EMMA ALEXANDRA ROUSE (NPI# 1962038042) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962038042 |
| Entity Type | Individual |
| Full Name | EMMA ALEXANDRA ROUSE |
| Credential | PA-C |
| Practice Address |
2712 Hatmark St Vienna VA 22181-6054 |
| Practice Telephone | 7039638340 |
| Mailing Telephone | 7039638340 |
| Enumeration Date | 2020-03-20 |
| Last Update Date | 2020-07-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
0110-007301 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
2712 HATMARK ST |
| City | VIENNA |
| State | VA |
| Zip Code | 22181-6054 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013134253 | Samuel Weldon Brown | Dentist | 2553 Chain Bridge Road, Vienna, VA 22181 | 2007-04-19 |
| 1104984962 | Hisham Barakat | Dentist | 2553 Chain Bridge Rd., Vienna, VA 22181 | 2006-12-05 |
| 1639265945 | Barbara R Finn | Social Worker | 9970 Vale Road, Vienna, VA 22181 | 2006-10-05 |
| 1023252624 | Madison Family Medicine, PC | Clinic/Center | 2555 Chain Bridge Rd, Vienna, VA 22181 | 2009-04-27 |
| 1659390524 | Hamid S Assadi | Family Medicine | 2555 Chain Bridge Rd, Vienna, VA 22181 | 2006-07-19 |
| 1942847520 | Tala Khayyer | Dentist | 2026 Hunter Mill Rd, Vienna, VA 22181-2805 | 2019-12-03 |
| 1083803456 | John P Allen | Psychologist | 2009 Carriage Ct, Vienna, VA 22181-2923 | 2007-10-22 |
| 1245223221 | James Gregory Bennett | Specialist | 2208 Aryness Dr, Vienna, VA 22181-3045 | 2005-08-25 |
| 1841566130 | Lacey Kahner Meenaghan | Speech-Language Pathologist | 2415 Riviera Dr, Vienna, VA 22181-3120 | 2012-03-30 |
| 1477869246 | Ruth Provenzano | Social Worker | 9924 Steeple Run, Vienna, VA 22181-3157 | 2010-08-31 |
| Find all providers in zip 22181 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861059461 | Daniel P Sherman | Physician Assistant | 43165 Thistledown Ter Apt 241, Broadlands, VA 20148-4075 | 2019-05-20 |
| 1184289753 | Vicenta Hanh-phuoc Tran | Physician Assistant | 7611 Trammell Rd, Annandale, VA 22003-1442 | 2019-05-08 |
| 1649833021 | Karlie Diruzza | Physician Assistant | 2900 Lamb Cir # L760, Christiansburg, VA 24073-6344 | 2019-04-21 |
| 1164983599 | Bradley Pretzer | Physician Assistant | 5115 Cliffhaven Dr, Annandale, VA 22003-4348 | 2019-03-28 |
| 1346757416 | Hinda Yasmin Mezaache | Physician Assistant | 1101 Sam Perry Blvd Ste 219, Fredericksburg, VA 22401-4465 | 2018-01-10 |
| 1265974851 | Gerard Surgical Services, LLC | Physician Assistant | 12220 Chattanooga Plz Ste 121, Midlothian, VA 23112-4865 | 2016-11-14 |
| 1417301607 | Jose Gustavo Espino | Physician Assistant | 6866 Deer Run Dr, Alexandria, VA 22306-1124 | 2016-04-14 |
| 1477915098 | Kelly Egan Weaver | Physician Assistant | 1201 Broad Rock Blvd Richmond Va 23224, Richmond, VA 23249-4915 | 2016-03-23 |
| 1871976522 | Hall Surgical Assistance, LLC | Physician Assistant | 10332 Main St, Suite #344, Fairfax, VA 22030-2410 | 2015-06-30 |
| 1861881682 | Nicholas F. Calabrese | Physician Assistant | 545 Ray C. Hunt Dr., Charlottesville, VA 22903-7851 | 2015-01-16 |
| Find all providers with the same taxonomy | ||||
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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.