JENNA M. WINGARD (NPI# 1154704880) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154704880 |
| Entity Type | Individual |
| Full Name | JENNA M. WINGARD |
| Other Name | JENNA M. BROUSSARD |
| Credential | PA |
| Practice Address |
2300 E Parham Rd Richmond VA 23228-3118 |
| Mailing Address |
5000 Cox Rd Glen Allen VA 23060-9263 |
| Practice Telephone | 8042647808 |
| Mailing Telephone | 8049685700 |
| Enumeration Date | 2015-06-30 |
| Last Update Date | 2018-05-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
0110004976 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2300 E PARHAM RD |
| City | RICHMOND |
| State | VA |
| Zip Code | 23228-3118 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164495537 | Martha T Litos | Family Medicine | 2300 E Parham Rd, Richmond, VA 23228-3118 | 2006-02-08 |
| 1609252279 | Ann Elizabeth Marcaccini | Physician Assistant | 2300 E Parham Rd, Richmond, VA 23228-3118 | 2015-08-06 |
| 1851774590 | Stephanie Arnold | Family Medicine | 2300 E Parham Rd, Richmond, VA 23228-3118 | 2015-06-30 |
| 1700015591 | Tyler W Holt | Physician Assistant | 2300 E Parham Rd, Richmond, VA 23228-3118 | 2009-07-14 |
| 1144481219 | Rafia Samdani | Family Medicine | 2300 E Parham Rd, Richmond, VA 23228-3118 | 2008-06-21 |
| 1811029036 | Lora L. Bofill | Family Medicine | 2300 E Parham Rd, Richmond, VA 23228-3118 | 2007-03-12 |
| 1073649448 | Rahul P Wadnerkar | Internal Medicine | 2300 E Parham Rd, Richmond, VA 23228-3118 | 2007-02-27 |
| 1942358957 | Patient First | Non-Pharmacy Dispensing Site | 2300 E Parham Rd, Richmond, VA 23228-3118 | 2007-01-08 |
| 1831293489 | Patient First Richmond Medical Group Pllc | Family Medicine | 2300 E Parham Rd, Richmond, VA 23228-3118 | 2006-09-12 |
| 1356379564 | Mark Jacob Rosenberg | Family Medicine | 2300 E Parham Rd, Richmond, VA 23228-3118 | 2006-06-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992356976 | Nimos Trans LLC | Non-emergency Medical Transport (VAN) | 5608 Tumbleweed Cr. Apt (h), Henrico, VA 23228 | 2019-09-21 |
| 1245890433 | Laura Mary Walton | Counselor | 5500 Staples Mill Road, Richmond, VA 23228 | 2019-06-19 |
| 1841859121 | Rachel S Ford | Behavior Technician | 1640 E. Parham Road, Richmond, VA 23228 | 2019-06-10 |
| 1932766631 | Nathan Ellis | Behavior Technician | 1640 East Parham Road, Richmond, VA 23228 | 2019-05-29 |
| 1922545268 | Bio-medical Applications of Virginia, Inc. | Clinic/Center | 4008 E Parham Rd., Henrico, VA 23228 | 2017-01-25 |
| 1205371663 | Simple Solutions Psychiatry | Community/Behavioral Health | 4321 Kanipe Ct, Richmond, VA 23228 | 2016-12-21 |
| 1417406224 | Dan A Kniffen Lcsw LLC | Counselor | 4100 East Parham Road, Suite B, Henrico, VA 23228 | 2016-09-22 |
| 1316334394 | Bobbi Southard | Specialist/Technologist | 8301 Hungary Spring Road, Richmond, VA 23228 | 2015-04-17 |
| 1265836050 | Crystal Mcfaddin | Nurse Practitioner | 4301 East Parham Road, Henrico, VA 23228 | 2014-10-22 |
| 1013352376 | Pooja Rao | Internal Medicine | 4100 New Hermitage Dr, Henrico, VA 23228 | 2013-04-30 |
| Find all providers in zip 23228 | ||||
| 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.