Charles Glass (NPI# 1003219304, PAC ID# 8820219306) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1003219304 |
| PAC ID by PECOS | 8820219306 |
| Professional Enrollment ID | I20150804004399 |
| Full Name | Charles Glass |
| Organization Legal Name | MELODY L STONE MD PA |
| Address |
2617 Burris Rd Maryville MO 64468-3607 |
| Phone Number | 8163641507 |
| Gender | M |
| Graduation Year | 2014 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 5496854374 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 161352 | CLARINDA REGIONAL HEALTH CENTER |
| 260050 | SSM HEALTH ST. FRANCIS HOSPITAL- MARYVILLE |
| Address | Phone | Organization |
|---|---|---|
| 2617 Burris Rd, Maryville, MO 64468-3607 | 8163641507 | MELODY L STONE MD PA |
| 1419 Village Dr, Saint Joseph, MO 64506-2459 | 8163641507 | MELODY L STONE MD PA |
| Organization Legal Name | MELODY L STONE MD PA |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amy Horner | Physician Assistant | Melody L Stone Md Pa | 1419 Village Dr, Saint Joseph, MO 64506-2459 |
| Melody Stone | Dermatology | Melody L Stone Md Pa | 700 Oregon St, Hiawatha, KS 66434-2232 |
| Austin C Shandley | Physician Assistant | Melody L Stone Md Pa | 2617 Burris Rd, Maryville, MO 64468-3607 |
| Street Address |
2617 BURRIS RD |
| City | MARYVILLE |
| State | MO |
| Zip | 64468-3607 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Austin C Shandley | Physician Assistant | Melody L Stone Md Pa | 2617 Burris Rd, Maryville, MO 64468-3607 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michelle Ann Jones | Clinical Social Worker | New Beginnings Counseling Group Inc | 423 N Market St, Maryville, MO 64468-1614 |
| Kristi R White | Clinical Social Worker | New Beginnings Counseling Group Inc | 423 N Market St, Maryville, MO 64468-1614 |
| Danielle Leann Kneib | Clinical Social Worker | Deer Oaks Mental Health Associates PC | 524 N Laura St, Golden Living Center Maryville, Maryville, MO 64468-1955 |
| Kevan J Evans | Chiropractic | Northwest Chiropractic Clinic | 206 W 2nd St, Maryville, MO 64468-2229 |
| Vincent L Shelby | Chiropractic | Northwest Chiropractic Clinic | 206 W 2nd St, Maryville, MO 64468-2229 |
| Darcy Maureen Schieber | Chiropractic | Northwest Chiropractic Clinic | 206 W 2nd St, Maryville, MO 64468-2229 |
| James Dale Schoonover | Chiropractic | Northwest Chiropractic Clinic | 206 W 2nd St, Maryville, MO 64468-2229 |
| Ryan K. Losh | Optometry | 109 S Buchanan St, Maryville, MO 64468-2384 | |
| Leslie Luke | Nurse Practitioner | 106 W Edwards St, Maryville, MO 64468-2419 | |
| Debra Lynne Williams | Optometry | 503 S Main St, Maryville, MO 64468-2444 | |
| Find all physicians in zip 64468 | |||
| City | MARYVILLE |
| Zip Code | 64468 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | MARYVILLE + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Charles Glass.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.