Amanda Lynn Malgieri, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0110003624 Issued in VA

Practice address

7512 Gardner Park Dr
Gainesville, VA 20155-3414

Phone

(703) 753-9860

Fax

(703) 753-9863

NPI assigned

Jul 23, 2008

Last updated

Aug 25, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Amanda Lynn Smith Former name

Medicare fee-for-service enrollment

Enrolled in VA

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

Specialty

Physician Assistant

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Renewal Dermatology and Medspa PCGroup PAC ID 8527216993, 16 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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

• Renewal Dermatology & Medspa, P.C.

  • Dermatology Physician
  • Gainesville, VA
  • NPI 1619232469
  Medicare reassignment Care Compare group
• Renewal Dermatology PLLC

  • Dermatology Physician
  • Gainesville, VA
  • NPI 1831324144
  NPD (past)
• Margaret Reba Stevens Oneill MD, LLC

  • Dermatology Physician
  • Chevy Chase, MD
  • NPI 1174793913
  NPD (past)
• Samantha a. Toerge, MD, LLC

  • Dermatology Physician
  • Chevy Chase, MD
  • NPI 1437587581
  NPD (past)

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

{
    "created_epoch": "1216771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408924800000",
    "number": "1760647374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7512 GARDNER PARK DR",
            "city": "GAINESVILLE",
            "state": "VA",
            "postal_code": "201553414",
            "telephone_number": "703-753-9860",
            "fax_number": "703-753-9863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7512 GARDNER PARK DR",
            "city": "GAINESVILLE",
            "state": "VA",
            "postal_code": "201553414",
            "telephone_number": "703-753-9860",
            "fax_number": "703-753-9863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALGIERI",
        "first_name": "AMANDA",
        "middle_name": "LYNN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-23",
        "last_updated": "2014-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.002784",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110003624",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "SMITH",
            "middle_name": "LYNN",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Stephanie Maddox, M.S., BCBA
• Kurt Laurence Maggio, M.D.
• Kevin Maggs, D.C.
• Mackenzie M Maison, PT DPT
• Issa Malador, RN
• Samantha Mallek
• Esther Mandelheim
• Margaret H. Harvey, LLC (Blue Ridge Psychological Center)
• Douglas J. Markert, M.D.
• Allyson Christine Maroyka

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2014; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.