Maggie Lynn Ipsaro, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0110001753 Issued in VA

Practice address

8501 Arlington Blvd Ste 410
Fairfax, VA 22031

Phone

(703) 738-4331

Fax

(703) 642-1876

NPI assigned

Apr 21, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Maggie Blose Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in DC

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Physical Medicine Associates, LTD

  dba National Spine & Pain Centers

  • Interventional Pain Medicine Physician
  • McLean, VA
  • NPI 1003884560

  DC

  Medicare reassignment NPD
• Physical Medicine Associates, LTD

  dba National Spine and Pain Centers

  • Interventional Pain Medicine Physician
  • Fairfax, VA
  • NPI 1316465461
  NPD
• Frederick Health Hospital Inc

  dba Frederick Health Hospital

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

{
    "created_epoch": "1145577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563926400000",
    "number": "1376509109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11350 MCCORMICK RD",
            "address_2": "BUILDING 1, SUITE 501",
            "city": "BALITMORE",
            "state": "MD",
            "postal_code": "21031",
            "telephone_number": "410-329-1071",
            "fax_number": "410-329-1054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8501 ARLINGTON BLVD STE 410",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "22031",
            "telephone_number": "703-738-4331",
            "fax_number": "703-642-1876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IPSARO",
        "first_name": "MAGGIE",
        "middle_name": "LYNN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-21",
        "last_updated": "2019-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110001753",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "maggieipsaro@nspc.medalliesdirect.net",
            "affiliation": "N",
            "address_1": "8501 Arlington Blvd Ste 410",
            "city": "Fairfax",
            "state": "VA",
            "country_code": "US",
            "postal_code": "22031",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MAGGIE",
            "last_name": "BLOSE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Integrated Wellness & Weightloss Center LLC
• Integrative Psychotherapy Institute
• Internal Medicine of Fair Oaks, LLC
• Intuitive Insight, Inc. (Intuitive Neuropsychiatry)
• Christine Joan Ioli
• Iqgenetix LLC
• Angie Iraheta Gruessing
• Sara Irandoust
• Kristi Carroll Irby, LPTA
• Iris Wellness Clinic, LLC

• Physician Assistant in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Physician Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.