CHRISTOPHER J PUCCI (NPI# 1306463906) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1306463906 |
Entity Type | Individual |
Full Name | CHRISTOPHER J PUCCI |
Credential | PA-S |
Practice Address |
101 Elm Ave Se Roanoke VA 24013-2222 |
Mailing Address |
2515 Livingston Rd Sw Roanoke VA 24015-4119 |
Practice Telephone | 8483540985 |
Mailing Telephone | 8048965204 |
Enumeration Date | 2020-06-29 |
Last Update Date | 2020-06-29 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
VA | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
101 ELM AVE SE |
City | ROANOKE |
State | VA |
Zip Code | 24013-2222 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295734226 | Forrest Lee Tucker | Pathology | 101 Elm Ave Se, Administrative Suite, Roanoke, VA 24013-2222 | 2005-07-20 |
1215549969 | Andrew Valente | Physician Assistant | 101 Elm Ave Se, Roanoke, VA 24013-2222 | 2020-08-22 |
1063039733 | Kaleb Wesley Lambert | Physician Assistant | 101 Elm Ave Se, Roanoke, VA 24013-2222 | 2020-06-29 |
1275150948 | Andrew Lee Judy | Physician Assistant | 101 Elm Ave Se, Roanoke, VA 24013-2222 | 2020-06-29 |
1639705213 | Kate Yates | Physical Medicine & Rehabilitation | 101 Elm Ave Se, Roanoke, VA 24013-2222 | 2020-03-16 |
1528694262 | Emily Guill | Physical Medicine & Rehabilitation | 101 Elm Ave Se, Roanoke, VA 24013-2222 | 2020-03-13 |
1649806399 | Megan Silber | Physical Medicine & Rehabilitation | 101 Elm Ave Se, Roanoke, VA 24013-2222 | 2020-03-13 |
1053972190 | Maria Iftikhar | Physician Assistant | 101 Elm Ave Se, Roanoke, VA 24013-2222 | 2019-06-27 |
1841858883 | Quest Diagnostics Clinical Laboratories Inc | Clinical Medical Laboratory | 101 Elm Ave Se, Roanoke, VA 24013-2222 | 2019-06-04 |
1427515857 | Solstas Lab Partners LLC | Clinical Medical Laboratory | 101 Elm Ave Se, Roanoke, VA 24013-2222 | 2019-02-21 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114091485 | Amy Barker | Registered Nurse | 102 Highland Ave Se Ste 203, Roanoke, VA 24013 | 2006-11-20 |
1992888432 | Valley Home Health Care LLC | Durable Medical Equipment & Medical Supplies | 1212 Campbell Ave Se, Roanoke, VA 24013 | 2006-10-20 |
1245325786 | Travis Pg Barham | Dentist | 101 Elm Ave, Roanoke, VA 24013 | 2006-10-03 |
1629455936 | Mebratu Daba | Pediatrics | 102 Highland Ave Se Ste 104, Roanoke, VA 24013 | 2015-05-06 |
1720475296 | Hussein Elmufti | Pediatrics | 102 Highland Ave Se Ste 455, Roanoke, VA 24013 | 2015-04-22 |
1861467847 | Kilian H. Brech II | Pediatrics | 21 Highland Ave Se Ste 100, Roanoke, VA 24013 | 2006-02-22 |
1114545928 | Raven Matthews | Emergency Medicine | 213 18th St Se, Roanoke, VA 24013-1311 | 2020-07-08 |
1356557102 | Sandra Elaine Sayre | Nurse Practitioner | 402 4th St Se, Roanoke, VA 24013-1404 | 2007-05-15 |
1982041000 | Family Preservation Services, Inc. | Community/Behavioral Health | 825 Stewart Ave Se, Roanoke, VA 24013-1443 | 2013-05-30 |
1922552512 | Kuumba Community Health & Wellness, Inc. | Clinic/Center | 321 Tazewell Ave Se, Roanoke, VA 24013-1445 | 2016-08-11 |
Find all providers in zip 24013 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144796749 | Rebecca Marie Swanson | Physician Assistant | 902 S Jefferson St Uppr Level, Roanoke, VA 24016-4404 | 2018-10-22 |
1154475267 | Wilton Craig Kennedy | Physician Assistant | 2620 Avenham Ave Sw, Roanoke, VA 24014-1507 | 2007-01-23 |
1760567481 | Jason Eric Bailey | Physician Assistant | 2110 Carolina Ave Sw Fl 3, Roanoke, VA 24014-1742 | 2006-10-25 |
1083626436 | Laura White | Physician Assistant | 2001 Crystal Spring Ave Sw Ste 201, Roanoke, VA 24014-2465 | 2006-08-13 |
1225099773 | Lucia Maria Kulhavy | Physician Assistant | 2013 Jefferson St Sw Fl 2, Roanoke, VA 24014-2419 | 2006-03-31 |
1386613164 | Sharon Anne Crookshanks | Physician Assistant | 4461 Starkey Rd Ste 201, Roanoke, VA 24018 | 2006-03-15 |
1275197980 | Rashadah Jordan | Physician Assistant | 5673 Airport Rd, Roanoke, VA 24012-1119 | 2019-04-29 |
1629561402 | Emily Marquina | Physician Assistant | 1906 Belleview Ave Se, Roanoke, VA 24014-1838 | 2018-06-07 |
1164930046 | Laura Buennemeyer | Physician Assistant | 3716 Melrose Ave Nw, Roanoke, VA 24017 | 2018-01-13 |
1104288679 | David Shrock | Physician Assistant | 1906 Belleview Ave Se, Roanoke, VA 24014-1838 | 2016-03-24 |
Find all providers in ROANOKE |
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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.