NATHAN T GLASS (NPI# 1043623663) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043623663 |
| Entity Type | Individual |
| Full Name | NATHAN T GLASS |
| Credential | PA-C |
| Practice Address |
5350 Spring Hill Dr Spring Hill FL 34606-4562 |
| Mailing Address |
14690 Spring Hill Dr 101 Spring Hill FL 34609-8102 |
| Practice Telephone | 3526888116 |
| Practice Fax Number | 3526869477 |
| Mailing Telephone | 3527990046 |
| Mailing Fax Number | 3527990115 |
| Enumeration Date | 2014-06-11 |
| Last Update Date | 2015-08-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BCBS | Y0N51 | 01 |
| FL | 014300000 | 05 | |
| FL | RR MCR | P01483887 | 01 |
| Street Address |
5350 SPRING HILL DR |
| City | SPRING HILL |
| State | FL |
| Zip Code | 34606-4562 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205821691 | Ella Vlad Varney | Family Medicine | 5350 Spring Hill Dr, Spring Hill, FL 34606 | 2005-09-13 |
| 1275149916 | Kristen Anne Nutter | Nurse Practitioner | 5350 Spring Hill Dr, Spring Hill, FL 34606-4562 | 2020-09-18 |
| 1780293597 | Lynda Dilts-benson | Registered Nurse | 5350 Spring Hill Dr, Spring Hill, FL 34606-4562 | 2020-07-28 |
| 1427674621 | Allison Webb | Nurse Practitioner | 5350 Spring Hill Dr, Spring Hill, FL 34606-4562 | 2020-06-23 |
| 1851924708 | Loida V Buaquina | Nurse Practitioner | 5350 Spring Hill Dr, Spring Hill, FL 34606-4562 | 2020-02-19 |
| 1275164477 | Nicole Rashel Kennerly | Nurse Practitioner | 5350 Spring Hill Dr, Spring Hill, FL 34606-4562 | 2020-01-28 |
| 1184260283 | Michael Rudelli | General Practice | 5350 Spring Hill Dr, Spring Hill, FL 34606-4562 | 2019-11-23 |
| 1912541582 | Tintu Thykuttathil Mathew | Nurse Practitioner | 5350 Spring Hill Dr, Spring Hill, FL 34606-4562 | 2019-11-06 |
| 1881235307 | Mindy Rae Ehrsam | Nurse Practitioner | 5350 Spring Hill Dr, Spring Hill, FL 34606-4562 | 2019-10-06 |
| 1205477478 | Chiquilla Zandell Beene | Nurse Practitioner | 5350 Spring Hill Dr, Spring Hill, FL 34606 | 2019-09-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679196877 | Ruth A Bertone | Developmental Therapist | 6835 Eastbrook Drive, Spring Hill, FL 34606 | 2020-05-21 |
| 1023508405 | Ambassador Health Services, Inc. | In Home Supportive Care | 4048 Deltona Blvd, Spring Hill, FL 34606 | 2018-05-11 |
| 1295233393 | Back To Health Chiropractic LLC | Chiropractor | 3479 Deltona Blvd, Spring Hill, FL 34606 | 2018-01-24 |
| 1831614080 | Florida Medical Pain Management | Anesthesiology | 5270 Applegate Drive, Spring Hill, FL 34606 | 2017-08-09 |
| 1639543200 | Green Leaf and Company, LLC | Point of Service | 7364 Lagood Rd, Spring Hill, FL 34606 | 2015-11-19 |
| 1578993200 | Deltona Home of Tlc Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1287 Deltona Blvd, Spring Hill, FL 34606 | 2013-11-15 |
| 1407289291 | Leslie Kaye Griffen | Nurse Practitioner | 8391 Omaha Circle, Spring Hill, FL 34606 | 2013-08-15 |
| 1508200213 | Nic 5 Forest Oaks Leasing LLC | Assisted Living Facility | 8055 Forest Oaks Blvd., Spring Hill, FL 34606 | 2013-04-24 |
| 1316278807 | Carmen Serrano | Massage Therapist | 8329 Nevada St, Springhill, FL 34606 | 2010-01-22 |
| 1427299700 | Jeanine Smith Mcneill | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 7338 Spring Hill Dr, Spring Hill, FL 34606 | 2009-03-16 |
| Find all providers in zip 34606 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740790500 | Tory Christopher Fisher | Physician Assistant | 22450 S Harrison St Ste 100, Spring Hill, KS 66083-8882 | 2017-10-06 |
| 1790160281 | William Scott Collier | Physician Assistant | 1251 Hunters Point Ln, Spring Hill, TN 37174-2188 | 2015-07-25 |
| 1578941860 | Brian Masterson | Physician Assistant | 5073 Main St Ste 140, Spring Hill, TN 37174-2738 | 2015-05-07 |
| 1811273790 | Daniel R Prentice Pa-c Pa | Physician Assistant | 10270 Bernarda Ct, Spring Hill, FL 34608-1200 | 2011-10-24 |
| 1538184510 | Richard Donald Jaynes | Physician Assistant | 9566 Purdy St, Spring Hill, FL 34608-3556 | 2006-07-12 |
| 1659838597 | Moises B Tuckler | Physician Assistant | 3378 Mariner Blvd, Spring Hill, FL 34609-2460 | 2019-02-27 |
| 1841657665 | Corley Brothers | Physician Assistant | 5073 Main St, Suite 100, Spring Hill, TN 37174-2737 | 2016-01-25 |
| 1235430935 | Donald Carson | Physician Assistant | 5350 Spring Hill Dr, Spring Hill, FL 34606-4562 | 2010-11-11 |
| 1699940403 | Brian L. Kersey | Physician Assistant | 5350 Spring Hill Dr, Spring Hill, FL 34606-4562 | 2008-04-23 |
| 1336348739 | Sherry Ann Rockman | Physician Assistant | 5350 Spring Hill Dr, Spring Hill, FL 34606-4562 | 2007-07-16 |
| Find all providers in SPRING HILL | ||||
| City | SPRING HILL |
| Zip Code | 34606 |
Please comment or provide details below to improve the information on NATHAN T GLASS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.