MILAGROS ROCIO SHEPARD


Address: 1359 Beverly Rd, Mc Lean, VA 22101-3666
Phone: 7038931114

MILAGROS ROCIO SHEPARD (NPI# 1861911364) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1861911364
Entity Type Individual
Full Name MILAGROS ROCIO SHEPARD
Credential PA-C
Practice Address 1359 Beverly Rd
Mc Lean
VA 22101-3666
Mailing Address 603 Brockman Ct
Great Falls
VA 22066-1132
Practice Telephone 7038931114
Mailing Telephone 7039759824
Enumeration Date 2017-09-15
Last Update Date 2017-09-15
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
0110-005873 VA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1359 BEVERLY RD
City MC LEAN
State VA
Zip Code 22101-3666

Providers in the same location

NPI Name Taxonomy Address Enumeration
1275586190 Amir Bajoghli Dermatology 1359 Beverly Rd, Suite 200, Mc Lean, VA 22101-3666 2006-05-19

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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1871045773 Annum Khan Physician Assistant 1750 Tysons Blvd Ste 120, Mc Lean, VA 22102-4227 2016-10-27
1740663939 Carly Jo Nola Physician Assistant 1420 Spring Hill Rd Ste 210, Mc Lean, VA 22102-3006 2015-07-07
1891831657 Tiffany Loe Physician Assistant 8201 Greensboro Dr, Suite 1003, Mc Lean, VA 22102-3810 2007-01-29

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1124638986 Courtney Anne Kassner Physician Assistant 2706 Davis Ave, Alexandria, VA 22302-2817 2020-08-06
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1396366555 Sheelon Aghili Physician Assistant 5801 Hampton Forest Way, Fairfax, VA 22030-7254 2020-04-29
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1720614019 Andrew James Meyers Physician Assistant 229 W Bute St Apt 207, Norfolk, VA 23510-1415 2020-03-18
1902432644 Madison Alexis Cooper Physician Assistant 920 Battlefield Blvd S Ste 101, Chesapeake, VA 23322-4254 2020-03-13
1285296111 Kimberly Stewart Hugo Physician Assistant 10932 Point Grey Road, Henrico, VA 23233-2429 2019-07-01
1558824698 Jessica Leigh Pacuch Physician Assistant 2440 Raphine Rd, Raphine, VA 24472-2541 2019-04-06
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Competitor

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City MC LEAN
Zip Code 22101

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Dataset Information

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.

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