Stephanie L Burkhardt, PAC
Individual provider Active NPI Physician Assistant · Richmond, VA
NPI 1184976565 · NPPES record last updated Apr 23, 2020
Key facts
- NPI
- 1184976565
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 0110004748 (VA)
- Practice address
- 7858 Shrader Rd
Richmond, VA 23294-4222 - Phone
- (804) 270-1305
- Fax
- (804) 273-9294
- NPI assigned
- Oct 9, 2012
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 19
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Bon Secours Medical Group Richmond Specialty Care LLC
Practice addresses (Care Compare)
1501 Maple Ave
Richmond, VA 23226-2553
1510 N 28TH St
Richmond, VA 23223-5311
3400 Haydenpark LN
Henrico, VA 23233-7867
Phone (804) 285-2300
5801 Bremo Rd
Richmond, VA 23226-1907
Phone (804) 764-6000
8220 Meadowbridge Rd
Suite 202
Mechanicsville, VA 23116-2340
Phone (804) 285-2300
Hospital & facility affiliations
- Bon Secours St Marys Hospital
- Bon Secours Memorial Regional Medical Center
- Bon Secours St Francis Medical Center
- Sheltering Arms Institute
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20141226000546 | VA | Practitioner - Physician Assistant | 7416193461 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bon Secours Medical Group Richmond Specialty Care LLC | Current |
Accepting new patients | |
| Bon Secours Medical Group Richmond Specialty Care LLC | Current |
Accepting new patients | |
| Tuckahoe Orthopaedic Associates, LTD | Current |
Accepting new patients | |
| Orthovirginia Inc | Physician Assistant | Current |
Accepting new patients |
Locations
3400 Haydenpark Ln
Ste 100
Henrico, VA 23233
8220 Meadowbridge Rd
Ste 202
Mechanicsville, VA 23116
Phone (804) 730-5023
1115 Boulders Pkwy
Ste 200
North Chesterfield, VA 23225
Phone (804) 327-9242
1510 N 28th St
Ste 110
Richmond, VA 23223
Phone (804) 545-2304
1501 Maple Ave
Ste 200
Richmond, VA 23226
1501 Maple Ave
Ste 101A
Richmond, VA 23226
Phone 80428523001191
Interoperability endpoints
- stephanieburkhardt@toa.allscriptsdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | 0110004748 | VA | |
| Physician Assistant | 363A00000X | 0110004748 | VA | Yes |
Addresses
Primary practice location
7858 Shrader Rd
Richmond, VA 23294-4222
Mailing address
1115 Boulders Pkwy
Suite 200
North Chesterfield, VA 23225-4067
Phone (804) 560-5595
Other practice location 1
7200 Glen Forest Dr Ste 106
Richmond, VA 23226-3768
Phone (804) 495-0053
Other providers in Richmond, VA
- Sarah Nordin Burke
- Timothy Burke
- Jared Burkert
- Barry Webster Burkhardt
- Brian Webster Burkhardt
- Martin Vander Burks IV
- Patricia J Burkwall
- John Arthur Burmeister
- Burn and Reconstructive Centers of Virginia, PLLC
- Andrea C Burnett
All providers in Richmond, VA · Physician Assistant in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 23, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.