Michael L Glass MD Inc

Primary specialty

Independent Medical Examiner PhysicianTaxonomy code 202C00000X

License

11886 Issued in OK

Legal business name

MICHAEL L GLASS MD INC

Practice address

3815 S Boulevard St
Edmond, OK 73013-5479

Phone

(405) 341-9996

Fax

(405) 330-3566

NPI assigned

Apr 3, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Michael L Glass, M.D.NPI 1750362836

Title

President

Phone

(405) 341-9996

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael Lee Glass, MD

  • Obstetrics & Gynecology Physician
  • Edmond, OK
  • NPI 1750362836
  Medicare reassignment NPD Authorized official
• Tom Kirby Ball, DDS

  • Dentist
  • Edmond, OK
  • NPI 1033298146
  NPD (past)

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196035200000",
    "number": "1851412878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3815 S BOULEVARD ST",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730135479",
            "telephone_number": "405-341-9996",
            "fax_number": "405-330-3566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3815 S BOULEVARD ST",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730135479",
            "telephone_number": "405-341-9996",
            "fax_number": "405-330-3566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL L GLASS MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-03",
        "last_updated": "2007-11-26",
        "status": "A",
        "authorized_official_last_name": "GLASS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "405-341-9996",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "202C00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Independent Medical Examiner",
            "state": "OK",
            "license": "11886",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael B. Grindstaff, O.D., P.C. (Optique Vision Center)
• Michael D John MD PC
• Michael D. Swafford, Psy.D., P.C.
• Michael F. Alspaugh
• Michael J. Wallace D.D.S.
• Michael M. Cheng, DDS PC
• Michael Thrower MD, PLLC
• Medhat S.F. Michael, M.D.
• Michelle Blank, LCSW, PLLC
• Michelle Hahn Garrett, Ms, LMFT, PC

• Independent Medical Examiner Physician in Edmond, OK
• Providers in Edmond, OK by specialty
• Independent Medical Examiner Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.