DR. RICHARD DEAN GLASSMAN (NPI# 1760476451) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760476451 |
| Entity Type | Individual |
| Full Name | DR. RICHARD DEAN GLASSMAN |
| Credential | MD |
| Practice Address |
836 Prudential Dr Suite 1603 Jacksonville FL 32207-8334 |
| Practice Telephone | 9043960023 |
| Practice Fax Number | 9043962644 |
| Mailing Telephone | 9043960023 |
| Mailing Fax Number | 9043962644 |
| Enumeration Date | 2005-09-08 |
| Last Update Date | 2007-09-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208200000X | Plastic Surgery | ME42926 | FL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770023400 | Richard Glassman | Social Worker | 61 E 3rd St, Brooklyn, NY 11218-1021 | 2017-02-28 |
| 1285764852 | Richard Ira Glassman | Family Medicine | 830 Potomac Cir, Unit 295, Aurora, CO 80011-6750 | 2007-03-06 |
| Street Address |
836 PRUDENTIAL DR SUITE 1603 |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32207-8334 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063416550 | Joseph David Allen | Physician Assistant | 836 Prudential Dr, Suite 801, Jacksonville, FL 32207-8334 | 2005-06-13 |
| 1245877513 | Monica Pombier | Nurse Practitioner | 836 Prudential Dr, Jacksonville, FL 32207 | 2019-12-05 |
| 1396110581 | Jena Joray Snipes | Nurse Practitioner | 836 Prudential Dr, Ste 1405, Jacksonville, FL 32207-8334 | 2015-12-14 |
| 1801266754 | Melanie Barriger Wilson | Nurse Practitioner | 836 Prudential Dr, Suite 1405, Jacksonville, FL 32207-8334 | 2015-10-05 |
| 1477932002 | Maggie Davis | Nurse Practitioner | 836 Prudential Dr, Suite 1800, Jacksonville, FL 32207-8334 | 2015-05-28 |
| 1114306024 | Baptist Ent Specialists Inc | Otolaryngology | 836 Prudential Dr, Suite 1601, Jacksonville, FL 32207-8334 | 2015-05-26 |
| 1811375918 | Candice Joy Stephenson | Physician Assistant | 836 Prudential Dr, Suite 1601, Jacksonville, FL 32207-8334 | 2015-05-11 |
| 1467882340 | Molly Mckee Turner | Nurse Practitioner | 836 Prudential Dr, Suite 1103, Jacksonville, FL 32207-8334 | 2013-11-14 |
| 1285907311 | Baptist Cardiology, Inc. | Internal Medicine | 836 Prudential Dr, Suite 1700, Jacksonville, FL 32207-8334 | 2012-02-21 |
| 1689962375 | Angela Marie Kaeding | Nurse Practitioner | 836 Prudential Dr, 1800, Jacksonville, FL 32207-8334 | 2011-07-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033768981 | North Florida Pediatrics, Pa | Pediatrics | 4501 Atlantic Boulevard, Jacksonville, FL 32207 | 2019-09-04 |
| 1578117024 | Pragna Mukesh Dholakia | Nurse Practitioner | 2624 Atlantic Blvd., Jacksonville, FL 32207 | 2019-08-01 |
| 1821653601 | The Adoption Authority, Inc. | Case Management | 4940 Emerson Street, Suite 103, Jacksonville, FL 32207 | 2019-05-07 |
| 1255896080 | Elizabeth Lynn Houghton | Social Worker | Sulzbacher Village, 904-720-2079, Jacksonville, FL 32207 | 2019-02-06 |
| 1902374630 | Guilherme Jose Agnoletto | Neurological Surgery | 800 Prudential Drive Weaver Tower 11th Floor, Jacksonville, FL 32207 | 2018-11-12 |
| 1073008504 | Pavilion Infusion Therapy Inc | Durable Medical Equipment & Medical Supplies | 1301 Palm Avenue, Suite 220, Jacksonville, FL 32207 | 2018-06-27 |
| 1346733185 | Dueseason1 | Registered Nurse | 4058 Saint Augustine Rd, Jacksonville, FL 32207 | 2018-06-06 |
| 1164911913 | Eric Lang Poovey | Nurse Practitioner | Baptist Heart Specialists, 836 Prudential Drive Suite 1700, Jacksonville, FL 32207 | 2018-05-08 |
| 1902311046 | Spring Park Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3851 Emerson St Ste 13, Jacksonville, FL 32207 | 2017-12-12 |
| 1295247948 | Emed Urgent and Primary Care Pa | Clinic/Center | 2570 Atlantic Boulevard, Jacksonville, FL 32207 | 2017-11-02 |
| Find all providers in zip 32207 | ||||
| Taxonomy Code | 208200000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699831644 | Loren Zalman Clayman | Plastic Surgery | 1801 Barrs Street Suite 200, Jacksonville, FL 32204 | 2006-12-27 |
| 1134217839 | Thomas Joseph Rojy Jr. | Plastic Surgery | 43 Office Park Dr, Jacksonville, NC 28546-3220 | 2006-10-10 |
| 1881678753 | Erez Gabriel Sternberg | Plastic Surgery | 7711 Baymeadows Rd E, Suite #6, Jacksonville, FL 32256-9675 | 2005-12-02 |
| 1336138734 | Mohamad Reza Samiian | Plastic Surgery | 4221 Southpoint Pkwy, Jacksonville, FL 32216 | 2005-10-18 |
| 1861495723 | David Winton Mobley | Plastic Surgery | 5101 Gate Parkway, Suite 2, Jacksonville, FL 32256-7276 | 2005-05-24 |
| 1720354046 | Body Balance Md | Plastic Surgery | 6817 Southpoint Pkwy, Suite 801, Jacksonville, FL 32216 | 2012-03-30 |
| 1902108020 | Sofia K. Kirk, M.d., Pllc | Plastic Surgery | 13241 Bartram Park Blvd, Ste 1017, Jacksonville, FL 32258-5212 | 2010-11-22 |
| 1417262288 | Mclane Medical, Inc. | Plastic Surgery | 13241 Bartram Park Blvd, Ste 1017, Jacksonville, FL 32258-5212 | 2010-08-17 |
| 1760797773 | Thomas J Rojy Jr Md Pa | Plastic Surgery | 43 Office Park Dr, Jacksonville, NC 28546-3220 | 2010-08-13 |
| 1588985972 | Jacksonville Plastic Surgery Inc | Plastic Surgery | 3599 University Blvd S, Suite 1600, Jacksonville, FL 32216-4252 | 2010-06-20 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32207 |
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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.