Healthcare Provider Details

I. General information

NPI: 1205842713
Provider Name (Legal Business Name): MELISSA M GLAUSER PA-C MPAS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/01/2006
Last Update Date: 12/11/2025
Certification Date: 12/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4100 JOHNSON RD STE 205
STEUBENVILLE OH
43952-2365
US

IV. Provider business mailing address

380 SUMMIT AVE
STEUBENVILLE OH
43952-2667
US

V. Phone/Fax

Practice location:
  • Phone: 740-695-5207
  • Fax: 740-844-3646
Mailing address:
  • Phone: 740-283-7597
  • Fax: 740-283-7807

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AS0400X
TaxonomySurgical Physician Assistant
License Number50.001545RX
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: