ROBERTA LASKA


Address: 4092 Foxwood Dr, Suite 101, Virginia Beach, VA 23462-5225
Phone: 7574674200

ROBERTA LASKA (NPI# 1578588422) 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) 1578588422
Entity Type Individual
Full Name ROBERTA LASKA
Credential PA
Practice Address 4092 Foxwood Dr
Suite 101
Virginia Beach
VA 23462-5225
Mailing Address Po Box 7549
Portsmouth
VA 23707-0549
Practice Telephone 7574674200
Enumeration Date 2006-07-13
Last Update Date 2010-03-16
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant 0110001559 VA Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
DEA CERTIFICATE ML0888911 01

Office Location

Street Address 4092 FOXWOOD DR
SUITE 101
City VIRGINIA BEACH
State VA
Zip Code 23462-5225

Providers in the same location

NPI Name Taxonomy Address Enumeration
1700884343 Joseph Scott Welch Emergency Medicine 4092 Foxwood Dr, Ste 101, Virginia Beach, VA 23462-5225 2005-07-08
1548735392 Heather A Lustig Physician Assistant 4092 Foxwood Dr, Virginia Beach, VA 23462-5225 2018-10-09
1679066070 Kendell Nicole Cobb Physician Assistant 4092 Foxwood Dr, Virginia Beach, VA 23462-5225 2018-06-11
1972002806 Destiny Woods Houchin Emergency Medicine 4092 Foxwood Dr, Virginia Beach, VA 23462 2018-02-06
1417306317 Kathryn Sidrow Physician Assistant 4092 Foxwood Dr, Suite 101, Virginia Beach, VA 23462-5225 2016-06-10
1295184737 Liana Michelle Johnson Physician Assistant 4092 Foxwood Dr, Virginia Beach, VA 23462-5225 2016-06-06
1770937104 Jacob Lunsford Physician Assistant 4092 Foxwood Dr, Suite 101, Virginia Beach, VA 23462-5225 2016-04-22
1962800649 Stacey Alena Moody Physician Assistant 4092 Foxwood Dr, Suite 101, Virginia Beach, VA 23462-5225 2014-12-12
1114332020 Victoria M Evelyn Physician Assistant 4092 Foxwood Dr, Virginia Beach, VA 23462-5225 2014-06-30
1568890473 James L Thompson Physician Assistant 4092 Foxwood Dr, Ste 101, Virginia Beach, VA 23462-5225 2013-10-31
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1912534082 Cheyenne James Counselor 297 Independence Blvd., Virginia Beach, VA 23462 2020-03-26
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1003475153 Keyuri S Shah Physical Therapist 5701 Cleveland St, Ste 600, Virginia Beach, VA 23462 2019-06-12
1629561329 Mary Katherine Pratt Physician Assistant 828 Healthy Way Ste 350, Virginia Beach, VA 23462 2018-06-07
1801387808 Matrixx Healthcare LLC Respite Care 405 S Parliament Dr Ste 106, Virginia Beach, VA 23462 2018-05-24
1518471671 Newtown Chiropractic Center Pllc Clinic/Center 5777 Princess Ann Road, Virginia Beach, VA 23462 2017-11-28
1528587995 Gary Lee Alexander II Counselor 870 N Newtown Road, Virginia Beach, VA 23462 2017-09-16
1801328810 Servitium Med Va, LLC Durable Medical Equipment & Medical Supplies 4445 Corporation Lane Suite 291, Virginia Beach, VA 23462 2017-03-29
1215476171 Johnnie Walter Cox IIi Emergency Medical Technician, Basic 5163 Cleveland Street, Virginia Beach, VA 23462 2017-02-13
1225570179 Holly Balsamo Occupational Therapy Assistant 5345 Marian Lane, Virginia Beach, VA 23462 2016-11-09
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1063047348 Sara Minor Khadivi Physician Assistant 249 Cassady Ave, Virginia Beach, VA 23452-4248 2020-03-07
1659913283 Jacqueline Alexander Oliver Physician Assistant 3198 Pacific Ave Ste 104, Virginia Beach, VA 23451-2949 2019-10-15
1831650266 Amelia Jo Crutsinger Physician Assistant 1644 Kepler Bnd, Virginia Beach, VA 23454 2019-03-28
1972067908 Taylor Elizabeth Rose Physician Assistant 445 Caren Dr, Virginia Beach, VA 23452-3511 2019-01-23
1427521533 Stephanie Michelle Smith Physician Assistant 2025 Williams Farm Rd, Virginia Beach, VA 23457-1390 2019-01-10
1902374044 Patricia Lynette Nash Physician Assistant 5589 Greenwich Rd Ste 175, Virginia Beach, VA 23462-6564 2018-11-07
1851884332 Aaron Zadai Physician Assistant 4437 Blackwater Rd, Virginia Beach, VA 23457-1124 2018-06-11
1629561329 Mary Katherine Pratt Physician Assistant 828 Healthy Way Ste 350, Virginia Beach, VA 23462 2018-06-07
1093196024 Stephanie Zeiber Physician Assistant 3325 Woodsman Ln, Virginia Beach, VA 23452-5226 2015-06-16
1255733051 Megan Christine Mcdevitt Physician Assistant 1168 First Colonial Rd Ste A, Virginia Beach, VA 23454 2014-09-23
Find all providers in VIRGINIA BEACH

Competitor

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City VIRGINIA BEACH
Zip Code 23462

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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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