MRS. JAMIE LICHTENSTEIN STACKMAN PA-C
NPI 1134449614
Physician Assistant - Medical in Gaithersburg, MD

Active since June 07, 2010PECOS Enrolled
7 GRANITE PL STE 14, GAITHERSBURG, MD 20878(240) 631-1170 Get Directions Write a Review

NPPES record last updated: December 19, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mrs. Jamie Lichtenstein Stackman Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. JAMIE LICHTENSTEIN STACKMAN PA-C (NPI 1134449614) is an individual medical provider in Gaithersburg, Maryland, licensed in Maryland (C0004117) and active in the NPI registry since June 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1134449614
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMRS. JAMIE LICHTENSTEIN STACKMANCredential: PA-C
Location Address7 GRANITE PL STE 14Gaithersburg, MD 20878-6607
Mailing Address7 Granite Place, Suite 14Gaithersburg, MD 20878-3201 · (240) 631-1170
Sole ProprietorNo
Enumeration DateJune 7, 2010
Last NPPES UpdateDecember 19, 2013
NPI 1134449614 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in MD · C0004117
7 GRANITE PL STE 14, Gaithersburg, MD 20878

Other Names 1

Former Name (1)Ms. Jamie Nicole Lichtenstein Pa-c

Other Identifiers 1

Medicare NSC1134449614MD

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mrs. Jamie Lichtenstein Stackman Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
7 GRANITE PL STE 14
GAITHERSBURG, MD 20878

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1134449614, enumerated as an "individual" on June 07, 2010.

The provider is located at 7 GRANITE PL STE 14 GAITHERSBURG, MD 20878 and the phone number is (240) 631-1170.

Physician Assistant with taxonomy code 363AM0700X and a focus in Medical.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.