SARA PEREZ (NPI# 1073004255) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073004255 |
| Entity Type | Individual |
| Full Name | SARA PEREZ |
| Credential | PA |
| Practice Address |
417 N 11th St Richmond VA 23298 |
| Mailing Address |
Po Box 91734 Richmond VA 23291-1734 |
| Practice Telephone | 8048287748 |
| Practice Fax Number | 8048270285 |
| Mailing Telephone | 8043586100 |
| Mailing Fax Number | 8043427619 |
| Enumeration Date | 2018-05-23 |
| Last Update Date | 2018-08-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
0110006207 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 11958 W Broad St, Henrico, VA 232331007 | 8043604669 | 8048270285 |
| 2035 Waterside Rd Ste 100, Prince George, VA 238751265 | 8049576287 | 8048270285 |
| 9109 Stony Point Dr, Richmond, VA 232351979 | 8048278000 | 8048270285 |
| 1250 E Marshall St, Richmond, VA 232985051 | 8048287748 | 8048270285 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316302300 | Sara Elizabeth Perez | Behavior Technician | 5741 Osuna Rd Ne Apt 511, Albuquerque, NM 87109-2564 | 2015-12-18 |
| 1780906420 | Sara Emily Perez | Registered Nurse | 2915 Lloyd St, San Diego, CA 92117-6031 | 2010-02-22 |
| 1720239031 | Sara Perez | Counselor | 3351 Claystone St Se Ste 212, Grand Rapids, MI 49546-5781 | 2008-10-06 |
| 1730380510 | Sara Perez | Pharmacist | 14 Bayamon Gdns Apts, No. M 21, Bayamon, PR 00956-7076 | 2007-05-30 |
| 1336247998 | Sara M Perez | Psychologist | 803 Blake Ave, Brooklyn, NY 11207-4802 | 2006-09-20 |
| 1992333629 | Sara Izamar Perez | Physician Assistant | 2715 W Trenton Rd, Edinburg, TX 78539-3433 | 2020-03-30 |
| 1811465701 | Sara Magdalena Perez | Registered Nurse | 701 W Wetmore Rd, Tucson, AZ 85705-1547 | 2018-11-08 |
| 1053898304 | Sara A. Perez | Licensed Vocational Nurse | 2102 W Teege Ave, Harlingen, TX 78550-4667 | 2018-07-19 |
| 1124333208 | Sara Perez | Psychologist | 444 N Main St, St. Hospital - Suite 420, Akron, OH 44310-3110 | 2010-08-12 |
| 1932264819 | Sara Ismari Perez | Otolaryngology | 200 Ave Winston Churchill, Suite 202, San Juan, PR 00926-6651 | 2006-12-22 |
| Street Address |
417 N 11TH ST |
| City | RICHMOND |
| State | VA |
| Zip Code | 23298 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982601522 | Denise Louise Borden | Internal Medicine | 417 N 11th St, Box 980447, Richmond, VA 23298-0447 | 2005-06-28 |
| 1346853439 | Lauren Harrow | Nurse Practitioner | 417 N 11th St, Richmond, VA 23298-5024 | 2020-08-28 |
| 1790328623 | Tiffany Everett | Physician Assistant | 417 N 11th St, Richmond, VA 23298-5002 | 2019-10-23 |
| 1538726963 | Jamie Carlton | Nurse Practitioner | 417 N 11th St, Richmond, VA 23298-5002 | 2019-05-21 |
| 1538724935 | Dean Michael Leonard | Student in an Organized Health Care Education/Training Program | 417 N 11th St, Richmond, VA 23298-5002 | 2019-05-01 |
| 1689130882 | Hailey Elizabeth Spinapont | Physician Assistant | 417 N 11th St, Richmond, VA 23298 | 2019-02-13 |
| 1669945663 | Jill S Storment | Nurse Practitioner | 417 N 11th St, Richmond, VA 23298-5002 | 2019-01-02 |
| 1568934370 | Katherine Gilliam Houston | Nurse Practitioner | 417 N 11th St, Richmond, VA 23298 | 2018-12-19 |
| 1154891372 | Caitlin Anne Mcmanus | Nurse Practitioner | 417 N 11th St, Richmond, VA 23298-5002 | 2018-11-30 |
