Jessica B Glanz, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

C02458 Issued in MD

Practice address

2012 S Tollgate Rd
Suite 200
Bel Air, MD 21015-5900

Phone

(410) 569-5151

Fax

(410) 569-1131

NPI assigned

Mar 29, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Jessica A Beach Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/136fea15-c667-40bc-9ed2-b1115d62123b/

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.

• Englert Dermatology, LLC

  • Dermatology Physician
  • Sparks, MD
  • NPI 1619066206
  NPD (past)
• Northwest Hospital Center, Inc.

  • Pulmonary Disease Physician
  • Randallstown, MD
  • NPI 1740290980

  Physician Assistant

  NPD (past)
• Woodholme Gastroenterology Assoc PA

  • Gastroenterology Physician
  • Baltimore, MD
  • NPI 1700839347
  NPD (past)

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

{
    "created_epoch": "1143590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476489600000",
    "number": "1790746972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2012 S TOLLGATE RD",
            "address_2": "SUITE 200",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210155900",
            "telephone_number": "410-569-5151",
            "fax_number": "410-569-1131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2012 S TOLLGATE RD",
            "address_2": "SUITE 200",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210155900",
            "telephone_number": "410-569-5151",
            "fax_number": "410-569-1131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLANZ",
        "first_name": "JESSICA",
        "middle_name": "B",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-29",
        "last_updated": "2016-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA055651",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C02458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "BEACH",
            "middle_name": "A",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Michael T Giordano, MD
• Leonardo Girio-Herrera, D.O.
• Micah Girotti, MD
• Zainab Giwa, FNP-C
• Lydia Charlotte Gladfelter, PA
• Global Anesthesia Services LLC
• Go Wellness LLC
• Leslie Ann Godsey, M.S.
• Stephen Godwin, D.M.D., D.M.SC.
• Gracie Rae Goetz

• All providers in Bel Air, MD
• Physician Assistant in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2016; 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.