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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
500 W ANNANDALE RD |
City | FALLS CHURCH |
State | VA |
Zip Code | 22046 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 22046 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
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 |
City | FALLS CHURCH |
Zip Code | 22046 |
Please comment or provide details below to improve the information on STACIA D PETRANCOSTA.
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.