MRS. VIRGINIA E. CONNER (NPI# 1497055123) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497055123 |
| Entity Type | Individual |
| Full Name | MRS. VIRGINIA E. CONNER |
| Other Name | VIRGINIA ELIZABETH RUSSO |
| Credential | PA-C |
| Practice Address |
4924 Campbell Blvd Suite 125 Baltimore MD 21236-5908 |
| Mailing Address |
Po Box 758952 Baltimore MD 21275-8952 |
| Practice Telephone | 4434611997 |
| Practice Fax Number | 4434611998 |
| Mailing Telephone | 8049685700 |
| Enumeration Date | 2010-10-28 |
| Last Update Date | 2014-09-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | C04264 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609147925 | Virginia Conner | Dentist | 2445 Clement St, San Francisco, CA 94121 | 2012-01-18 |
| 1295958023 | Virginia Lea Conner | Clinical Neuropsychologist | 141 S Mccormick St Ste 109, Prescott, AZ 86303 | 2007-04-10 |
| Street Address |
4924 CAMPBELL BLVD SUITE 125 |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21236-5908 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063415388 | Tigist Hailu | Internal Medicine | 4924 Campbell Blvd, Ste 110, Baltimore, MD 21236-5908 | 2005-05-31 |
| 1750676904 | Nicole Marie Blake | Physical Therapist | 4924 Campbell Blvd, Baltimore, MD 21236-5908 | 2011-06-16 |
| 1558652776 | Thomas Adams Corson | Internal Medicine | 4924 Campbell Blvd, Suite 125, Baltimore, MD 21236-5908 | 2011-04-21 |
| 1952615791 | Erin Lindsay Johnson | Physical Therapist | 4924 Campbell Blvd, Ste 130-a, Baltimore, MD 21236-5908 | 2010-08-04 |
| 1922251701 | Patient First Maryland Medical Group, Pllc | Non-Pharmacy Dispensing Site | 4924 Campbell Blvd, Ste 125, Baltimore, MD 21236-5908 | 2008-10-24 |
| 1952552267 | Patient First Maryland Medical Group Pllc | Family Medicine | 4924 Campbell Blvd, Suite 125, Baltimore, MD 21236-5908 | 2008-10-06 |
| 1023272747 | Jason Donald Main | Physical Therapist | 4924 Campbell Blvd, Suite 130-a, Baltimore, MD 21236-5908 | 2008-07-11 |
| 1376707000 | Alexander Marcus Steiner | Physical Therapist | 4924 Campbell Blvd, Suite 130-a, Baltimore, MD 21236-5908 | 2008-07-11 |
| 1164699310 | Nana Yaw Ampaw Adu-sarkodie | Family Medicine | 4924 Campbell Blvd, Suite 125, Baltimore, MD 21236-5908 | 2008-05-15 |
| 1710169446 | Arman Janloo | Family Medicine | 4924 Campbell Blvd, Suite 125, Baltimore, MD 21236-5908 | 2007-12-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699381467 | Monique Gaston | Counselor | Well Life Counseling and Consulting, 9649 Belair Road, Ste. 104, Nottingham, MD 21236 | 2020-09-17 |
| 1215575519 | Bh Brightview Perry Hall Opco, LLC | Alzheimer Center (Dementia Center) | 9657 Belair Road, Nottingham, MD 21236 | 2019-12-17 |
| 1750929493 | Bh Brightview White Marsh Opco, LLC | Alzheimer Center (Dementia Center) | 8100 Rossville Blvd., Baltimore, MD 21236 | 2019-12-12 |
| 1083257646 | Matthew Peter Halstad | Behavioral Analyst | 8090 Sandpiper Circle, Nottingham, MD 21236 | 2019-10-25 |
| 1609331602 | Tunisia Buise | Social Worker | 4132 E. Joppa Road Ste. 110-#1248, Baltimore, MD 21236 | 2019-02-04 |
| 1730673047 | Golden Jemz Adult Medical Day | Clinic/Center | 5020 Cambell Blvd, Nottingham, MD 21236 | 2018-06-20 |
| 1487143400 | For Eyes Optical of Pa | Eyewear Supplier (Equipment, not the service) | 7984 Honeygo Blvd, Nottingham, MD 21236 | 2018-05-04 |
| 1619478922 | Weis Markets, Inc. | Pharmacy | 7927 Belair Rd Ste S, Nottingham, MD 21236 | 2018-02-22 |
| 1285133918 | Joan Rosa Keller | Behavior Technician | 3501 Taylor Ave., Baltimore, MD 21236 | 2018-02-08 |
| 1205341146 | Ebony Watkins | Nurse Practitioner | 8940 Kilkenny Circle, Nottingham, MD 21236 | 2017-12-13 |
| Find all providers in zip 21236 | ||||
| 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 |
|---|---|---|---|---|
| 1306447495 | Naftali Zapinsky | Physician Assistant | 3507 Labyrinth Rd, Baltimore, MD 21215-1731 | 2020-11-04 |
| 1235738683 | Ester Dahee Kim | Physician Assistant | 2400 W Belvedere Ave, Baltimore, MD 21215-5216 | 2020-10-17 |
| 1962014233 | Julian Kang | Physician Assistant | 3407 Wilkens Ave Ste 250, Baltimore, MD 21229-5222 | 2020-08-18 |
| 1962034868 | Ruth Angelica Naomi Jasienski | Physician Assistant | 6821 Reisterstown Rd Lowr Lvl, Baltimore, MD 21215-1431 | 2020-02-08 |
| 1679115463 | Mark Symancyk | Physician Assistant | 620 W Lexington St, Baltimore, MD 21201-1508 | 2019-10-13 |
| 1356800353 | Kara M Dragunas | Physician Assistant | 6701 N Charles St Rm 3808, Baltimore, MD 21204-6808 | 2019-03-19 |
| 1184190480 | Joshua Davidoff | Physician Assistant | 5200 Eastern Ave Fl East2, Baltimore, MD 21224-2734 | 2018-10-15 |
| 1083189005 | Bing Wang | Physician Assistant | 6701 N Charles St Rm 3641, Baltimore, MD 21204-6808 | 2018-10-05 |
| 1932674140 | Georgia Foulds | Physician Assistant | 5801 Smith Ave Ste 210, Baltimore, MD 21209-3652 | 2018-10-04 |
| 1922582576 | Catherine Kashmer | Physician Assistant | 600 N Wolfe St Ste 1008, Baltimore, MD 21287-0005 | 2018-09-19 |
| Find all providers in BALTIMORE | ||||
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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.