Active NPI
Richard Daivd Glaeser, M.D
- Surgery Physician
- Fort Eustis, VA
National Provider Identifier
1770566598
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 0101225613
- Practice address
- 576 Jefferson Ave
Surgery-Dermatology
Fort Eustis, VA 23604-1602 - Phone
- (757) 314-7590
- NPI assigned
- Nov 25, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 0101225613 | VA | Primary |
Addresses
Primary practice location
576 Jefferson Ave
Surgery-Dermatology
Fort Eustis, VA 23604-1602
Mailing address
2424 Burnwether LN
Williamsburg, VA 23185-8069
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101225613 | VA | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132876800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1770566598",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2424 BURNWETHER LN",
"city": "WILLIAMSBURG",
"state": "VA",
"postal_code": "231858069"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "576 JEFFERSON AVE",
"address_2": "SURGERY-DERMATOLOGY",
"city": "FORT EUSTIS",
"state": "VA",
"postal_code": "236041602",
"telephone_number": "757-314-7590"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLAESER",
"first_name": "RICHARD",
"middle_name": "DAIVD",
"name_prefix": "Dr.",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-25",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "VA",
"license": "0101225613",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Eustis, VA
Sources for this page
- 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.