DR. ROBERT LESLIE GLASS (NPI# 1033138466) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033138466 |
| Entity Type | Individual |
| Full Name | DR. ROBERT LESLIE GLASS |
| Credential | M.D. |
| Practice Address |
2305 Georgia St Louisiana MO 63353-2559 |
| Practice Telephone | 5737545531 |
| Practice Fax Number | 5737545242 |
| Mailing Telephone | 5737545531 |
| Mailing Fax Number | 5737545242 |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2008-05-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | MD26966 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 208886903 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770617763 | Robert S Glass | Optometrist | 1696 Newport Blvd, Ste D, Costa Mesa, CA 92627-3787 | 2007-03-14 |
| 1023192697 | Robert G Glass | Dentist | 131 North Trigg Ave, Gallatin, TN 39066 | 2006-10-24 |
| 1316039027 | Robert Maxwell Glass | Ophthalmology | 317 Cleveland Ave., Highland Park, NJ 08904 | 2006-09-29 |
| 1497049571 | Robert Aldworth Glass IIi | Internal Medicine | 109 Bee St, Charleston, SC 29401-5703 | 2011-06-06 |
| 1558653519 | Robert Glass | Rehabilitation Practitioner | 100 Rosaschi Rd, Yerington, NV 89447-8722 | 2011-05-10 |
| 1336297670 | Robert Joseph Glass | Psychologist | 4801 S Lakeshore Dr Ste 206, Tempe, AZ 85282-7157 | 2007-01-05 |
| 1013918895 | Robert W. Glass | Surgery | 800 W Central Rd, Arlington Heights, IL 60005-2349 | 2005-08-03 |
| Street Address |
2305 GEORGIA ST |
| City | LOUISIANA |
| State | MO |
| Zip Code | 63353-2559 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023084290 | Aaron T Miller | Family Medicine | 2305 Georgia St, Louisiana, MO 63353-2559 | 2006-02-27 |
| 1932742012 | Erin Collette Anderson | Nurse Practitioner | 2305 Georgia St, Louisiana, MO 63353-2559 | 2019-10-22 |
| 1427409713 | Northeast Missouri Medical Providers LLC | Emergency Medicine | 2305 Georgia St, Louisiana, MO 63353-2559 | 2016-06-28 |
| 1538513072 | Pike County Memorial Hospital | Family Medicine | 2305 Georgia St, Louisiana, MO 63353-2559 | 2016-04-21 |
| 1225499866 | Rachel Harris | Nurse Practitioner | 2305 Georgia St, Louisiana, MO 63353-2559 | 2016-03-09 |
| 1073880480 | Ssm Depaul Medical Group, Inc. | Internal Medicine | 2305 Georgia St, Louisiana, MO 63353-2559 | 2011-11-30 |
| 1851688774 | Martella Emergency Group LLC | Physician Assistant | 2305 Georgia St, Louisiana, MO 63353-2559 | 2011-06-29 |
| 1700108370 | Ronald C Myers | Emergency Medicine | 2305 Georgia St, Louisiana, MO 63353-2559 | 2010-02-23 |
| 1184955700 | Tarrah A Hickerson | Social Worker | 2305 Georgia St, Louisiana, MO 63353-2559 | 2010-01-21 |
| 1871738823 | Pike Emergency Medicine LLC | Emergency Medicine | 2305 Georgia St, Louisiana, MO 63353-2559 | 2008-12-04 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063715845 | Austin Arness Brown | Physical Therapist | 2305 Georgia Street, Louisiana, MO 63353 | 2010-12-16 |
| 1962705749 | Margaret Therese Marden | Physical Therapist | 2305 West Georgia Street, Louisiana, MO 63353 | 2010-12-16 |
| 1487869582 | George Michael Vallar | Dentist | 211 Georgia St, Louisiana, MO 63353 | 2007-05-11 |
| 1558437350 | Frank T Thomalla IIi | Dentist | 3410 Georgia Street, Louisiana, MO 63353 | 2006-11-27 |
| 1346333572 | Stephen Francis Justice | Family Medicine | 2305 Georgia, Louisiana, MO 63353 | 2006-10-02 |
| 1821075672 | Mohammad Asif Waziri | Emergency Medicine | 2305 Gerorgia St, Louisiana, MO 63353 | 2005-12-22 |
| 1235432022 | Angela Theresa Gardner | Physical Therapist | 2305 Georgia Street, Louisiana, MO 63353 | 2010-12-16 |
| 1326061680 | Howard B. Schwadron, D.m.d. P.C. | Dentist | 801 Georgia St, Louisiana, MO 63353-1613 | 2006-07-26 |
| 1700800901 | Howard B. Schwadron | Dentist | 801 Georgia St, Louisiana, MO 63353-1613 | 2006-07-27 |
| 1205971132 | Family Health Pharmacies, Inc. | Durable Medical Equipment & Medical Supplies | 301 Georgia St, Louisiana, MO 63353-1717 | 2007-02-20 |
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| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134623317 | Kuirong Jiang | Surgery | 1 Hospital Dr Rm Mc520, Columbia, MO 65212-1000 | 2018-03-21 |
| 1962926311 | Blaire Lori Anderson | Surgery | 4921 Parkview Place Ste 8c, St Louis, MO 63110 | 2017-07-27 |
| 1578084349 | Shoaib Safiullah | Surgery | 1 Hospital Dr # Dc075.00, Columbia, MO 65212-1000 | 2017-07-03 |
| 1003336934 | Bradley Kushner | Surgery | 660 S Euclid Ave Fl 9, Saint Louis, MO 63110-1010 | 2017-06-21 |
| 1982088571 | Maxwell Tanyi Fohtung | Surgery | 4949 W Pine Blvd, Saint Louis, MO 63108 | 2015-07-14 |
| 1376920538 | Jordan M Kirsch | Surgery | 660 S. Euclid Ave, Cb 8109, Saint Louis, MO 63110-1020 | 2015-04-27 |
| 1194117861 | Kaitlyn Marie Rountree | Surgery | 1 Hospital Dr # Mc404, Columbia, MO 65212-1000 | 2015-03-04 |
| 1003231002 | Mysorekar Surgical | Surgery | 8342 Delcrest Dr, Apt 303, Saint Louis, MO 63124-2100 | 2014-02-27 |
| 1588099725 | Francis Milton Corry | Surgery | 2859 E. Utica, Springfield, MO 65804 | 2013-09-06 |
| 1710327879 | Jason Matthew Loden | Surgery | 1333 S Sam Houston Blvd Ste C, Houston, MO 65483-2046 | 2013-07-03 |
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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.