ASIYA RAIFOVNA O'MARRA (NPI# 1366817306) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366817306 |
| Entity Type | Individual |
| Full Name | ASIYA RAIFOVNA O'MARRA |
| Other Name | ASIYA RAIFOVNA FATYKHOVA |
| Credential | PA-C |
| Practice Address |
410 Malcolm Dr Ste E Westminster MD 21157-6160 |
| Mailing Address |
23 Crossroads Dr Ste 400 Owings Mills MD 21117-5490 |
| Practice Telephone | 4108769300 |
| Practice Fax Number | 4108764495 |
| Mailing Telephone | 4103562626 |
| Mailing Fax Number | 4103568945 |
| Enumeration Date | 2015-12-02 |
| Last Update Date | 2019-12-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | C0005887 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
410 MALCOLM DR STE E |
| City | WESTMINSTER |
| State | MD |
| Zip Code | 21157-6160 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013523083 | Krista Stanzione | Counselor | 10 Distillery Drive, Ste 200, Westminster, MD 21157 | 2020-09-16 |
| 1487263893 | Jordan Butler | Counselor | Mcdaniel College Wellness Center, 2 College Hill, Westminster, MD 21157 | 2020-07-31 |
| 1558920991 | Ashton Nicole Burnham | Social Worker | 10 Distillery Dr Suite 200, Westminster, MD 21157 | 2019-06-10 |
| 1265903173 | Kathy Denise Omara | Speech-Language Pathologist | 125 North Court Street, Westminster, MD 21157 | 2018-12-17 |
| 1013419837 | Ericka M Walters | Social Worker | 77-81 E. Main Street, Suite 406, Westminster, MD 21157 | 2018-03-07 |
| 1982146353 | Access Carroll, LLC | Clinic/Center | 10 Distillery Drive, Suite 200, Westminster, MD 21157 | 2016-11-16 |
| 1619327293 | Bh Brightview Westminster Ridge Opco, LLC | Alzheimer Center (Dementia Center) | 505 High Acre Drive, Westminster, MD 21157 | 2016-06-15 |
| 1710362926 | Laura Coulter | Social Worker | 280 E Main St Ste 202, Westminster, MD 21157 | 2015-07-29 |
| 1205213436 | Carroll County Health Department | Public Health or Welfare | 290 S. Center Street, Westminster, MD 21157 | 2015-04-27 |
| 1972990489 | Ivy Smink | Registered Nurse | 10 Distillery Lane Suite 200, Carroll County Health Department Bureau of Prevention W, Westminster, MD 21157 | 2015-04-22 |
| Find all providers in zip 21157 | ||||
| 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 |
|---|---|---|---|---|
| 1154941920 | Panorama Orthopedics & Spine Center, PC | Physician Assistant | 8510 Bryant St Ste 120, Westminster, CO 80031-3845 | 2020-04-22 |
| 1821631441 | Huan Nguyen | Physician Assistant | 10161 Bolsa Ave Ste 206c, Westminster, CA 92683-6775 | 2019-10-27 |
| 1801442694 | Kevin Chivacharoen | Physician Assistant | 14371 Riverton St, Westminster, CA 92683-4692 | 2019-08-16 |
| 1598249799 | Madeleine Ruth Courvoisier | Physician Assistant | 826 Washington Rd Ste 204a, Westminster, MD 21157-5780 | 2018-09-24 |
| 1205354602 | Summer Nguyen | Physician Assistant | 7181 21st St Apt 10, Westminster, CA 92683-7900 | 2017-09-06 |
| 1831614353 | Khanh Ngoc Cong Huyen Ton Nu | Physician Assistant | 7382 Natal Dr, Westminster, CA 92683-2245 | 2017-08-04 |
| 1144649492 | Westminster Dermatology, LLC | Physician Assistant | 532 Baltimore Blvd Ste 211, Westminster, MD 21157-6117 | 2014-04-15 |
| 1932548898 | Kelly Anne Spring | Physician Assistant | 4641 W 109th Pl, Westminster, CO 80031-2016 | 2013-06-24 |
| 1679809263 | Thai Gia Dieu Tran | Physician Assistant | 13421 Chestnut St, Westminster, CA 92683-2607 | 2009-11-02 |
| 1720218043 | Andrea Ziolkowski | Physician Assistant | 12201 Pecos St., Suite 500, Westminster, CO 80234-2073 | 2009-07-21 |
| Find all providers in WESTMINSTER | ||||
| City | WESTMINSTER |
| Zip Code | 21157 |
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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.