MS. STEPHANIE LANE GALLEGOS (NPI# 1104051960) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104051960 |
| Entity Type | Individual |
| Full Name | MS. STEPHANIE LANE GALLEGOS |
| Credential | P.A.-C |
| Practice Address |
1501 Maple Ave Suite 200 Nw Mob Richmond VA 23226-2553 |
| Mailing Address |
Po Box 71690 Richmond VA 23255-1690 |
| Practice Telephone | 8042852300 |
| Practice Fax Number | 8042858420 |
| Mailing Telephone | 8042852300 |
| Mailing Fax Number | 8042858420 |
| Enumeration Date | 2009-05-22 |
| Last Update Date | 2016-04-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
0110004398 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
PA-082 | NM | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891344230 | Stephanie Marie Gallegos | Technician | 3747 Vista Campana S Unit 31, Oceanside, CA 92057-8225 | 2019-09-09 |
| 1356973499 | Stephanie Marie Gallegos | Social Worker | 6933 W Emerald St, Boise, ID 83704-8616 | 2020-02-06 |
| 1881238772 | Stephanie Gallegos | Rehabilitation Practitioner | 43520 Division St, Lancaster, CA 93535-4089 | 2019-11-04 |
| 1548663263 | Stephanie Gallegos | Speech-Language Pathologist | 1219 Dunn Ave, Daytona Beach, FL 32114-2405 | 2014-10-08 |
| 1447650320 | Stephanie Gallegos | Registered Nurse | 2577 Ne Courtney Dr, Bend, OR 97701-7638 | 2014-08-28 |
| 1518373539 | Stephanie Gallegos | Rehabilitation Practitioner | 333 S Beaudry Ave, Los Angeles, CA 90017-1466 | 2014-07-10 |
| Street Address |
1501 MAPLE AVE SUITE 200 NW MOB |
| City | RICHMOND |
| State | VA |
| Zip Code | 23226-2553 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306847306 | Amy Morton Rhoads | Anesthesiology | 1501 Maple Ave, Suite 300, Richmond, VA 23226-2553 | 2005-08-02 |
| 1831580646 | The Orthopaedic Institute of Virginia Pllc | Specialist | 1501 Maple Ave, Nw Mob, Suite 200, Richmond, VA 23226-2553 | 2015-02-16 |
| 1922431014 | Megan Taylor Smith | Nurse Practitioner | 1501 Maple Ave, Richmond, VA 23226-2553 | 2013-08-13 |
| 1114277464 | Amy Virginia Brenner | Nurse Practitioner | 1501 Maple Ave, Ste 301, Richmond, VA 23226-2553 | 2012-09-13 |
| 1629379433 | Tuckahoe Orthopaedic Associates, Ltd. | Nurse Practitioner | 1501 Maple Ave, Suite 200, Richmond, VA 23226-2553 | 2010-11-10 |
| 1487954772 | Anne Taylor Schaaf | Nurse Practitioner | 1501 Maple Ave, Suite 200, Richmond, VA 23226-2553 | 2010-11-02 |
| 1780904250 | Gregory H. Hale | Orthopaedic Surgery | 1501 Maple Ave, Nw Mob Suite 200, Richmond, VA 23226-2553 | 2010-06-08 |
| 1568699841 | Colin Alexander Mudrick | Orthopaedic Surgery | 1501 Maple Ave, Suite 200, Nw Mob, Richmond, VA 23226-2553 | 2009-06-15 |
| 1043464936 | Jessica Broadbent Delk | Nurse Practitioner | 1501 Maple Ave, Suite 200, Richmond, VA 23226-2553 | 2008-11-05 |
| 1568624542 | Shane Hanzlik | Orthopaedic Surgery | 1501 Maple Ave, Suite 200, Richmond, VA 23226-2553 | 2008-06-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033625744 | Eye Surgeons of Richmond, Inc. | Eyewear Supplier (Equipment, not the service) | 5875 Bremo Rd Ste 606, Richmond, VA 23226 | 2017-12-18 |
| 1922517028 | Karen Margaret Karwowski | Physical Therapist | 1901 Charles Street, Crestview Elementary School, Henrico, VA 23226 | 2017-09-21 |
| 1831636463 | Tammy A Lewis | Nurse Practitioner | 5803 Bremo Road, Richmond, VA 23226 | 2017-01-20 |
| 1497116438 | Ashton Williams | Counselor | 2008 Libbie Avenue, Suite 101, Richmond, VA 23226 | 2016-03-18 |
| 1396110078 | Nino Carlo Deleon | Dentist | 5500 Monument Ave Ste G, Richmond, VA 23226 | 2015-12-07 |
| 1083097794 | Amy Michelle Kruger | Podiatrist | 2008 Bremo Rd Ste 100, Richmond, VA 23226 | 2015-06-30 |
| 1841682762 | James Bryce Lothian | Pediatrics | 5875 Bremo Road, Mob South, Suite 303, Pediatric Lung Care, Richmond, VA 23226 | 2015-03-02 |
| 1811334980 | Carmen Wong | Physical Medicine & Rehabilitation | 1901 Libbie Ave, Richmond, VA 23226 | 2013-05-30 |
| 1841533890 | Lauren Etz Freeman | Nurse Practitioner | 7113 Three Chopt Road, Suite 101, Pediatric Associates of Richmond, Inc., Richmond, VA 23226 | 2013-03-28 |
| 1609126044 | Tammy Denise Mills | Nurse Practitioner | 1501 Maple Ave Ste 301, Richmond, VA 23226 | 2012-09-13 |
| Find all providers in zip 23226 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174888135 | Shurika Lydel Perry | Physician Assistant | 1533 Chester Blvd, Richmond, IN 47374-1914 | 2012-07-05 |
| 1164790234 | Allen Hunter Maxey | Physician Assistant | 1000 Boulders Parkway, Suite 102, Richmond, VA 23225 | 2011-12-05 |
| 1235416181 | Lauren Marie Richardson | Physician Assistant | 110 N Robinson Street, #400, Richmond, VA 23220 | 2011-11-07 |
| 1205087798 | Qurratulaen Khawaja-javaid | Physician Assistant | 10606 Comeaux Ln, Richmond, TX 77407-2503 | 2008-10-02 |
| 1669653960 | Sarah Elizabeth Meyers | Physician Assistant | 10710 Midlothian Tpke Ste 125, Richmond, VA 23235-4776 | 2007-11-15 |
| 1134268998 | Melodie V Radler Venturi | Physician Assistant | 2970 Hilltop Mall Rd Ste 203, Richmond, CA 94806-1949 | 2007-02-06 |
| 1073619938 | Deborah Walck Haynes | Physician Assistant | Mcguire Va Medical Center, 1201 Broad Rock Blvd. (151), Richmond, AL 23249 | 2006-09-16 |
| 1376584581 | Karen Lynn Mcmillan | Physician Assistant | 1201 Broadrock Blvd, Richmond, VA 23249-0001 | 2006-06-09 |
| 1790328623 | Tiffany Everett | Physician Assistant | 417 N 11th St, Richmond, VA 23298-5002 | 2019-10-23 |
| 1013559848 | Whitney Ann Whitaker | Physician Assistant | 789 Eastern Byp Ste 17, Richmond, KY 40475-2407 | 2019-10-14 |
| 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.