LAURIE SUE GIERTZ (NPI# 1538135157) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538135157 |
| Entity Type | Individual |
| Full Name | LAURIE SUE GIERTZ |
| Credential | PA-C |
| Practice Address |
700 24th St Apt Hill Fort Lee VA 23801 |
| Mailing Address |
11507 River Meadows Way Fredericksburg VA 22408-8001 |
| Practice Telephone | 8046338339 |
| Mailing Telephone | 5403741349 |
| Enumeration Date | 2006-02-24 |
| Last Update Date | 2018-06-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
0110001767 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 171000000X | Military Health Care Provider | 0110001767 | VA | Other Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 11131 Journal Parkway, King George, VA 22485 | 5407758008 |
| Street Address |
700 24TH ST APT HILL |
| City | FORT LEE |
| State | VA |
| Zip Code | 23801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790262384 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | Ft. Lee 300 A Ave., Fort Lee, VA 23801 | 2018-07-26 |
| 1770812190 | Arkeye | Optometrist | 300 A Avenue, Bldg 1605, Fort Lee, VA 23801 | 2009-12-14 |
| 1992911044 | Claudis Andre' Williams Jr. | Physician Assistant | 700 24th St., Kenner Army Health Clinic, Ft. Lee, VA 23801 | 2007-05-15 |
| 1982703013 | Kenner Army Health Clinic | Military/U.S. Coast Guard Pharmacy | Bldg 3219, Ft Lee, VA 23801 | 2006-09-22 |
| 1922107044 | Kenner Army Health Clinic | Military/U.S. Coast Guard Pharmacy | Bldg P8130, Ft Lee, VA 23801 | 2006-09-22 |
| 1689653396 | Robert Keith Lather | Emergency Medicine | Kenner Army Health Clinic, Primary Care Division, Ft Lee, VA 23801 | 2006-01-11 |
| 1265418370 | Edward Cathright Jr. | Dentist | 504 Trenton Drive, Fort Lee, VA 23801 | 2005-12-20 |
| 1801854807 | Mack Conley O'quinn Jr. | Social Worker | 700 24th Street, Kenner Army Health Clinic, Fort Lee, VA 23801 | 2006-05-02 |
| 1083690028 | Kimberly Ellen Newton | Registered Nurse | 700 24th Street, Usameddac Kahc Attn: Credentials Office, Fort Lee, VA 23801 | 2005-12-21 |
| 1619147618 | Tahayya A. M Ansari | Physician Assistant | 700 24th St, Kenner Army Health Clinic, Fort Lee, VA 23801-0030 | 2008-03-05 |
| Find all providers in zip 23801 | ||||
| Taxonomy Code | 171000000X |
| Grouping | Other Service Providers |
| Classification | Military Health Care Provider |
| Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes. |
| Notes: [7/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922027648 | Arthur Benjamin Buckner | Military Health Care Provider | 700 24th St, Fort Lee, VA 23801-1716 | 2006-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023637626 | Hands On Healing Therapy | Military Health Care Provider | 1901 Huguenot Rd Ste 106, North Chesterfield, VA 23235-4311 | 2020-04-13 |
| 1467019398 | Michael Gumpert | Military Health Care Provider | 35 Campbell Ave Sw Apt 215, Roanoke, VA 24011-1335 | 2019-05-27 |
| 1942707690 | Kevin H Chen | Military Health Care Provider | 1640 Tomcat Blvd Ste 300, Virginia Beach, VA 23460-2229 | 2018-04-10 |
| 1396262903 | Spencer Nelson | Military Health Care Provider | 2122 Longfellow Rd, Yorktown, VA 23691-5118 | 2017-08-24 |
| 1770019937 | Mitchell Ayers | Military Health Care Provider | 4273 Llewellyn Ave Apt 401, Norfolk, VA 23504-1140 | 2017-05-10 |
| 1033572003 | Alan Joseph Nicotra | Military Health Care Provider | 1059 Bellinger Blvd, Norfolk, VA 23511-2298 | 2016-03-29 |
| 1376908939 | Savannah Bailey | Military Health Care Provider | 17019 Cass Brook Ln, Woodbridge, VA 22191-5162 | 2015-12-28 |
| 1427424621 | Willie Patrick Mitchell | Military Health Care Provider | 528 Minute Men Rd, Virginia Beach, VA 23462-2232 | 2015-08-11 |
| 1184011744 | Jacob Paul Reinhart | Military Health Care Provider | Us Fleet Forces Command 1562 Mitscher Ave Ste-250, Norfolk, VA 23551-2487 | 2015-04-22 |
| 1619154556 | Pacot Builders Inc | Military Health Care Provider | 315 Brookestone Dr, Forest, VA 24551 | 2008-01-23 |
| Find all providers with the same taxonomy | ||||
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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.