DR. JOHN BREWER GLASS (NPI# 1598793804) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598793804 |
| Entity Type | Individual |
| Full Name | DR. JOHN BREWER GLASS |
| Credential | M.D. |
| Practice Address |
7066 Stillwater Blvd N Oakdale MN 55128-3937 |
| Practice Telephone | 6517775222 |
| Practice Fax Number | 6512515111 |
| Mailing Telephone | 6517775222 |
| Mailing Fax Number | 6512515111 |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2012-08-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
35198 | MN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 423062100 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275715542 | John Glass | Counselor | 1616 E Roosevelt Rd, 8, Wheaton, IL 60187-6850 | 2007-11-28 |
| 1982720397 | John Glass | Counselor | 2750 Sutterville Rd, Sacramento, CA 95820-1024 | 2007-03-21 |
| Street Address |
7066 STILLWATER BLVD N |
| City | OAKDALE |
| State | MN |
| Zip Code | 55128-3937 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114990066 | Gloria F Cantor | Clinical Nurse Specialist | 7066 Stillwater Blvd N, Oakdale, MN 55128-3937 | 2006-02-10 |
| 1245846260 | Erin Rose Hannan | Social Worker | 7066 Stillwater Blvd N, Oakdale, MN 55128-3937 | 2020-09-16 |
| 1164066833 | Rebecca A Zabinski | Counselor | 7066 Stillwater Blvd N, Oakdale, MN 55128-3937 | 2019-11-05 |
| 1891343265 | Emily Lowney | Social Worker | 7066 Stillwater Blvd N, Oakdale, MN 55128-3937 | 2019-08-29 |
| 1275181794 | Audrey Lynette Hanmer | Counselor | 7066 Stillwater Blvd N, Oakdale, MN 55128-3937 | 2019-08-28 |
| 1154987063 | Cathleen Harvieux | Counselor | 7066 Stillwater Blvd N, Oakdale, MN 55128-3937 | 2019-05-15 |
| 1467017095 | Katherine Goodman | Counselor | 7066 Stillwater Blvd N, Oakdale, MN 55128-3937 | 2019-05-08 |
| 1265095020 | Benjamin Widbin | Social Worker | 7066 Stillwater Blvd N, Oakdale, MN 55128-3937 | 2019-04-17 |
| 1629535711 | Tara Jolynn Reopelle | Social Worker | 7066 Stillwater Blvd N, Oakdale, MN 55128-3937 | 2019-02-25 |
| 1568950038 | Mary Mcnamara | Counselor | 7066 Stillwater Blvd N, Oakdale, MN 55128-3937 | 2018-04-30 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578174181 | James Albert Nguyen | Pharmacist | 985 Geneva Ave, Oakdale, MN 55128 | 2020-08-17 |
| 1154895977 | Northstar Behavioral Health | Substance Abuse Rehabilitation Facility | 5713 Geneva Ave N, Oakdale, MN 55128 | 2019-01-15 |
| 1780131391 | Beth Reitzel | Social Worker | 7066 Stillwater Boulevard North, Oakdale, MN 55128 | 2016-09-01 |
| 1740645407 | Caring Hand LLC | Non-emergency Medical Transport (VAN) | 6703 13th St. Ct N Oakdale, Oakdale, MN 55128 | 2015-12-23 |
| 1689040453 | Hy Vee Inc | Pharmacy | 7180 10th Street N, Oakdale, MN 55128 | 2015-08-17 |
| 1902169550 | Susan Kay Milner | Pharmacist | 300 Clydesdale Trail, Target 2223, Medina, MN 55128 | 2012-06-19 |
| 1144581125 | Christine Vanjaeckel | Specialist | 434 Hayward Ave N, Oakdale, MN 55128 | 2012-06-06 |
| 1811122757 | Amy Ha Truong | Dentist | 6230 10th St N Ste 520, Oakdale, MN 55128 | 2009-05-21 |
| 1538329263 | Victoria Louise Brown-nyseth | Psychiatry & Neurology | 7755 3rd St N Ste 300, Oakdale, MN 55128 | 2008-06-16 |
| 1639292147 | Robert C. Dinga | Optometrist | 8344 3rd Street North, Oakdale, MN 55128 | 2007-04-09 |
| Find all providers in zip 55128 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952945180 | Pathways Autism Center LLC | Psychiatry & Neurology | 2021 E Hennepin Ave Ste 155, Minneapolis, MN 55413-1772 | 2019-10-31 |
| 1841514734 | Sara Jean Polley | Psychiatry & Neurology | 5500 94th Ave N, Brooklyn Park, MN 55443-1992 | 2010-03-21 |
| 1356597041 | Wei Guan | Psychiatry & Neurology | 3800 Park Nicollet Blvd Ste 650, St Louis Park, MN 55416-2527 | 2008-08-13 |
| 1831357219 | Lawrence John Young Jr. | Psychiatry & Neurology | 800 E 28th St, Ste. 600, Wasie Bldg., Minneapolis, MN 55407-3723 | 2008-06-02 |
| 1396885646 | Muhammad Waqar Azeem | Psychiatry & Neurology | 11705 State Ave, Brainerd, MN 56401-7307 | 2007-02-07 |
| 1295894269 | Roy Dewayne Hankins | Psychiatry & Neurology | 2558 271 Ave, Madison, MN 56256 | 2006-12-06 |
| 1548345655 | Anupama Chauhan | Psychiatry & Neurology | 13603 80th Cir N, Maple Grove, MN 55369-8961 | 2006-10-26 |
| 1891884326 | Highland Psychiatric Services Pa | Psychiatry & Neurology | 897 St Paul Ave, St Paul, MN 55116 | 2006-10-12 |
| 1427144815 | Adam Fox | Psychiatry & Neurology | 15 Groveland Ter Ste 201, Minneapolis, MN 55403-1154 | 2006-10-05 |
| 1831280635 | Jacob Kerbeshian | Psychiatry & Neurology | 111 Hundertmark Rd Ste 205n, Chaska, MN 55318-1586 | 2006-09-27 |
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| 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.