STACY L GITTLER


Address: 5855 Bremo Rd, Suite 406, Richmond, VA 23226-1930
Phone: 8042854133

STACY L GITTLER (NPI# 1295743847) 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) 1295743847
Entity Type Individual
Full Name STACY L GITTLER
Credential P.A.
Practice Address 5855 Bremo Rd
Suite 406
Richmond
VA 23226-1930
Practice Telephone 8042854133
Practice Fax Number 8046222224
Mailing Telephone 8042854133
Mailing Fax Number 8046222224
Enumeration Date 2006-08-03
Last Update Date 2012-03-12
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AS0400X Physician Assistant
Specialization: Surgical Technologist
0110002656 VA Physician Assistants & Advanced Practice Nursing Providers
N 363AS0400X Physician Assistant
Specialization: Surgical Technologist
MA052610 PA Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
VA GROUP PTAN C06778 01
VA GROUP PTAN C06695 01

Office Location

Street Address 5855 BREMO RD
SUITE 406
City RICHMOND
State VA
Zip Code 23226-1930

Providers in the same location

NPI Name Taxonomy Address Enumeration
1144228479 Carol A. Capraro Nurse Anesthetist, Certified Registered 5855 Bremo Rd, Suite 100, Richmond, VA 23226-1930 2005-07-11
1285264671 Emily Huesgen Emergency Medicine 5855 Bremo Rd, Richmond, VA 23226-1930 2020-01-24
1881255602 Symone Monique Hopkins Internal Medicine 5855 Bremo Rd, Richmond, VA 23226-1930 2019-06-24
1336689306 Erin Smoak Nurse Anesthetist, Certified Registered 5855 Bremo Rd, St 100, Richmond, VA 23226-1930 2017-02-24
1053850842 Carey Wakinson Elder Nurse Anesthetist, Certified Registered 5855 Bremo Rd, Suite 100, Richmond, VA 23226-1930 2017-02-14
1255889648 Bon Secours - Richmond Community Hospital, Incorporated Internal Medicine 5855 Bremo Rd, Suite 509, Richmond, VA 23226 2016-09-14
1437502994 Bon Secours - Richmond Community Hospital, Incorporated Pediatrics 5855 Bremo Rd, Suite 605, Richmond, VA 23226 2016-07-20
1841656063 Katherine Rose Hopper Nurse Anesthetist, Certified Registered 5855 Bremo Rd, Suite 100 Medical Building North, Richmond, VA 23226-1930 2016-01-04
1730566795 Aimee J Watkins Nurse Practitioner 5855 Bremo Rd, Suite 403, Richmond, VA 23226-1930 2015-04-29
1881085645 Margaret Finnigan Nurse Anesthetist, Certified Registered 5855 Bremo Rd, Richmond, VA 23226-1930 2015-02-13
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1033625744 Eye Surgeons of Richmond, Inc. Eyewear Supplier (Equipment, not the service) 5875 Bremo Rd Ste 606, Richmond, VA 23226 2017-12-18
1922517028 Karen Margaret Karwowski Physical Therapist 1901 Charles Street, Crestview Elementary School, Henrico, VA 23226 2017-09-21
1831636463 Tammy A Lewis Nurse Practitioner 5803 Bremo Road, Richmond, VA 23226 2017-01-20
1497116438 Ashton Williams Counselor 2008 Libbie Avenue, Suite 101, Richmond, VA 23226 2016-03-18
1396110078 Nino Carlo Deleon Dentist 5500 Monument Ave Ste G, Richmond, VA 23226 2015-12-07
1083097794 Amy Michelle Kruger Podiatrist 2008 Bremo Rd Ste 100, Richmond, VA 23226 2015-06-30
1841682762 James Bryce Lothian Pediatrics 5875 Bremo Road, Mob South, Suite 303, Pediatric Lung Care, Richmond, VA 23226 2015-03-02
1811334980 Carmen Wong Physical Medicine & Rehabilitation 1901 Libbie Ave, Richmond, VA 23226 2013-05-30
1841533890 Lauren Etz Freeman Nurse Practitioner 7113 Three Chopt Road, Suite 101, Pediatric Associates of Richmond, Inc., Richmond, VA 23226 2013-03-28
1609126044 Tammy Denise Mills Nurse Practitioner 1501 Maple Ave Ste 301, Richmond, VA 23226 2012-09-13
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Taxonomy Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1427515162 Mnhisey, LLC Physician Assistant 19302 Palace Way Ct, Richmond, TX 77407-5584 2019-03-01
1861944217 Independent First Assistant, LLC. Physician Assistant 23203 S Waterlake Dr, Richmond, TX 77406-7667 2016-11-02
1477915098 Kelly Egan Weaver Physician Assistant 1201 Broad Rock Blvd Richmond Va 23224, Richmond, VA 23249-4915 2016-03-23
1063857480 Lc Surgical Assistants LLC Physician Assistant 1112 Yorktown St, Richmond, TX 77469-1639 2013-04-30
1275891160 Chloe Elisa Trevino Physician Assistant 2009 Long Dr, Richmond, TX 77469-4923 2012-04-27
1356614663 Shalonda Michelle Cormier Physician Assistant 18623 Anderwood Forest Dr, Richmond, TX 77407-2305 2012-02-16
1972829463 Selena Brown Physician Assistant 9711 S Mason Rd Ste. 125, #311, Richmond, TX 77407 2010-04-09
1437161502 Louis (trey) C Trosclair IIi Physician Assistant 11330 Sandhaven Dr, Richmond, TX 77407-4508 2006-08-13
1669420048 Surgical Assist,l.l.c. Physician Assistant 3913 Morton Dr, Richmond, VA 23223-1287 2006-05-05
1457327637 Rozita Z Reyes Physician Assistant 7001 Forest Ave Ste 400, Richmond, VA 23230-1726 2006-02-27
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Competitor

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City RICHMOND
Zip Code 23226

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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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