Namarta Gill
Individual provider Active NPI Physician Assistant · Moneta, VA
NPI 1508436767 · NPPES record last updated Nov 16, 2022
Key facts
- NPI
- 1508436767
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 0110008111 (VA)
- Practice address
- 4830 Rucker Rd
Moneta, VA 24121-5281 - Phone
- (540) 297-7181
- NPI assigned
- Jun 30, 2021
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0110008111 | VA | MD | Physician Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Physician Assistant | 363A00000X | 0110008111 | VA | Yes |
Addresses
Primary practice location
4830 Rucker Rd
Moneta, VA 24121-5281
Mailing address
4830 Rucker Rd
Moneta, VA 24121-5281
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- Lauren N Gilman
- Jazmin Mecarra Gray
- Ronald G Greer
- Phillip Eugene Gruber
- Robert Gump IV
All providers in Moneta, 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 Nov 16, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.