MR. RICHARD WALLACE GLASS SA (PA) NPI 1447366943

NPI Information

NPI: 1447366943
Provider Name: MR. RICHARD WALLACE GLASS, SA (PA)
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

PECOS Registration: Yes

Address:
700 19TH ST S
SURGICAL SVC (112)
BIRMINGHAM, AL
ZIP 35233
Phone: (205) 933-8101
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MR. Richard Wallace Glass, SA (PA) is a surgical physician assistant in Birmingham, AL. MR. Richard Wallace Glass, SA (PA) NPI is 1447366943. 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:

700 19TH ST S
SURGICAL SVC (112)
BIRMINGHAM, AL
ZIP 35233-927
Phone: (205) 933-8101
Fax: (205) 558-4732

The NPI 1447366943 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 8/21/2006 and was last updated on 7/8/2007.

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			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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