Organization Active NPI

Jeffrey S Glaser MD Facs LLC

  • Urology Physician
  • Lake St Louis, MO
National Provider Identifier
1992865026
Registry record updated Nov 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
JEFFREY S GLASER MD FACS LLC
Practice address
10890 Veterans Memorial Pkwy
Lake St Louis, MO 63367-1475
Phone
(636) 561-6701
Fax
(636) 625-1601
NPI assigned
Dec 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2014

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

Authorized official

Name
Jeffrey Scott Glaser, MD
Title
President
Phone
(636) 561-6701

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X Primary

Addresses

Primary practice location

10890 Veterans Memorial Pkwy
Lake St Louis, MO 63367-1475

Mailing address

10890 Veterans Memorial Pkwy
Lake St Louis, MO 63367-1475
Phone (636) 561-6701

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415836800000",
    "number": "1992865026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10890 VETERANS MEMORIAL PKWY",
            "city": "LAKE ST LOUIS",
            "state": "MO",
            "postal_code": "633671475",
            "telephone_number": "636-561-6701",
            "fax_number": "636-625-1601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10890 VETERANS MEMORIAL PKWY",
            "city": "LAKE ST LOUIS",
            "state": "MO",
            "postal_code": "633671475",
            "telephone_number": "636-561-6701",
            "fax_number": "636-625-1601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY S GLASER MD FACS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2014-11-13",
        "status": "A",
        "authorized_official_last_name": "GLASER",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "636-561-6701",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake St Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2014; 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.