Individual provider Active NPI

Stephanie Glaser, PA

  • Physician Assistant
  • Metairie, LA
National Provider Identifier
1932762804
Registry record updated Jan 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
4224 Houma Blvd
Ste 500
Metairie, LA 70006-2938
Phone
(504) 231-4016
NPI assigned
Apr 17, 2019
Last updated
Jan 8, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X NU Primary

Addresses

Primary practice location

4224 Houma Blvd
Ste 500
Metairie, LA 70006-2938

Mailing address

4224 Houma Blvd
Ste 500
Metairie, LA 70006-2938
Phone (504) 231-4016

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210715002010 LA Practitioner - Physician Assistant 6608278437 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4200 Houma Blvd
Metairie, LA 70006-2970
Phone (504) 503-6565

4228 Houma Blvd
Metairie, LA 70006-3000
Phone (504) 454-2222

4228 Houma Blvd
Suite 200
Metairie, LA 70006-3004
Phone (504) 454-7878

4320 Houma Blvd
FL 6
Metairie, LA 70006-2961
Phone (504) 503-4109

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
East Jefferson Physicians Group LLC CurrentSince Sep 26, 2021 Accepting new patients

Locations

4224 Houma Blvd
Ste 500
Metairie, LA 70006
Phone (504) 455-0842

4224 Houma Blvd
Ste 520
Metairie, LA 70006
Phone (504) 885-4003

4228 Houma Blvd
Fl 3
Metairie, LA 70006
Phone (504) 454-2222

4300 Houma Blvd
Metairie, LA 70006
Phone (504) 454-1724

4300 Houma Blvd
Ste 202
Metairie, LA 70006
Phone (504) 503-6791

4320 Houma Blvd
Fl 6
Metairie, LA 70006
Phone (504) 503-4109

1100 Poydras St
Ste 2500
New Orleans, LA 70163
Phone (504) 527-9953

Organizations & group practices 1

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

Hospital & facility affiliations 4

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": "1555459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704672000000",
    "number": "1932762804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4224 HOUMA BLVD",
            "address_2": "STE 500",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700062938",
            "telephone_number": "504-231-4016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4224 HOUMA BLVD",
            "address_2": "STE 500",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700062938",
            "telephone_number": "504-231-4016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLASER",
        "first_name": "STEPHANIE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-17",
        "last_updated": "2024-01-08",
        "certification_date": "2024-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

Verify at the official NPI Registry.