Organization Active NPI

Mid Atlantic Physician Assistant Services, P.C.

  • Surgical Physician Assistant
  • Glen Allen, VA
National Provider Identifier
1407180326
Registry record updated Sep 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
0110001211 Issued in VA
Legal business name
MID ATLANTIC PHYSICIAN ASSISTANT SERVICES, P.C.
Practice address
4740 Sadler Green PL
Glen Allen, VA 23060-6162
Phone
(804) 972-3379
Fax
(804) 935-1367
NPI assigned
Sep 24, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2009

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

Authorized official

Name
Brian K Rojas, P.A.-C
Title
President/Ceo
Phone
(804) 972-3379

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician AssistantGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363AS0400X 0110001211 VA Primary

Addresses

Primary practice location

4740 Sadler Green PL
Glen Allen, VA 23060-6162

Mailing address

4740 Sadler Green PL
Glen Allen, VA 23060-6162
Phone (804) 972-3379

Other names 1

  • MAPAS Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1253750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253750400000",
    "number": "1407180326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4740 SADLER GREEN PL",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230606162",
            "telephone_number": "804-972-3379",
            "fax_number": "804-935-1367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4740 SADLER GREEN PL",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230606162",
            "telephone_number": "804-972-3379",
            "fax_number": "804-935-1367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID ATLANTIC PHYSICIAN ASSISTANT SERVICES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-24",
        "last_updated": "2009-09-24",
        "status": "A",
        "authorized_official_last_name": "ROJAS",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "804-972-3379",
        "authorized_official_credential": "P.A.-C"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": "VA",
            "license": "0110001211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MAPAS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Glen Allen, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2009; 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.