JANE EHLE (NPI# 1730647371) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730647371 |
| Entity Type | Individual |
| Full Name | JANE EHLE |
| Credential | PA-C |
| Practice Address |
8644 Sudley Rd Ste 117 Manassas VA 20110-4425 |
| Mailing Address |
11350 Mccormick Rd Executive Plaza 1 Ste 501 Hunt Valley MD 21031 |
| Practice Telephone | 7037384375 |
| Mailing Telephone | 7037384331 |
| Enumeration Date | 2019-03-02 |
| Last Update Date | 2019-07-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 0110006486 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4006 Lake Blvd, Annandale, VA 220032321 | 7033287637 |
| Street Address |
8644 SUDLEY RD STE 117 |
| City | MANASSAS |
| State | VA |
| Zip Code | 20110-4425 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952831448 | Tracey Lee Hoefler | Nurse Practitioner | 8644 Sudley Rd Ste 117, Manassas, VA 20110-4425 | 2017-06-15 |
| 1699287946 | Meredith Overstreet | Nurse Practitioner | 8644 Sudley Rd Ste 117, Manassas, VA 20110-4425 | 2017-10-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184246787 | Sini Eapen | Nurse Practitioner | 9380 Forestwood Lane, 9380 Unit B, Manassas, VA 20110 | 2020-05-18 |
| 1023662202 | United Health Home Care Agency | Registered Nurse | 8789 Commerce Ct#202, Manassas, VA 20110 | 2019-07-26 |
| 1750868097 | Elaine K. Sours, D.d.s., P.C. | Dentist | 8719 Plantation Lane, Manassas, VA 20110 | 2018-07-19 |
| 1962904573 | Donielle Francis | Specialist/Technologist | 10420 Monterosa Pl, Manassas, VA 20110 | 2018-02-28 |
| 1003332354 | Katrina Kask | Occupational Therapist | 6985 Centreville Rd., Manassas, VA 20110 | 2017-08-18 |
| 1477091478 | Mega Health Services, Inc | General Practice | 9602 Champion Ct, Manassas, VA 20110 | 2017-02-09 |
| 1811340599 | Malik Usman Dds, PC | Dentist | 8559 Sudley Road, Manassas, VA 20110 | 2016-07-19 |
| 1871944660 | Chitra Subbaraj | Physical Therapist | 8595 Centreville Rd, Manassas, VA 20110 | 2016-06-23 |
| 1093186512 | Daczkowski Orthodontics | Dentist | 8715 Stonewall Road, Manassas, VA 20110 | 2015-10-09 |
| 1851770366 | Candace Fleming | Counselor | 9242b Mosby St, Manassas, VA 20110 | 2015-05-29 |
| Find all providers in zip 20110 | ||||
| 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 |
|---|---|---|---|---|
| 1730788514 | Alaina Nichole Wayland | Physician Assistant | 10180 Portsmouth Rd Apt 1, Manassas, VA 20109-8024 | 2020-10-22 |
| 1538724901 | Kelly Joan Shiei | Physician Assistant | 9001 Digges Rd Ste 105, Manassas, VA 20110-4414 | 2019-05-01 |
| 1811181068 | Beverly Joy Simoneau I | Physician Assistant | 8620 Rolling Rd, Manassas, VA 20110-3828 | 2007-08-30 |
| 1487878286 | Dyanne Victoria Liga | Physician Assistant | 9444 Taney Rd, Manassas, VA 20110-5933 | 2007-04-12 |
| 1265083430 | Vivian Bracero | Physician Assistant | 7960 Donegan Dr Ste 217, Manassas, VA 20109-8236 | 2019-09-27 |
| 1154803195 | Sajana Khadgi | Physician Assistant | 6356 Hoadly Rd, Manassas, VA 20112-3422 | 2018-09-06 |
| 1063994200 | Christina Powell | Physician Assistant | 8691 Stonewall Rd, Manassas, VA 20110-4510 | 2018-09-04 |
| 1902326945 | Samantha L Diehl | Physician Assistant | 8700 Sudley Rd, Manassas, VA 20110 | 2017-06-21 |
| 1902345325 | Centers for Advanced Orthopaedics | Physician Assistant | 8525 Rolling Rd, Suite 300, Manassas, VA 20110 | 2017-02-17 |
| 1942745930 | Ben Neth | Physician Assistant | 8525 Rolling Rd, Suite 200, Manassas, VA 20110-3647 | 2016-12-29 |
| Find all providers in MANASSAS | ||||
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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.