| 1336628551 | Tilahun Mekonnen Goshu | Nurse Practitioner | 417 N 11th St, Richmond, VA 23298 | 2018-08-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730703604 | Russell Wayne Dowell | Student in an Organized Health Care Education/Training Program | Vcuhs Dept of Em Residency/fellowship, 1250 E. Marshall Street, Richmond, VA 23298 | 2020-06-05 |
| 1215551262 | Anna Leigh Cline | Student in an Organized Health Care Education/Training Program | Vcuhs Department of Emergency Medicine, 980401, 1250 E Marshall Street, Richmond, VA 23298 | 2020-06-05 |
| 1598389629 | Annabel Eujung Baek | Student in an Organized Health Care Education/Training Program | Vcuhs Dept of Plastic Surgery Residency, 980154, 1250 E. Marshall Street, Richmond, VA 23298 | 2020-06-04 |
| 1235752957 | Valerie Tammy Tran | Student in an Organized Health Care Education/Training Program | Internal Medicine Residency, 980509, 1250 E Marshall St, Richmond, VA 23298 | 2020-05-28 |
| 1386267193 | Michael Terribile | Student in an Organized Health Care Education/Training Program | Vcuhs Department of Pediatrics Residency, 980163, Richmond, VA 23298 | 2020-05-27 |
| 1417585449 | Ryan Louis Naum | Student in an Organized Health Care Education/Training Program | Vcuhs Dept. of Neurology Residency, #980599, 1250 E. Marshall Street, Richmond, VA 23298 | 2020-03-27 |
| 1477102531 | Shanon Fitzpatrick Beam | Nurse Practitioner | Vcu Medical Center, 1250 East Marshall Street, Richmond, VA 23298 | 2019-09-10 |
| 1922666924 | Sumerth Kumar Pathak | Student in an Organized Health Care Education/Training Program | Vcuhs Dept of Psychiatry, 980710, 1250 E. Marshall Street, Richmond, VA 23298 | 2019-06-04 |
| 1467010595 | Christopher Bednarz | Student in an Organized Health Care Education/Training Program | Vcuhs Dept of Surgery Residency, 980118, 1250 E. Marshall Street, Richmond, VA 23298 | 2019-06-04 |
| 1629636782 | Nicholet Mitchell | Student in an Organized Health Care Education/Training Program | Vcuhs Dept of Em Residency/fellowship, 980401, 1250 E. Marshall Street, Richmond, VA 23298 | 2019-06-04 |
| Find all providers in zip 23298 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427515162 | Mnhisey, LLC | Physician Assistant | 19302 Palace Way Ct, Richmond, TX 77407-5584 | 2019-03-01 |
| 1861944217 | Independent First Assistant, LLC. | Physician Assistant | 23203 S Waterlake Dr, Richmond, TX 77406-7667 | 2016-11-02 |
| 1477915098 | Kelly Egan Weaver | Physician Assistant | 1201 Broad Rock Blvd Richmond Va 23224, Richmond, VA 23249-4915 | 2016-03-23 |
| 1063857480 | Lc Surgical Assistants LLC | Physician Assistant | 1112 Yorktown St, Richmond, TX 77469-1639 | 2013-04-30 |
| 1275891160 | Chloe Elisa Trevino | Physician Assistant | 2009 Long Dr, Richmond, TX 77469-4923 | 2012-04-27 |
| 1356614663 | Shalonda Michelle Cormier | Physician Assistant | 18623 Anderwood Forest Dr, Richmond, TX 77407-2305 | 2012-02-16 |
| 1972829463 | Selena Brown | Physician Assistant | 9711 S Mason Rd Ste. 125, #311, Richmond, TX 77407 | 2010-04-09 |
| 1437161502 | Louis (trey) C Trosclair IIi | Physician Assistant | 11330 Sandhaven Dr, Richmond, TX 77407-4508 | 2006-08-13 |
| 1669420048 | Surgical Assist,l.l.c. | Physician Assistant | 3913 Morton Dr, Richmond, VA 23223-1287 | 2006-05-05 |
| 1457327637 | Rozita Z Reyes | Physician Assistant | 7001 Forest Ave Ste 400, Richmond, VA 23230-1726 | 2006-02-27 |
| Find all providers in RICHMOND | ||||
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| 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.