PEGGY VOLLSTAD (NPI# 1427406727) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427406727 |
| Entity Type | Individual |
| Full Name | PEGGY VOLLSTAD |
| Other Name | PEGGY ANN PEELMAN |
| Credential | PA-C |
| Practice Address |
3023 Hamaker Ct Suite 200 Fairfax VA 22031-2207 |
| Mailing Address |
8205 Bearhurst Dr Gainesville VA 20155-3884 |
| Practice Telephone | 7038486627 |
| Mailing Telephone | 5713834006 |
| Enumeration Date | 2016-05-26 |
| Last Update Date | 2016-05-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA031065 | DC | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
0110004675 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3023 HAMAKER CT SUITE 200 |
| City | FAIRFAX |
| State | VA |
| Zip Code | 22031-2207 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023082864 | Ivette Anne Couret | Obstetrics & Gynecology | 3023 Hamaker Ct, Suite 210a, Fairfax, VA 22031-2222 | 2006-02-16 |
| 1578129359 | Ashleigh Bronwyn Mccoy | Physician Assistant | 3023 Hamaker Ct, Fairfax, VA 22031-2207 | 2019-05-16 |
| 1386174084 | Haley Marie Gilmore Smith | Registered Nurse | 3023 Hamaker Ct, Fairfax, VA 22031-2207 | 2017-06-14 |
| 1568902567 | Jessica Erin Stafford | Nurse Practitioner | 3023 Hamaker Ct, Fairfax, VA 22031-2207 | 2017-02-24 |
| 1770025876 | Margaret Goss | Nurse Practitioner | 3023 Hamaker Ct, Fairfax, VA 22031-2207 | 2016-11-07 |
| 1730530486 | Courtney Joy Nahigian | Nurse Practitioner | 3023 Hamaker Ct, Fairfax, VA 22031-2207 | 2016-06-23 |
| 1336508910 | 3d Body Imaging LLC | Clinic/Center | 3023 Hamaker Ct, Ll50, Fairfax, VA 22031-2207 | 2016-02-11 |
| 1649638768 | Luke Stikeleather | Orthotist | 3023 Hamaker Ct, Suite Ll-50, Fairfax, VA 22031-2207 | 2016-02-03 |
| 1437557113 | Scoliosis Solutions LLC | Durable Medical Equipment & Medical Supplies | 3023 Hamaker Ct, Suite Ll-50, Fairfax, VA 22031-2207 | 2014-12-12 |
| 1407275662 | Meaghan Kelly | Psychiatry & Neurology | 3023 Hamaker Ct, Fairfax, VA 22031-2207 | 2014-04-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902414105 | Su Jung Kang | Dentist | 9661-c Main Street, Fairfax, VA 22031 | 2020-07-14 |
| 1346896347 | Fuling Guo | Acupuncturist | 3013 James St, Fairfax, VA 22031 | 2019-08-15 |
| 1902458797 | Kayla Callister | Psychologist | 2270 Willow Oaks Corporate Drive, Fairfax, VA 22031 | 2019-07-11 |
| 1790349801 | Fairfax Dental Esthetics | Dentist | 9621 Fairfax Blvd., Fairfax, VA 22031 | 2019-04-24 |
| 1417427675 | Kathryn Yen Ho | Speech-Language Pathologist | 8270 Willow Oaks Corporate Drive Suite 2127, Falls Church, VA 22031 | 2018-11-30 |
| 1932681376 | Joanne Towers | Physician Assistant | 3025 Hamaker Court Suite 300, Fairfax, VA 22031 | 2018-09-01 |
| 1790262020 | S Renee Dennis | Nurse Practitioner | 8316 Arlington Blvd Ste 500, Fairfax, VA 22031 | 2018-07-19 |
| 1013493451 | Elizabeth Joan Dwyer | Physician Assistant | 3023 Hamaker Ct., Suite 500, Fairfax, VA 22031 | 2018-07-18 |
| 1316432669 | Delta Pharm LLC | Pharmacy | 8316 Arlington Blvd Ste 100, Fairfax, VA 22031 | 2018-06-28 |
| 1629567656 | Laura Breeden | Acupuncturist | 3846 Lyndhurst Dr Apt 301, Fairfax, Va, VA 22031 | 2018-05-04 |
| Find all providers in zip 22031 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871976522 | Hall Surgical Assistance, LLC | Physician Assistant | 10332 Main St, Suite #344, Fairfax, VA 22030-2410 | 2015-06-30 |
| 1306234638 | Metropolitan Surgical Assist | Physician Assistant | 2826 Old Lee Highway, Suite 330, Fairfax, VA 22031 | 2015-01-09 |
| 1356622583 | Tri-state Surgical Associates | Physician Assistant | 10332 Main St # 344, Fairfax, VA 22030-2410 | 2011-09-01 |
| 1417253816 | Esam Al Nouman | Physician Assistant | 2903 Roseline Rd, Fairfax, VA 22033-5602 | 2011-02-02 |
| 1700234325 | Louis Kalisch | Physician Assistant | 10332 Main St # 344, Fairfax, VA 22030-2410 | 2016-05-25 |
| 1205242419 | Megan Condrey | Physician Assistant | 2826 Old Lee Hwy, Ste. 330, Fairfax, VA 22031-4323 | 2014-07-08 |
| 1811297807 | Douglas Trott | Physician Assistant | 12011 Lee Jackson Hwy, Fairfax, VA 22033-3335 | 2010-10-25 |
| 1548423643 | Luis I. Quinones | Physician Assistant | 12011 Lee Jackson Hwy, 4th Floor Spine Surgery, Fairfax, VA 22033-3310 | 2008-07-08 |
| 1881819498 | Mary Elizabeth Zempolich | Physician Assistant | 3650 Joseph Siewick Dr Ste 200, Fairfax, VA 22033-1712 | 2007-04-17 |
| 1225046303 | Josilu Portella | Physician Assistant | 3620 Joseph Siewick Dr, Suite 406, Fairfax, VA 22033-1756 | 2006-08-04 |
| Find all providers in FAIRFAX | ||||
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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.