MIRIAM MAGDALENA ROBERTSON (NPI# 1407472574) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407472574 |
| Entity Type | Individual |
| Full Name | MIRIAM MAGDALENA ROBERTSON |
| Credential | PA-C |
| Practice Address |
20 Brixham Ct Stafford VA 22554-7667 |
| Practice Telephone | 5402203594 |
| Mailing Telephone | 5402203594 |
| Enumeration Date | 2020-06-24 |
| Last Update Date | 2020-06-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
20 BRIXHAM CT |
| City | STAFFORD |
| State | VA |
| Zip Code | 22554-7667 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699385658 | Publix North Carolina, Lp | Durable Medical Equipment & Medical Supplies | 1640 Publix Way, Stafford, VA 22554 | 2020-08-05 |
| 1700368156 | Aws Altameemi | Dentist | 392 Garrisonville Road 205, Stafford, VA 22554 | 2018-09-02 |
| 1831680214 | Radka Loucka | Counselor | 2124 Jefferson Davis Highway, Suite 202, Stafford, VA 22554 | 2018-05-22 |
| 1205383718 | Ogiawesome | Non-emergency Medical Transport (VAN) | 109 Chesterbrook Court, Stafford, VA 22554 | 2016-09-01 |
| 1184088502 | Inina Plucer-rosario | Behavioral Analyst | 12 Monument Drive, Stafford, VA 22554 | 2016-04-12 |
| 1528451218 | Insight Psychological Services, Pllc | Counselor | 11 Hope Rd., Suite 213, Stafford, VA 22554 | 2015-03-05 |
| 1194142885 | Krystal Karin Edmonds | Behavioral Analyst | 538 Apricot Street, Stafford, VA 22554 | 2014-03-20 |
| 1851715312 | Maryann Byrne | Counselor | 108 Brandice St, Stafford, VA 22554 | 2014-02-04 |
| 1164857272 | Melissa C Keylor | Counselor | 11 Hope Road, Suite 213, Stafford, VA 22554 | 2013-09-09 |
| 1255777959 | Sophia Rodrigues | Physical Therapist | 2777 Jefferson Davis Hwy, Suite 109, Performance Physical Therapy, Stafford, VA 22554 | 2013-05-21 |
| Find all providers in zip 22554 | ||||
| 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 |
|---|---|---|---|---|
| 1255823977 | Cherie Rochelle Smith | Physician Assistant | 18 Booth Ct, Stafford, VA 22554-8838 | 2018-05-30 |
| 1902847072 | Charles L Craig | Physician Assistant | 218 S Union St, Stafford, KS 67578-1428 | 2006-06-09 |
| 1629074331 | Dennis L. Fair | Physician Assistant | 422 Garrisonville Rd, Ste 111, Stafford, VA 22554-1573 | 2005-06-27 |
| 1619523222 | Brittany Elizabeth Wiseman | Physician Assistant | 125 Hospital Center Blvd Ste 221, Stafford, VA 22554-6203 | 2019-08-11 |
| 1992368310 | Taylor Monroe | Physician Assistant | 20 Doc Stone Rd, Stafford, VA 22556-4515 | 2019-04-22 |
| 1801278668 | Laura Elizabeth Erwin | Physician Assistant | 60 Prosperity Ln, Stafford, VA 22556-4605 | 2015-06-29 |
| 1649666728 | Century Pediatrics, Inc | Physician Assistant | 385 Garrisonville Rd, Stafford, VA 22554-1545 | 2015-04-15 |
| 1982904421 | Joshua T Markwell | Physician Assistant | 282 Choptank Rd, Suite 103, Stafford, VA 22556-6481 | 2010-11-01 |
| 1831423839 | Galadriel Lea Pastor | Physician Assistant | 450 Garrisonville Rd, Suite 109, Stafford, VA 22554 | 2009-09-23 |
| 1730412651 | Thu Ha Pham | Physician Assistant | 60 Prosperity Ln, Stafford, VA 22556-4605 | 2009-09-10 |
| Find all providers in STAFFORD | ||||
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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.