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KIMBERLY A MIZACK P.A. NPI 1639251762


NPI Information

NPI: 1639251762
Provider Name: KIMBERLY A MIZACK, P.A.
Classification: Physician Assistant - 363A00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
1802 BRAEBURN DR
SALEM, VA
ZIP 24153
Phone: (540) 772-3530
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Kimberly A Mizack, P.A. is a physician assistant in Salem, VA with 18 years of experience. The provider is a physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. Kimberly A Mizack, P.A. NPI is 1639251762. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1802 BRAEBURN DR
SALEM, VA
ZIP 24153-357
Phone: (540) 772-3530
Fax: (540) 776-2036

The NPI 1639251762 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)
  • Aspiration and/or injection of large joint or joint capsule (HCPCS:20610)
  • Injections of tendon sheath, ligament, or muscle membrane (HCPCS:20550)

The enumeration date for this NPI number is 10/19/2006 and was last updated on 2/10/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363A00000XPhysician Assistant0110002410VIRGINIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11639251761OTHERVIRGINIAAETNA
21639251762OTHERVIRGINIASOUTHERN HEALTH/CARENET/CARELINK/COVENTRY
3P00803340OTHERVIRGINIARAILROAD MEDICARE
41639251762OTHERVIRGINIAANTHEM MEDIGAP
51639251762OTHERVIRGINIAUMWA
61639251762OTHERVIRGINIABLACK LUNG
71639251762OTHERVIRGINIAINTOTAL
81639251762OTHERVIRGINIAMEDICAID QMB
9P01535314OTHERVIRGINIARAILROAD MEDICARE
101639251762OTHERVIRGINIAOPTIMA HEALTH PLAN
11540506332108OTHERVIRGINIATRICARE
121639251762OTHERVIRGINIAHUMANA MEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.