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JACOB JACKSON GLASER M.D. NPI 1710958046


NPI Information

NPI: 1710958046
Provider Name: JACOB JACKSON GLASER, M.D.
Classification: Surgery - 2086S0102X
Entity Type: Individual

Specialization: Surgical Critical Care

Organization: PROVIDENCE HEALTH AND SERVICES - WA

PECOS Registration: Yes

Address:
3551 ROGER BROOKE DR
FORT SAM HOUSTON, TX
ZIP 78234
Phone: (301) 529-1586
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Jacob Jackson Glaser, M.D. is a surgical critical care surgery in Fort Sam Houston, TX with 20 years of experience. The provider is a surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. Jacob Jackson Glaser, M.D. NPI is 1710958046. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: NEW YORK MEDICAL COLLEGE
Graduation Year:2004

The provider's business location address is:

3551 ROGER BROOKE DR
FORT SAM HOUSTON, TX
ZIP 78234-504
Phone: (301) 529-1586

The NPI 1710958046 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 1/26/2006 and was last updated on 5/18/2021.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1171000000XMilitary Health Care Provider0101239032VIRGINIANo
22086S0127XSurgeryTrauma SurgeryD77975MARYLANDNo
32086S0102XSurgerySurgical Critical CareQ7047TEXASYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.