MRS. KATIE JANE GERARGE (NPI# 1962682534) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1962682534 |
Entity Type | Individual |
Full Name | MRS. KATIE JANE GERARGE |
Credential | PA-C |
Practice Address |
3315 High St Portsmouth VA 23707-3319 |
Practice Telephone | 7573990759 |
Practice Fax Number | 7573978951 |
Mailing Telephone | 7573990759 |
Mailing Fax Number | 7573978951 |
Enumeration Date | 2007-11-12 |
Last Update Date | 2011-10-31 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
0110002095 | VA | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
VA | DEA # | MS1280370 | 01 |
Street Address |
3315 HIGH ST |
City | PORTSMOUTH |
State | VA |
Zip Code | 23707-3319 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295727105 | Donald Holzer | Psychiatry & Neurology | 3315 High St, Portsmouth, VA 23707-3319 | 2005-08-17 |
1659871580 | Jessica Wood | Nurse Practitioner | 3315 High St, Portsmouth, VA 23707-3319 | 2018-02-16 |
1992243646 | Karen Olmo | Physician Assistant | 3315 High St, Portsmouth, VA 23707-3319 | 2017-02-02 |
1538460837 | Bobbi Jo Oldaker | Nurse Practitioner | 3315 High St, Portsmouth, VA 23707-3319 | 2010-11-03 |
1871802413 | Maryview Hospital | Pain Medicine | 3315 High St, Portsmouth, VA 23707-3319 | 2010-09-30 |
1396847778 | Roberta Mary Stewart | Nurse Practitioner | 3315 High St, Portsmouth, VA 23707-3319 | 2006-09-05 |
1467444075 | William Luverne Little Jr. | Anesthesiology | 3315 High St, The Center for Pain Management, Portsmouth, VA 23707-3319 | 2005-08-19 |
1093707606 | Robert J Mendez | Anesthesiology | 3315 High St, Portsmouth, VA 23707-3319 | 2005-08-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508410382 | Ricky Lee Key Sr. | Counselor | Kaleidoscope Counseling and Case Management, 1712 Airline Blvd, Portsmouth, VA 23707 | 2019-07-30 |
1528627965 | Amy M Baker | Student in an Organized Health Care Education/Training Program | 3640 High Street, Suite 2f Portsmouth Family Medicine, Portsmouth, VA 23707 | 2019-06-10 |
1033774625 | Himani Bhasin | Student in an Organized Health Care Education/Training Program | 3640 High Street (suite 2f), Evms Family Medicine - Portsmouth Program, Portsmouth, VA 23707 | 2019-05-08 |
1851854442 | Emma Daymond | Student in an Organized Health Care Education/Training Program | 3640 High Street, Suite 2f, Portsmouth, VA 23707 | 2019-04-10 |
1407329543 | Heart Harmony Home Health and Services | Home Health | 505 Cumberland Street, Suite 2, Portsmouth, VA 23707 | 2019-01-10 |
1548780869 | A. Richards Counseling & Psychotherapy, LLC | Substance Abuse Rehabilitation Facility | 720 Rodman Ave., Portsmouth, VA 23707 | 2017-06-27 |
1316485196 | Melinda Macy | Occupational Therapy Assistant | 314 Florida Ave, Portsmouth, VA 23707 | 2017-02-01 |
1831526045 | Anointed and Blessed Home Health Care, LLC | Home Health | 806 Loudoun Ave, Portsmouth, VA 23707 | 2013-10-02 |
1639236284 | The Center for Pain Management | Clinic/Center | 3315 High Street, Portsmouth, VA 23707 | 2007-01-02 |
1750444741 | Wal-mart Stores East, Lp | Technician/Technologist | 1098 Fredrick Blvd, Portsmouth, VA 23707 | 2006-12-19 |
Find all providers in zip 23707 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508047010 | James Alfred Carroll | Physician Assistant | One Ayer's Circle, Bldg H-1, Portsmouth Naval Shipyard, Naval Branch Health Clinic, Portsmouth, NH 03804-5000 | 2007-11-27 |
1164517504 | Kathleen Ann Ballentine | Physician Assistant | 333 Borthwick Ave, Suite 301, Knees, Hops, Shoulders, Portsmouth, NH 03801 | 2006-10-03 |
1467462945 | Angela Jean Cerezo | Physician Assistant | 600 Crawford St, Suite 300, Portsmouth, VA 23704-3820 | 2006-08-08 |
1184609125 | Renald Rouillard | Physician Assistant | 1 Ayers Cir, Bldg H-1, Portsmouth, NH 03801-3892 | 2005-12-13 |
1588650501 | Mara S Smith | Physician Assistant | 121 Corporate Drive, Suite 200, Portsmouth, NH 03801 | 2005-09-26 |
1184180663 | Emily Farrell | Physician Assistant | 330 Borthwick Ave Ste 303, Portsmouth, NH 03801-7109 | 2019-02-20 |
1356741151 | Rachel Whitman | Physician Assistant | 330 Borthwick Ave Ste 311, Portsmouth, NH 03801-7112 | 2014-08-28 |
1376970350 | Anne Macadam | Physician Assistant | 100 Campus Dr Ste 12, Portsmouth, NH 03801-5892 | 2013-10-04 |
1821349200 | Kirsten Nicole Allred | Physician Assistant | 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 | 2012-09-26 |
1992095608 | Elizabeth Mclaughlin Snyder | Physician Assistant | 3636 High St, Portsmouth, VA 23707-3236 | 2011-04-14 |
Find all providers in PORTSMOUTH |
City | PORTSMOUTH |
Zip Code | 23707 |
Please comment or provide details below to improve the information on MRS. KATIE JANE GERARGE.
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.