Active NPI
Stacy C Romero, PAC
- Dermatology Physician
- Midlothian, VA
National Provider Identifier
1861598823
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 0110001592
- Practice address
- 2306 Robious Station Circle
Midlothian, VA 23113 - Phone
- (804) 378-3048
- Fax
- (804) 378-3264
- NPI assigned
- Sep 16, 2006
- Last updated
- Aug 29, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 0110001592 | VA | Primary |
Addresses
Primary practice location
2306 Robious Station Circle
Midlothian, VA 23113
Mailing address
PO Box 247
Midlothian, VA 23113
Phone (804) 378-5010
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2306 Robious Station Cir
Midlothian, VA 23113-2124
Phone (804) 378-3048
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158364800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1188345600000",
"number": "1861598823",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 247",
"city": "MIDLOTHIAN",
"state": "VA",
"postal_code": "23113",
"telephone_number": "804-378-5010",
"fax_number": "804-378-3264"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2306 ROBIOUS STATION CIRCLE",
"city": "MIDLOTHIAN",
"state": "VA",
"postal_code": "23113",
"telephone_number": "804-378-3048",
"fax_number": "804-378-3264"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROMERO",
"first_name": "STACY",
"middle_name": "C",
"name_prefix": "Ms.",
"credential": "PAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-16",
"last_updated": "2007-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "VA",
"license": "0110001592",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Midlothian, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2007; 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.