 S 31 St
Temple, TX 76508-0001
Phone (254) 724-2459

2401 S 31St St BLDG
35 Baylor Scott and White Roney Bone and
Temple, TX 76508-0001
Phone (254) 724-2663

810 W U Ave
Temple, TX 76508-0001
Phone (254) 724-2585

Hospital & facility affiliations

  • Baylor Scott & White Medical Center - Temple Hospital, Temple, TX, CCN 450054
  • St Joseph Medical Center Hospital, Tacoma, WA, CCN 500108
  • Adventhealth Central Texas Hospital, Killeen, TX, CCN 450152
  • Seton Medical Center Harker Heights Hospital, Harker Heights, TX, CCN 670080

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD60854012WAMDSurgical Critical Care Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Florida Jacksonville Physicians, Inc. Surgery Current Accepting new patients
Multicare Health System CurrentSince Nov 6, 2024 Accepting new patients
Public Hospital District No 2 Skagit County Washington Current Accepting new patients
Franciscan Medical Group Current Accepting new patients
Multicare Health System Current Accepting new patients
Providence Health & Services - Washington CurrentSince Sep 17, 2018 Accepting new patients
Scott & White Clinic Surgery CurrentSince Apr 2, 2025 Accepting new patients
Multicare Health System CurrentSince Nov 6, 2024 Accepting new patients
Scott & White Clinic Surgery CurrentSince Apr 2, 2025 Accepting new patients
Providence Health & Services- Washington CurrentSince Sep 17, 2018 Accepting new patients
Public Hospital District No 2 Skagit County Washington CurrentSince Feb 21, 2025 Accepting new patients
Public Hospital District No 2 Skagit County Washington CurrentSince Feb 21, 2025 Accepting new patients
University of Florida Jacksonville Physicians Inc Surgery CurrentSince Oct 1, 2024 Accepting new patients
Urgent Specialty Associates of Texas, PLLC Surgical Critical Care CurrentSince Nov 17, 2022 Accepting new patients
University of Florida Jacksonville Physicians, Inc. CurrentSince Oct 1, 2024 Accepting new patients
Scott & White Hospital - Taylor Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

655 W 8th St
Jacksonville, FL 32209
Phone (904) 244-1680

101 Lafferty Ave
Cameron, TX 76520
Phone (254) 605-1100

22999 Highway 59 N
Kingwood, TX 77339
Phone (281) 348-3322

2401 S 31st St
Temple, TX 76508
Phone (254) 724-2459

2401 S 31st St
#200
Temple, TX 76508
Phone (254) 215-0100

6801 Emmett F Lowry Expy
Texas City, TX 77591
Phone (409) 938-5095

500 W Medical Center Blvd
Webster, TX 77598
Phone (713) 447-4650

1213 24th St
Ste 700
Anacortes, WA 98221
Phone (360) 293-5142

1211 24th St
Anacortes, WA 98221
Phone (360) 293-3181

1321 Colby Ave
Ste 2A
Everett, WA 98201
Phone (425) 404-8227

1321 Colby Ave
Everett, WA 98201
Phone (425) 259-4413

4112 Harbour Pointe Blvd SW
Ste 100
Mukilteo, WA 98275
Phone (425) 347-6330

317 Martin Luther King Jr Way
Tacoma, WA 98405
Phone (253) 403-1400

315 S K St
Tacoma, WA 98405
Phone (253) 403-1291

1802 Yakima Ave
Ste 104
Tacoma, WA 98405
Phone (253) 426-6272

Interoperability endpoints

  • Direct secure messaging: jglaser741225@direct.shands.ufl.edu

Organizations & group practices 17

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 17

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1138233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754611200000",
    "number": "1710958046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 844658",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752844658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 S 31ST ST # MSARM200",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765085303",
            "telephone_number": "254-724-2111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1321 Colby Ave Ste 2A",
            "address_purpose": "LOCATION",
            "city": "Everett",
            "state": "WA",
            "postal_code": "982011665",
            "country_code": "US",
            "telephone_number": "425-404-8227",
            "fax_number": "425-404-8228",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Madigan Army Medical Center 9040 Jackson Ave",
            "address_purpose": "LOCATION",
            "city": "Tacoma",
            "state": "WA",
            "postal_code": "984314504",
            "country_code": "US",
            "telephone_number": "253-986-2252",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3551 Roger Brooke Dr",
            "address_purpose": "LOCATION",
            "city": "Fort Sam Houston",
            "state": "TX",
            "postal_code": "782344504",
            "country_code": "US",
            "telephone_number": "210-916-5398",
            "fax_number": "210-916-5102",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1802 Yakima Ave Ste 104",
            "address_purpose": "LOCATION",
            "city": "Tacoma",
            "state": "WA",
            "postal_code": "984055303",
            "country_code": "US",
            "telephone_number": "253-426-6272",
            "fax_number": "253-426-4060",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GLASER",
        "first_name": "JACOB",
        "middle_name": "JACKSON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-26",
        "last_updated": "2025-08-08",
        "certification_date": "2025-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "WA",
            "license": "MD60854012",
            "primary": false
        },
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "WA",
            "license": "MD60854012",
            "primary": false
        },
        {
            "code": "2086S0127X",
            "taxonomy_group": "",
            "desc": "Surgery, Trauma Surgery",
            "state": "WA",
            "license": "MD60854012",
            "primary": false
        },
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "TX",
            "license": "Q7047",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2016798",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jglaser958822@wm.providencedirect.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1321 Colby Ave Ste 2A",
            "city": "Everett",
            "state": "WA",
            "country_code": "US",
            "postal_code": "982011665",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jglaser859563@fhsce.catholichealth.net",
            "affiliation": "Y",
            "affiliationName": "Franciscan Medical Group",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1802 Yakima Ave Ste 104",
            "city": "Tacoma",
            "state": "WA",
            "country_code": "US",
            "postal_code": "984055303",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jglaser1423485@direct.sw.org",
            "affiliation": "N",
            "address_1": "2401 S 31st St # Msarm200",
            "city": "Temple",
            "state": "TX",
            "country_code": "US",
            "postal_code": "765085303",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Temple, TX

Sources for this page

Verify at the official NPI Registry.