STACEY A HAMMACK (NPI# 1801934799) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801934799 |
| Entity Type | Individual |
| Full Name | STACEY A HAMMACK |
| Credential | PA |
| Practice Address |
6420 Rockledge Dr Suite 4100 Bethesda MD 20817-7837 |
| Practice Telephone | 3015710019 |
| Practice Fax Number | 3015710988 |
| Mailing Telephone | 3015710019 |
| Mailing Fax Number | 3015710988 |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
C0002710 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
6420 ROCKLEDGE DR SUITE 4100 |
| City | BETHESDA |
| State | MD |
| Zip Code | 20817-7837 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306849716 | Stephen S. Pappas Jr. | Ophthalmology | 6420 Rockledge Dr, Ste 4900, Bethesda, MD 20817-7848 | 2005-05-31 |
| 1497364400 | Joyce Hamba | Obstetrics & Gynecology | 6420 Rockledge Dr, Bethesda, MD 20817-7837 | 2020-07-26 |
| 1649722166 | Kevin I. Perman, Md PC | Ophthalmology | 6420 Rockledge Dr, Suite 4300, Bethesda, MD 20817-7837 | 2016-11-01 |
| 1205290129 | Albert Cytryn Md P.C. | Ophthalmology | 6420 Rockledge Dr, Suite 4300, Bethesda, MD 20817-7837 | 2016-04-06 |
| 1376910331 | Breanna Whitlock | Registered Nurse | 6420 Rockledge Dr, Suite 4100, Bethesda, MD 20817-7837 | 2015-08-26 |
| 1417345950 | Centers for Advanced Orthopaedics, LLC | Orthopaedic Surgery | 6420 Rockledge Dr, Suite 4290, Bethesda, MD 20817 | 2015-01-07 |
| 1407272396 | Jessica Anne Mukherjee | Registered Nurse | 6420 Rockledge Dr, Suite 4200, Bethesda, MD 20817-7837 | 2014-03-15 |
| 1104104280 | Elan Reisin Md Facs LLC | Plastic Surgery | 6420 Rockledge Dr, Suite 2300, Bethesda, MD 20817-7837 | 2011-07-24 |
| 1225361751 | Suburban Hospital, Inc. | Clinic/Center | 6420 Rockledge Dr, Suite 4100, Bethesda, MD 20817-7837 | 2009-09-16 |
| 1700013521 | Shaun Chandra Desai | Otolaryngology | 6420 Rockledge Dr, Suite 4920, Bethesda, MD 20817-7837 | 2009-06-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972135291 | Super Smile Center of Bethesda | Dentist | 10320 Westlake Dr., Suite# 109, Bethesda, MD 20817 | 2020-02-05 |
| 1659918175 | Morgan Cheatham | Behavior Technician | Attn: Behavioral Health Works 6701 Democracy Blvd, Suite 300, Bethesda, MD 20817 | 2019-12-03 |
| 1780233601 | Natalie Milazzo | Behavior Technician | Attattn: Behavioral Health Works 6701 Democracy Blvd., Suite 300, Bethesda, MD 20817 | 2019-09-04 |
| 1366090649 | Sarah Danko | Behavior Technician | Attn: Behavioral Health Works 6701 Democracy Blvd., Suite 300, Bethesda, MD 20817 | 2019-08-29 |
| 1679120760 | Markita Mccurdy | Behavior Technician | 6701 Democracy Blvd., Suite 300, Bethesda, MD 20817 | 2019-08-22 |
| 1548716277 | Roberta Glass | Psychiatry & Neurology | 9806 Marquette Dr., Bethesda, MD 20817 | 2016-09-01 |
| 1952725525 | Jenna Kuhn | Student in an Organized Health Care Education/Training Program | 6701 Democracy Blvd. Attn: Behavioral Health Works, Suite 300, Bethesda, MD 20817 | 2014-02-18 |
| 1912338088 | Nayereh Nina Ghamarian | Dentist | 6017 Bradley Blvd, Bethesda, MD 20817 | 2013-11-27 |
| 1386076495 | Hugo Galindo | Physical Therapist | 6410 Rockledge Drive, Suite 100, Nrh Rehabilitation Network Bethesda, Bethesda, MD 20817 | 2013-07-31 |
| 1538509260 | Anameti Usoro | Anesthesiology | 6430 Rockledge Dr Ste 160, Bethesda, MD 20817 | 2013-06-26 |
| Find all providers in zip 20817 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467012369 | Molly Uebele Harrigan | Physician Assistant | 5225 Pooks Hill Rd Apt 1007n, Bethesda, MD 20814-2041 | 2019-06-13 |
| 1619489556 | Lee England | Physician Assistant | 10 Center Drive Building 10 Rm 4a22 Msc 1578, Bethesda, MD 20892-0001 | 2017-11-01 |
| 1922238468 | Richard Kwan | Physician Assistant | National Institute of Health The Clinical Ctr, 10 Center Drive Rm 8n246-7, Bethesda, MD 20892-0001 | 2009-07-17 |
| 1467081745 | Elizabeth Jane Meaney | Physician Assistant | 4701 Sangamore Rd, Bethesda, MD 20816-2508 | 2020-04-07 |
| 1376914481 | Ctg LLC | Physician Assistant | 5103 Dudley Ln, #304, Bethesda, MD 20814-5447 | 2015-10-15 |
| 1881095925 | Tatevik Mikaelyan | Physician Assistant | 8305 Wisconsin Ave, Bethesda, MD 20814-3103 | 2014-09-08 |
| 1871992388 | Jennifer Lauren Lotter | Physician Assistant | National Institutes of Health 10 Center Drive, Bethesda, MD 20892-5826 | 2014-08-20 |
| 1487069605 | Melanie Sara Niemeyer | Physician Assistant | 6410 Rockledge Dr, Suite 402, Bethesda, MD 20817-1809 | 2014-06-26 |
| 1952666851 | Daniel Michael Goldstein | Physician Assistant | 10 Center Dr, Building #10, Room 6-3152, Bethesda, MD 20892-0001 | 2012-07-07 |
| 1346545787 | Lauren Lenz Wetzler | Physician Assistant | 10 Center Dr., National Institutes of Health, Bethesda, MD 20892 | 2011-01-17 |
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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.