MS. VERONIKA SAFRONOVNA BUMGARDNER (NPI# 1750796793) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750796793 |
| Entity Type | Individual |
| Full Name | MS. VERONIKA SAFRONOVNA BUMGARDNER |
| Credential | PA-C |
| Practice Address |
7915 Lake Manassas Dr Suite 205 Gainesville VA 20155-3258 |
| Mailing Address |
Po Box 21975 Belfast ME 04915-4116 |
| Practice Telephone | 5712613529 |
| Practice Fax Number | 7037535613 |
| Mailing Telephone | 5403214281 |
| Mailing Fax Number | 5403214282 |
| Enumeration Date | 2014-06-29 |
| Last Update Date | 2019-05-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 0110004522 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 17507967793 | 05 | |
| VA | MEDICARE | 1750796793 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 15237 Creativity Dr, Culpeper, VA 227012504 | 5403214281 | 5403214282 |
| 2503 S Seminole Trl, Madison, VA 227272690 | 5409486871 | 5409486601 |
| 541 Sunset Ln Ste 301, Culpeper, VA 227013979 | 5408254557 | 5408254566 |
| Street Address |
7915 LAKE MANASSAS DR SUITE 205 |
| City | GAINESVILLE |
| State | VA |
| Zip Code | 20155-3258 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205839073 | Mary A Speicher | Dentist | 7915 Lake Manassas Dr, Suite 115, Gainesville, VA 20155-3258 | 2005-05-24 |
| 1770912560 | Natasha Khurana Dds Pllc | Dentist | 7915 Lake Manassas Dr, Suite 301, Gainesville, VA 20155-3258 | 2013-11-02 |
| 1780028373 | Nmg Affiliate Practice I, LLC | Obstetrics & Gynecology | 7915 Lake Manassas Dr, Suite 205, Gainesville, VA 20155-3260 | 2013-04-25 |
| 1881938090 | 1st Class Sleep Diagnostics, Inc | Clinical Medical Laboratory | 7915 Lake Manassas Dr, Suite 305, Gainesville, VA 20155-3258 | 2012-11-15 |
| 1982859252 | Am Sleep Centers Inc. | Clinic/Center | 7915 Lake Manassas Dr, Gainesville, VA 20155-3258 | 2008-11-29 |
| 1356539100 | Lake Manassa Dental Center | Dentist | 7915 Lake Manassas Dr, Ste 115, Gainesville, VA 20155 | 2007-10-05 |
| 1629269527 | Mylan Satchi | Internal Medicine | 7915 Lake Manassas Dr, Ste 302, Gainesville, VA 20155-3260 | 2007-08-06 |
| 1518990472 | Gastroenterology Associates PC | Specialist | 7915 Lake Manassas Dr, Suite 302, Gainesville, VA 20155-3260 | 2006-07-07 |
| 1336172154 | Kenneth W Gerard | Anesthesiology | 7915 Lake Manassas Dr, Ste 302, Gainesville, VA 20155-3260 | 2006-07-07 |
| 1265478580 | Claire E. Jenkins | Nurse Anesthetist, Certified Registered | 7915 Lake Manassas Dr, Suite 302, Gainesville, VA 20155-3258 | 2006-06-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932689387 | Debbie Ruth Romero | Massage Therapist | Gainesville Holistic Health Center, 8006 Crescent Park Drive, Gainesville, VA 20155 | 2018-08-15 |
| 1821587114 | Anh T. Pham, Dds, General Dentistry, PC | Dentist | 7544 Gardner Park Dr., Gainesville, VA 20155 | 2018-05-02 |
| 1982118618 | Renew Counseling and Services | Social Worker | 14540 John Marshall Highway, Gainesville, VA 20155 | 2017-11-16 |
| 1952831745 | Lauren Gutta Matini | Dentist | 13801 Heathcote Blvd, 100, Gainesville, VA 20155 | 2017-06-14 |
| 1023546611 | Dentists of Gainesville, PC | Dentist | 8140 Stonewall Shops Square, Gainesville, VA 20155 | 2017-05-26 |
| 1538600036 | Prince William H&r Ops Limited Partnership | Skilled Nursing Facility | 14935 Holly Knoll Lane, Gainesville, VA 20155 | 2017-03-16 |
| 1396191870 | Isg Transport, LLC | Non-emergency Medical Transport (VAN) | 7653 Framingham Ct., Gainesville, VA 20155 | 2016-05-13 |
| 1831518356 | Alvorada Dentistry | Dentist | 13922 Estate Manor Drive, Gainesville, VA 20155 | 2014-04-11 |
| 1215352547 | Pamco Care LLC | Community/Behavioral Health | 7316 Respite Court, Gainesville, VA 20155 | 2014-02-24 |
| 1598109787 | Nader Nagy Hanna | Pharmacist | 14334 Broadwinged Dr, Gainesville, VA 20155 | 2013-04-18 |
| Find all providers in zip 20155 | ||||
| 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 |
|---|---|---|---|---|
| 1750989471 | Rylee Holland | Physician Assistant | 701 Sw 62nd Blvd Apt 118, Gainesville, FL 32607-2079 | 2020-10-14 |
| 1992329726 | Clinton Thomas Zopf | Physician Assistant | 4229 Nw 43rd St Apt E40, Gainesville, FL 32606-2508 | 2020-06-08 |
| 1689298721 | Michael Wood | Physician Assistant | 10360 Sw 51st Ln, Gainesville, FL 32608-4380 | 2020-06-04 |
| 1386268431 | Alexandra Christina Clayton | Physician Assistant | 1600 Sw Archer Rd Rm 6130, Gainesville, FL 32610-6922 | 2020-06-04 |
| 1437782851 | Madison Raye Huth | Physician Assistant | 743 Spring Street Se, Gainesville, GA 30501 | 2020-02-13 |
| 1003454786 | Erica Lynn Iketani | Physician Assistant | 1600 Sw Archer Rd Rm 10-504, Gainesville, FL 32610-3003 | 2019-12-13 |
| 1952967184 | Naomi Lux | Physician Assistant | 15418 N State Road 121, Gainesville, FL 32653-7513 | 2019-05-13 |
| 1700441441 | Alexandria Brown | Physician Assistant | 3538 Nw 25th Ter, Gainesville, FL 32605-2296 | 2019-05-08 |
| 1891250502 | Mark Burdette Mechak | Physician Assistant | 14535 John Marshall Hwy Ste 105, Gainesville, VA 20155-4024 | 2019-02-06 |
| 1427564848 | Ngan Lam | Physician Assistant | 200 Sw 62nd Blvd Ste C, Gainesville, FL 32607-2067 | 2017-12-20 |
| Find all providers in GAINESVILLE | ||||
| City | GAINESVILLE |
| Zip Code | 20155 |
Please comment or provide details below to improve the information on MS. VERONIKA SAFRONOVNA BUMGARDNER.
| 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.