MADISON STAUB (NPI# 1528624772) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528624772 |
| Entity Type | Individual |
| Full Name | MADISON STAUB |
| Practice Address |
1939 Roland Clarke Pl Ste 200 Reston VA 20191-1445 |
| Mailing Address |
1128 N Irving St Apt 518 Arlington VA 22201-7105 |
| Practice Telephone | 7037662650 |
| Mailing Telephone | 2159156311 |
| Enumeration Date | 2019-05-14 |
| Last Update Date | 2019-05-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1939 ROLAND CLARKE PL STE 200 |
| City | RESTON |
| State | VA |
| Zip Code | 20191-1445 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588848089 | Minal Patel | Internal Medicine | 1939 Roland Clarke Pl Ste 200, Reston, VA 20191-1445 | 2007-12-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275150518 | Grace Andales Soistman | Nurse Practitioner | 11160 South Lakes Dr. Reston, Va 20191, Reston, VA 20191 | 2020-07-02 |
| 1790317709 | Twenty Four/7 LLC | Private Vehicle | 11922 Winterthur Ln, 103, Reston, VA 20191 | 2020-02-07 |
| 1437626058 | Aramesh Darvishian Dds Pllc | Dentist | 12040 South Lakes Dr. Suite 200, Reston, VA 20191 | 2018-11-01 |
| 1992282693 | Ashkan Ghods | Home Health | 11760 Sunrise Valley Dr, #405, Reston, VA 20191 | 2018-07-25 |
| 1104319698 | Capital Critical Care & Informatics PC | Internal Medicine | 11890 Sunrise Valley Dr # 442, Reston, VA 20191 | 2018-06-11 |
| 1063930683 | Mackenzie Marie Evans | Specialist/Technologist | 2380 Branleigh Park Ct, Reston, VA 20191 | 2017-09-04 |
| 1073910345 | Jane L Mahan-wiegand | Dietitian, Registered | 1900 Campus Commons Drive, Suite 100, Reston, VA 20191 | 2014-12-02 |
| 1700214293 | Sonny Sunghun Kim | Dentist | 11876 Sunrise Valley Drive, 101, Reston, VA 20191 | 2013-10-22 |
| 1982036786 | Stephanie Lourdes Miller | Physician Assistant | 12040 South Lakes Drive, Suite 207, Generations Family Practice, Reston, VA 20191 | 2013-08-02 |
| 1316250988 | Thao Ngoc Vuong | Pharmacist | 1898 Winterport Cluster, Reston, VA 20191 | 2010-07-23 |
| Find all providers in zip 20191 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427487784 | Samantha Major Frazier | Physician Assistant | 1860 Town Center Dr Ste 240, Reston, VA 20190-5899 | 2013-11-07 |
| 1053413385 | Elizabeth Hamilton Sibert | Physician Assistant | 11130 Sunrise Valley Dr, #150, Reston, VA 20191-4398 | 2006-09-05 |
| 1861433088 | Colleen Denise Kelley | Physician Assistant | 11234 Leatherwood Dr, Reston, VA 20191-4607 | 2006-06-09 |
| 1598322406 | Agata Alicja Greer | Physician Assistant | 1860 Town Center Dr Ste 240, Reston, VA 20190-5899 | 2019-05-26 |
| 1215415724 | Erin Leishman | Physician Assistant | 11800 Sunrise Valley Dr Ste 800, Reston, VA 20191-5320 | 2018-08-06 |
| 1104169507 | Ashley Rose Gilchrist | Physician Assistant | 1831 Wiehle Ave, Reston, VA 20190-5266 | 2013-04-03 |
| 1356697601 | Heather S Groves | Physician Assistant | 1850 Town Center Pkwy, Reston, VA 20190-3219 | 2012-07-24 |
| 1235413667 | Larry C Mack-wilson | Physician Assistant | 1850 Town Center Pkwy, Reston, VA 20190-3219 | 2011-10-04 |
| 1952553935 | Wendy Nichole Cohen | Physician Assistant | 12359 Sunrise Valley Dr, Suite 320, Reston, VA 20191-3462 | 2008-10-21 |
| 1891960407 | Barbara L Parkinson | Physician Assistant | 11800 Sunrise Valley Dr, Reston, VA 20191 | 2008-04-24 |
| Find all providers in RESTON | ||||
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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.