Mariah Passwaters-Stamper, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

C0008712 Issued in MD

Practice address

901 Walnut St
Philadelphia, PA 19107-5214

Phone

(215) 955-1533

NPI assigned

Dec 23, 2022

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1671753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671753600000",
    "number": "1598477390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 ACADEMY RD",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212281810",
            "telephone_number": "410-804-9675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 WALNUT ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191075214",
            "telephone_number": "215-955-1533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASSWATERS-STAMPER",
        "first_name": "MARIAH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-23",
        "last_updated": "2022-12-23",
        "certification_date": "2022-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C0008712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "N/A",
            "affiliation": "N",
            "address_1": "901 Walnut St",
            "city": "Philadelphia",
            "state": "PA",
            "country_code": "US",
            "postal_code": "191075214",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Passion of Hearts Homecare LLC
• Passionate Padgetts Home Care Agency
• Passionate Patient Transport & Mobility
• Jesse Evan Passman
• Passport Health Holdings, LLC (Passport Health)
• Passyunk Chiropractic & Rehabilitation
• Passyunk Medical Associates PC
• Paige Michelle Pastalove, AU.D
• Adam Seth Pasternack, DO
• Widmayar Pasteur

• Physician Assistant in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2022; 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.