Jon Ryan Glass is a Urology in Marrero, Louisiana. Jon Ryan Glass practices all healthcare services and medical treatments related to Urology. The NPI Number for Jon Ryan Glass is 1174522577. The last update date is 2014-01-17.
Jon Ryan Glass's current location address is 1111 Medical Center Blvd, Marrero, Louisiana. You can contact this provider via phone number 5049348100 and fax number 5049348102. The mailing address for Jon Ryan Glass is 1111 Medical Center Blvd, Marrero, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jon Ryan Glass |
|---|---|
| Address | 1111 Medical Center Blvd, Marrero, Louisiana |
| Phone Number | 5049348100 |
| Fax Number | 5049348102 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1174522577 |
|---|---|
| Provider Enumeration Date | 2005-07-18 |
| Last Updated Date | 2014-01-17 |
Provider Mailing Address Detail
| Address | 1111 Medical Center Blvd |
|---|---|
| City | Marrero |
| State | Louisiana (LA) |
| Post Code | 700723151 |
| Phone Number | 5049348100 |
| Fax Number | 5049348102 |
Provider's Primary Taxonomy Detail
| Speciality | Urology |
|---|---|
| Taxonomy | 208800000X |
| Licence No | 25041 |
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Definition: A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquir |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1046761 | LA | -- |
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What is the unique 10-digit identification code issued to Jon Ryan Glass by the Centers for Medicare & Medicaid Services?
The Jon Ryan Glass has been assigned the NPI (National Provider Identifier) 1174522577 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical location address where Jon Ryan Glass's facilities are situated?
The facilities of Jon Ryan Glass are physically located at the following address: 1111 Medical Center Blvd, Marrero, LA, 700723151.
What is Jon Ryan Glass's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Jon Ryan Glass is Urology, and the taxonomy classification code that categorizes this area of expertise is 208800000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1174522577 to Jon Ryan Glass?
The Jon Ryan Glass received its 1174522577 assignment from the Centers for Medicare & Medicaid Services on 2005-07-18.
When was the information pertaining to Jon Ryan Glass most recently updated or revised?
The details related to Jon Ryan Glass, including its address, specialty, and other relevant information, were last updated or revised on 2014-01-17.