MR. ANDREW CHRISTOPHER GLASS P.A.-C NPI 1114397437

NPI Information

NPI: 1114397437
Provider Name: MR. ANDREW CHRISTOPHER GLASS, P.A.-C
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

Organization: PARKVIEW ANCILLARY SERVICES CORPORATION

PECOS Registration: Yes

Address:
1600 NORTH GRAND AVE.
SUITE 508
PUEBLO, CO
ZIP 81003
Phone: (719) 595-7040
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MR. Andrew Christopher Glass, P.A.-C is a surgical physician assistant in Pueblo, CO with 9 years of experience. MR. Andrew Christopher Glass, P.A.-C NPI is 1114397437. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1600 NORTH GRAND AVE.
SUITE 508
PUEBLO, CO
ZIP 81003-757
Phone: (719) 595-7040
Fax: (719) 595-7045

The NPI 1114397437 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/29/2015 and was last updated on 9/29/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AS0400X	Physician Assistant	Surgical	PA.0004402	COLORADO	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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