STACIA D PETRANCOSTA


Address: 500 W Annandale Rd, Falls Church, VA 22046
Phone: 7035216662

STACIA D PETRANCOSTA (NPI# 1063735959) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1063735959
Entity Type Individual
Full Name STACIA D PETRANCOSTA
Other Name STACIA D OUTTEN
Credential PA-C
Practice Address 500 W Annandale Rd
Falls Church
VA 22046
Mailing Address 9555 Pine Cluster Cir
Vienna
VA 22181-5440
Practice Telephone 7035216662
Mailing Telephone 9105787053
Enumeration Date 2010-03-05
Last Update Date 2018-08-22
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 500 W ANNANDALE RD
City FALLS CHURCH
State VA
Zip Code 22046

Providers in the same location

NPI Name Taxonomy Address Enumeration
1821081167 Pulmonary and Medical Associates of Northern Virginia Ltd Internal Medicine 500 W Annandale Rd, Falls Church, VA 22046-4205 2005-08-23
1053840074 Keriann W. Kuperman Physician Assistant 500 W Annandale Rd, Falls Church, VA 22046-4205 2017-06-05
1205368156 Julie Passarelli Internal Medicine 500 W Annandale Rd, Falls Church, VA 22046-4205 2017-03-30
1609318641 Madhuri Pothireddy Internal Medicine 500 W Annandale Rd, Falls Church, VA 22046-4205 2016-11-08
1487017406 Ellen Sternenberger Internal Medicine 500 W Annandale Rd, Falls Church, VA 22046 2016-03-29
1356753073 Christopher Luk Family Medicine 500 W Annandale Rd, Falls Church, VA 22046-4205 2014-05-29
1043639180 Richard John Chang Family Medicine 500 W Annandale Rd, Falls Church, VA 22046-4205 2014-04-15
1184067522 Ashtaad Dalal Family Medicine 500 W Annandale Rd, Falls Church, VA 22046-4205 2013-04-16
1194063842 Lauren Howard Vaughan Physician Assistant 500 W Annandale Rd, Falls Church, VA 22046-4205 2013-01-30
1437443330 John P Tabacco Internal Medicine 500 W Annandale Rd, Falls Church, VA 22046-4205 2011-06-08
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1831735794 Megan Katherine Hassan Speech-Language Pathologist 803 West Broad Street, Suite 100, Falls Church, VA 22046 2019-11-25
1205481173 Michael William Wirtz Physical Therapist 510 South Washington Street, Ste. A, Falls Church, VA 22046 2019-08-07
1629636568 Meaghan A Souza Physical Therapist 510 S Washington Street, Suite A, Falls Church, VA 22046 2019-06-05
1619478963 Teresa Rosas Dentist Blvd Fundadores #8417-21, Tijuana, BAJA CALIFORNIA 22046 2018-02-22
1174022974 Bio Medical Center Radiology 3170 General Ferreira, Colonia Madero Sur, Tijuana, BAJA CALIFORNIA 22046 2018-02-07
1558875385 M & R Taxi Company, Inc. Non-emergency Medical Transport (VAN) 1115 West Broad St., Falls Church, VA 22046 2017-12-01
1356860829 Neurology Neuromusculoskeletal Medicine & OMM 701 W Broad St Ste 214, Falls Church, VA 22046 2017-09-15
1184140501 Christopher Grivas Chiropractor 510 W Annandale Road, Suite 300, Falls Church, VA 22046 2017-08-17
1831562719 Strategy Anesthesia Virginia, LLC Anesthesiology 502 W Broad Street (route 7), Falls Church, VA 22046 2015-11-02
1851762025 Edward A Stern Registered Nurse 201 N Washington Street, C/o Kaiser Permanente, Falls Church, VA 22046 2015-10-14
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1720446107 Andrea Aliaga Quijada Physician Assistant 6201 Leesburg Pike Ste 410, Falls Church, VA 22044-2201 2016-02-01
1407103179 Marie Elena Mccarthy Physician Assistant 513 W Broad St Ste 100, Falls Church, VA 22046-3257 2012-08-13
1932122025 Christine Catherine Stabley Physician Assistant 6565 Arlington Blvd Ste 420, Falls Church, VA 22042-3013 2006-07-26
1225549595 Erika Louise Canouse Physician Assistant 3300 Gallows Rd, Falls Church, VA 22042-3307 2017-10-13
1780050575 Brittany Mcpartland Physician Assistant 8191 Strawberry Ln, Suite 6, Falls Church, VA 22042-1031 2015-08-15
1245589472 Sarah Bannon Physician Assistant 3300 Gallows Rd, Falls Church, VA 22042-3307 2012-09-04
1568739670 Jing Wang Physician Assistant 3300 Gallows Rd, Falls Church, VA 22042-3307 2011-11-18
1174838536 Tristen Ruthanne Case Physician Assistant 3300 Gallows Rd, Fairfax Inova Hospital, Falls Church, VA 22042-3307 2010-08-10
1568690550 Ana Maria Moya Physician Assistant 6712 Arlington Blvd, Falls Church, VA 22042-2105 2009-06-29
1598947111 Sara Lindsay Gillam Physician Assistant 2901 Telestar Ct # 150, Falls Church, VA 22042-1260 2007-12-05
Find all providers in FALLS CHURCH

Competitor

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City FALLS CHURCH
Zip Code 22046

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Dataset Information

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.

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