Isabella Renata Wierzbowski, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

C0008927 Issued in MD

Practice address

8320 Bellona Ave Ste 20
Towson, MD 21204-2097

Phone

(410) 821-7546

NPI assigned

Apr 18, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Isabella Renata Grifasi Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: iwierzbowski@directaddress.net

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

• Simmons Obrien & Orlinsky LLC

  • Dermatology Physician
  • Towson, MD
  • NPI 1376607556
  NPD (past)

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

{
    "created_epoch": "1650240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715126400000",
    "number": "1215670203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8320 BELLONA AVE STE 20",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212042097",
            "telephone_number": "410-821-7546",
            "fax_number": "410-821-7576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8320 BELLONA AVE STE 20",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212042097",
            "telephone_number": "410-821-7546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIERZBOWSKI",
        "first_name": "ISABELLA",
        "middle_name": "RENATA",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-18",
        "last_updated": "2024-05-08",
        "certification_date": "2024-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C0008927",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ISABELLA",
            "last_name": "GRIFASI",
            "middle_name": "RENATA",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Shawn Costello Whooley, PSY.D.
• Raylon Wicker
• Rachel Frances Wieder, LGPC
• Erika Wiegand
• Francis L Wiegmann Jr., M.D.
• Brianna Shannae Wiggins, PA-C
• Tonya Acquinette Wiggins, CPT
• J. Nathan Wilder, MS, ATC, CSCS
• Morgan Colleen Wilkerson, PA-C
• Samantha Willett-Jackson, LCPAT, ATR-BC

• Physician Assistant in Towson, MD
• Providers in Towson, MD by specialty
• Physician Assistant in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.