DR. MARYAM MAHMOUDZADEH (NPI# 1598303000) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598303000 |
| Entity Type | Individual |
| Full Name | DR. MARYAM MAHMOUDZADEH |
| Practice Address |
101 Hospital Center Blvd Stafford VA 22554-6200 |
| Mailing Address |
2474 Curie Ct Oak Hill VA 20171-6100 |
| Practice Telephone | 5407419000 |
| Mailing Telephone | 5713456419 |
| Enumeration Date | 2019-12-16 |
| Last Update Date | 2019-12-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
0202213432 | VA | Pharmacy Service Providers |
| Street Address |
101 HOSPITAL CENTER BLVD |
| City | STAFFORD |
| State | VA |
| Zip Code | 22554-6200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043343304 | Stafford Hospital, LLC | General Acute Care Hospital | 101 Hospital Center Blvd, Stafford, VA 22554-6200 | 2007-03-14 |
| 1053953919 | Kelly Nicole Stephens | Nurse Practitioner | 101 Hospital Center Blvd, Stafford, VA 22554-6200 | 2019-10-11 |
| 1447722871 | Tammy Maniscalco | Nurse Practitioner | 101 Hospital Center Blvd, Stafford, VA 22554-6200 | 2018-12-25 |
| 1750714440 | Stafford Hospital, LLC | Nutritionist | 101 Hospital Center Blvd, Stafford, VA 22554 | 2013-08-16 |
| 1952548869 | Stafford Hospital, LLC | Internal Medicine | 101 Hospital Center Blvd, Stafford, VA 22554-6200 | 2009-01-14 |
| 1336386366 | Radiologic Associates of Fredericksburg | Clinic/Center | 101 Hospital Center Blvd, Stafford, VA 22554-6200 | 2009-01-13 |
| 1215128970 | Michael David Johnson | Physician Assistant | 101 Hospital Center Blvd, Stafford, VA 22554-6200 | 2007-08-07 |
| 1306049705 | Gina Louise Gallizzi | Pediatrics | 101 Hospital Center Blvd, Stafford, VA 22554-6200 | 2007-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699385658 | Publix North Carolina, Lp | Durable Medical Equipment & Medical Supplies | 1640 Publix Way, Stafford, VA 22554 | 2020-08-05 |
| 1700368156 | Aws Altameemi | Dentist | 392 Garrisonville Road 205, Stafford, VA 22554 | 2018-09-02 |
| 1831680214 | Radka Loucka | Counselor | 2124 Jefferson Davis Highway, Suite 202, Stafford, VA 22554 | 2018-05-22 |
| 1205383718 | Ogiawesome | Non-emergency Medical Transport (VAN) | 109 Chesterbrook Court, Stafford, VA 22554 | 2016-09-01 |
| 1184088502 | Inina Plucer-rosario | Behavioral Analyst | 12 Monument Drive, Stafford, VA 22554 | 2016-04-12 |
| 1528451218 | Insight Psychological Services, Pllc | Counselor | 11 Hope Rd., Suite 213, Stafford, VA 22554 | 2015-03-05 |
| 1194142885 | Krystal Karin Edmonds | Behavioral Analyst | 538 Apricot Street, Stafford, VA 22554 | 2014-03-20 |
| 1851715312 | Maryann Byrne | Counselor | 108 Brandice St, Stafford, VA 22554 | 2014-02-04 |
| 1164857272 | Melissa C Keylor | Counselor | 11 Hope Road, Suite 213, Stafford, VA 22554 | 2013-09-09 |
| 1255777959 | Sophia Rodrigues | Physical Therapist | 2777 Jefferson Davis Hwy, Suite 109, Performance Physical Therapy, Stafford, VA 22554 | 2013-05-21 |
| Find all providers in zip 22554 | ||||
| Taxonomy Code | 1835P0018X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
| Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821357344 | David Collins | Pharmacist | 13651 Dublin Ct, Stafford, TX 77477-4317 | 2012-05-04 |
| 1871902916 | Damien Ryinn Fisher | Pharmacist | 12603 Southwest Fwy, Suite 335, Stafford, TX 77477-3820 | 2014-08-02 |
| 1740698364 | Neha Agrawal | Pharmacist | 12603 Southwest Fwy, Stafford, TX 77477-3820 | 2014-07-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295363984 | Vandorn Apothecary | Pharmacist | 5724 Edsall Rd, Alexandria, VA 22304-4712 | 2020-03-30 |
| 1285261701 | Kimberly Varney | Pharmacist | 401 N 12th St Dept Of, Richmond, VA 23298-5035 | 2020-03-25 |
| 1124651641 | Wintana T Tekleab | Pharmacist | 1201 S Eads St Apt 314, Arlington, VA 22202-2837 | 2020-02-13 |
| 1114557519 | Phillip Ryan Gray | Pharmacist | 2821 Hicks Road, North Chesterfield, VA 23235-0000 | 2020-01-24 |
| 1447880109 | Sara Hudson | Pharmacist | 2821 Hicks Rd, North Chesterfield, VA 23235 | 2020-01-22 |
| 1053951301 | Christina Debra O'neal | Pharmacist | 6460 Grand Retreat Drive Apt 3037, Roanoke, VA 24019 | 2020-01-14 |
| 1609413376 | Laurie Ferguson Mauthe | Pharmacist | 5801 Pollard Dr, Richmond, VA 23226-1830 | 2019-12-02 |
| 1386124303 | Thomas W Taylor | Pharmacist | 240 Mclaws Circle, Suite 147, Williamsburg, VA 23185-2318 | 2018-08-20 |
| 1659886539 | Oscar Macapobre | Pharmacist | 1620 Cedar Rd Ste 100, Chesapeake, VA 23322-7197 | 2017-12-13 |
| 1598139040 | Tina Kathryn Brockman | Pharmacist | 3420 Chaparral Dr, Apt 232, Roanoke, VA 24018-4903 | 2015-11-20 |
| 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.