STEPHANIE PETRUZZO (NPI# 1093370348) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093370348 |
| Entity Type | Individual |
| Full Name | STEPHANIE PETRUZZO |
| Practice Address |
10888 Woodleaf Ln Great Falls VA 22066-3004 |
| Practice Telephone | 7034636023 |
| Mailing Telephone | 7034636023 |
| Enumeration Date | 2019-05-02 |
| Last Update Date | 2019-05-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
10888 WOODLEAF LN |
| City | GREAT FALLS |
| State | VA |
| Zip Code | 22066-3004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992291256 | Virginia Cvs Pharmacy L L C | Durable Medical Equipment & Medical Supplies | 1020 Seneca Road, Great Falls, VA 22066 | 2018-07-10 |
| 1427408020 | Brightview Great Falls, LLC | Alzheimer Center (Dementia Center) | 10200 Colvin Run Road, Great Falls, VA 22066 | 2016-06-15 |
| 1265791297 | Vascular Surgery Group | Surgery | 850 Chistensen Court, Great Falls, VA 22066 | 2012-05-11 |
| 1114214582 | Sarah E Bellman | Physical Therapist | 766 Walker Rd Ste B, Great Falls, VA 22066 | 2011-07-06 |
| 1700178316 | Farzad Davoudian | Psychiatry & Neurology | 1025 Riva Ridge Dr, Great Falls, VA 22066 | 2011-05-15 |
| 1407162019 | William E Bylund | Emergency Medicine | 327 Canterwood Ln, Great Falls, VA 22066 | 2010-08-20 |
| 1043465974 | Austin Leigh Giunta Churchill | Physical Medicine & Rehabilitation | 746 Walker Rd Ste 12, Great Falls, VA 22066 | 2008-11-19 |
| 1295906766 | Hwi Y Suh | Psychiatry & Neurology | 9811 Thunderhill Ct, Great Falls, VA 22066 | 2008-03-12 |
| 1033244249 | Nahid Ghassemi | Nursing Facility/Intermediate Care Facility | 10130b Colvin Run Rd., Great Falls, VA 22066 | 2007-02-21 |
| 1972608578 | Debra Anne Zeh | Pediatrics | 10134 D Colvin Run Road, Great Falls, VA 22066 | 2006-09-14 |
| Find all providers in zip 22066 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316556269 | Bronte Heath Schultz | Physician Assistant | 236 15th Ave S, Great Falls, MT 59405-4254 | 2020-07-27 |
| 1750862876 | Brett A Steinmetz | Physician Assistant | 3525 2nd Ave S, Great Falls, MT 59405-3513 | 2018-08-27 |
| 1871923714 | William Joshu | Physician Assistant | 25 14th Avenue N.w., Great Falls, MT 59404 | 2013-11-13 |
| 1518201284 | Jennifer D Decker | Physician Assistant | 1101 26th St S Fl 5, Great Falls, MT 59405-5161 | 2012-11-19 |
| 1093943284 | Alicia Marie Hamilton | Physician Assistant | 2517 7th Ave S Ste A3, Great Falls, MT 59405-3033 | 2009-06-25 |
| 1275661936 | James Eldon Latray | Physician Assistant | 3201 29th St S, Great Falls, MT 59405-5127 | 2007-03-02 |
| 1952355430 | Rodney T Lutes | Physician Assistant | 914 13th Ave S, Great Falls, MT 59405-4406 | 2006-05-20 |
| 1912522483 | Katelyn Myllymaki-keller | Physician Assistant | 1101 26th St S, Great Falls, MT 59405-5161 | 2020-06-10 |
| 1104459718 | Katie Grace Smyth | Physician Assistant | 1401 25th St S, Great Falls, MT 59405-5183 | 2020-02-21 |
| 1457828337 | Zale Kaupish | Physician Assistant | 1401 25th St S, Great Falls, MT 59405-5183 | 2018-10-29 |
| Find all providers in GREAT FALLS | ||||
| City | GREAT FALLS |
| Zip Code | 22066 |
Please comment or provide details below to improve the information on STEPHANIE PETRUZZO.
| 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.