Individual provider Active NPI

Melissa Goldsholl Strozykowski, PA

  • Physician Assistant
  • Beltsville, MD
National Provider Identifier
1083989453
Registry record updated Mar 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
C0004556 Issued in MD
Practice address
10424 Baltimore Ave
Beltsville, MD 20705-2321
Phone
(240) 542-5987
Fax
(240) 542-5988
NPI assigned
Mar 18, 2012
Last updated
Mar 7, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X C0004556 MD Primary
Medical Physician Assistant 363AM0700X PA030865 DC
Surgical Physician Assistant 363AS0400X C04556 MD

Addresses

Primary practice location

10424 Baltimore Ave
Beltsville, MD 20705-2321

Mailing address

5000 Cox Rd
Glen Allen, VA 23060-9263

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170807002496 MD Practitioner - Physician Assistant 1355591520 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
C0004556MDMDPhysician Assistant
C04556MDMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Russell O Schub PA CurrentSince May 5, 2019 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

8875 Centre Park Dr
Ste D
Columbia, MD 21045
Phone (410) 489-3020

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1332028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520380800000",
    "number": "1083989453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 COX RD",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230609263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10424 BALTIMORE AVE",
            "city": "BELTSVILLE",
            "state": "MD",
            "postal_code": "207052321",
            "telephone_number": "240-542-5987",
            "fax_number": "240-542-5988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STROZYKOWSKI",
        "first_name": "MELISSA",
        "middle_name": "GOLDSHOLL",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-18",
        "last_updated": "2018-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C0004556",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "DC",
            "license": "PA030865",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "MD",
            "license": "C04556",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beltsville, MD

Sources for this page

Verify at the official NPI Registry.