MR. ERIC B GLASS (NPI# 1184255820) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184255820 |
| Entity Type | Individual |
| Full Name | MR. ERIC B GLASS |
| Credential | LMT, MAT |
| Practice Address |
5257 27th St S Fargo ND 58104-7780 |
| Mailing Address |
819 13th Ave N Fargo ND 58102-2628 |
| Practice Telephone | 7018091179 |
| Mailing Telephone | 7018091179 |
| Enumeration Date | 2020-01-31 |
| Last Update Date | 2020-01-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 1479 | ND | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245350701 | Eric B Glass | Chiropractor | 213 Creekside Office Dr., Wentzville, MO 63385-4213 | 2007-03-29 |
| 1811906811 | Eric R Glass | Emergency Medicine | 2500 Hopsital Drive, Martinsburg, WV 25401 | 2006-08-07 |
| 1417003229 | Eric Edward Glass | Family Medicine | 760 Otay Lakes Rd, Chula Vista, CA 91910-6915 | 2007-01-26 |
| Street Address |
5257 27TH ST S |
| City | FARGO |
| State | ND |
| Zip Code | 58104-7780 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043837347 | Pinnacle Therapy & Wellness, Pllc | Physical Therapist | 4500 36th Ave S Suite 100, Fargo, ND 58104 | 2020-07-02 |
| 1619509858 | Patricia Helen Bathie | Counselor | 4243 Auburn Ave., Fargo, ND 58104 | 2020-02-05 |
| 1346892866 | Elizabeth Olis | Registered Nurse | 2633 55th St. S, Apartment 202, Fargo, ND 58104 | 2019-07-15 |
| 1780247023 | Keith Kirimi Ndege | Physical Therapy Assistant | 5225 23rd Ave South, Fargo, ND 58104 | 2019-04-22 |
| 1346728557 | Ms4 Pllc | Pharmacy | 4476 31st Avenue South, Suite #105, Fargo, ND 58104 | 2018-07-31 |
| 1891286977 | Jessica Rae Majidian | Dentist | 3030 49th St S, Fargo, ND 58104 | 2018-05-23 |
| 1821588500 | Alissa Nichole Larson | Pharmacist | 5675 26th Ave S St. 136a, Fargo, ND 58104 | 2018-05-17 |
| 1790297430 | Northern Lights Dental | Dentist | 4150 19th Ave S, Suite 301, Fargo, ND 58104 | 2017-11-03 |
| 1619406733 | Cobalt Rehabilitation Hospital Fargo LLC | Rehabilitation Hospital | 4671 38th Street S, Fargo, ND 58104 | 2017-06-12 |
| 1790210318 | Homefield Health, LLC | Clinic/Center | 4141 31st Ave S., Ste 102, Fargo, ND 58104 | 2017-04-21 |
| Find all providers in zip 58104 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508393505 | Annie Rose Larsen | Massage Therapist | 3222 28th St S Ste A, Fargo, ND 58104-5183 | 2017-05-22 |
| 1225416886 | Matt Simmons | Massage Therapist | 4955 17th Ave S Ste 116, Fargo, ND 58103-3372 | 2015-05-14 |
| 1497143317 | Stephanie Wilson | Massage Therapist | 1790 32 Nd Ave South Suite 1a, Fargo, ND 58104 | 2014-12-30 |
| 1689096125 | Katie E Stock | Massage Therapist | 2553 Kirsten Ln S Ste 207, Fargo, ND 58104-4901 | 2014-01-17 |
| 1205175544 | Ann Hazel Terry | Massage Therapist | 2600 52nd Ave S Ste 103, C/o Urban Edge, Fargo, ND 58104-7173 | 2013-02-06 |
| 1104129527 | Lisa Marie Wourms | Massage Therapist | 1121 Westrac Dr S Ste 102, Fargo, ND 58103-2385 | 2010-12-07 |
| 1245544147 | Jennifer Lynn Nett | Massage Therapist | 3120 15th St S, Fargo, ND 58103-5939 | 2010-08-03 |
| 1639703861 | Natalie Sticka | Massage Therapist | 3242 20th St S, Fargo, ND 58104-5917 | 2020-02-26 |
| 1124684915 | Heather Ketterling | Massage Therapist | 3242 20th St S, Fargo, ND 58104-5917 | 2019-05-16 |
| 1508355041 | Carly Shae Bjornstad | Massage Therapist | 3222 28th St S, Fargo, ND 58104-5183 | 2018-05-09 |
| Find all providers in FARGO | ||||
Please comment or provide details below to improve the information on MR. ERIC B 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.