MRS. VIRGINIA MARIE BRUDER LEEPER (NPI# 1154808053) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154808053 |
| Entity Type | Individual |
| Full Name | MRS. VIRGINIA MARIE BRUDER LEEPER |
| Credential | PA-C |
| Practice Address |
11110 Medical Campus Rd Ste 125 Hagerstown MD 21742-6799 |
| Mailing Address |
128 North St Mcsherrystown PA 17344-1306 |
| Practice Telephone | 3017144335 |
| Mailing Telephone | 1717451433 |
| Enumeration Date | 2018-07-24 |
| Last Update Date | 2019-08-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
C00006851 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 9901 Medical Center Dr, Rockville, MD 208503357 | 2408266000 |
| Street Address |
11110 MEDICAL CAMPUS RD STE 125 |
| City | HAGERSTOWN |
| State | MD |
| Zip Code | 21742-6799 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154950251 | Caleb Lougheed | Student in an Organized Health Care Education/Training Program | Meritus Family Medicine Residency Program, 11110 Medical Campus Road, Suite 200, Hagerstown, MD 21742 | 2020-04-02 |
| 1770054900 | Katherine E Spann | Physician Assistant | Meritus Medical Center, 11116 Medical Campus Road, Hagerstown, MD 21742 | 2018-12-16 |
| 1760988950 | Kelli Jones | Nurse Anesthetist, Certified Registered | 11116 Medical Center, Hagerstown, MD 21742 | 2018-04-05 |
| 1740706324 | Michael E. Anderson, Dds, PC | Dentist | 18709 Crestwood Drive, Hagerstown, MD 21742 | 2017-08-16 |
| 1407387384 | Cynthia Brendle | Physical Therapy Assistant | 19800 Tranquility Circle, Robinwood Campus, Hagerstown, MD 21742 | 2017-03-23 |
| 1326411877 | Structural Elements, LLC | Acupuncturist | 13214 Fountainhead Plaza, Hagerstown, MD 21742 | 2015-11-05 |
| 1386057396 | Ma Pamela Borden | Occupational Therapist | 506 Lynnehaven Drive, Apartment G, Hagerstown, MD 21742 | 2014-06-06 |
| 1275971251 | Arti Babubhai Patel | Denturist | 13133 Gentry Drive, Hagerstown, MD 21742 | 2013-06-12 |
| 1063859551 | Premise Health of Maryland Medical P C | Clinic/Center | 13403 Volvo Way, Medical Suite, Hagerstown, MD 21742 | 2013-05-24 |
| 1386938363 | Rocky Mountain Holdings LLC | Ambulance | 18539 Henson Blvd, Hagerstown, MD 21742 | 2011-06-07 |
| Find all providers in zip 21742 | ||||
| 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 |
|---|---|---|---|---|
| 1770054900 | Katherine E Spann | Physician Assistant | Meritus Medical Center, 11116 Medical Campus Road, Hagerstown, MD 21742 | 2018-12-16 |
| 1578058988 | Bethany Amaris Carbaugh | Physician Assistant | 10715 Downsville Pike Ste 100, Hagerstown, MD 21740-7240 | 2018-06-27 |
| 1194225904 | Rhonda Rae Williams | Physician Assistant | 11110 Medical Campus Rd Ste 126, Hagerstown, MD 21742-6799 | 2018-02-19 |
| 1013378413 | Wanda Lumpkins | Physician Assistant | 18800 Roxbury Rd, Hagerstown, MD 21746-1001 | 2016-03-11 |
| 1457782369 | Lynna Lynn Chesney | Physician Assistant | 1741 Dual Hwy, Hagerstown, MD 21740-6624 | 2013-12-02 |
| 1629089511 | Carolyn Towns | Physician Assistant | 11110 Medical Campus Rd 205, Hagerstown, MD 21742-6797 | 2006-08-10 |
| 1588626279 | Kenneth Michael Berry | Physician Assistant | 11110 Medical Campus Rd Ste 205, Hagerstown, MD 21742-6797 | 2006-04-06 |
| 1487280566 | Samantha Brooke True | Physician Assistant | 17 Western Maryland Pkwy Ste 100, Hagerstown, MD 21740-5471 | 2020-03-20 |
| 1659902609 | Victoriya Eggen | Physician Assistant | 11116 Medical Campus Rd, Hagerstown, MD 21742-6710 | 2020-01-29 |
| 1245885482 | Samantha K Engle | Physician Assistant | 13 Western Maryland Pkwy Ste 104, Hagerstown, MD 21740-6474 | 2019-08-05 |
| Find all providers in HAGERSTOWN | ||||
| City | HAGERSTOWN |
| Zip Code | 21742 |
Please comment or provide details below to improve the information on MRS. VIRGINIA MARIE BRUDER LEEPER.
| 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.