| Johnna Stoup, AUD | |
|
2616 Sherwood Hall Ln Ste 408, Alexandria, VA 22306-3154 | |
| (703) 780-8929 | |
| (703) 921-1056 |
| Full Name | Johnna Stoup |
|---|---|
| Gender | Female |
| Speciality | Audiologist |
| Location | 2616 Sherwood Hall Ln Ste 408, Alexandria, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346975067 | NPI | - | NPPES |
| 2201001884 | Other | VA | VIRGINIA LICENSE |
| 15593720 | Other | CAQH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 231H00000X | Audiologist | 2201001884 (Virginia) | Primary |
| Provider Name | Michael V Massa Med Ccc Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1861717100 PECOS PAC ID: 6002956216 Enrollment ID: O20170109000198 |
| Mailing Address | Practice Location Address |
|---|---|
| Johnna Stoup, AUD 6355 Walker Ln Ste 411, Alexandria, VA 22310-3250 Ph: (703) 922-4262 | Johnna Stoup, AUD 2616 Sherwood Hall Ln Ste 408, Alexandria, VA 22306-3154 Ph: (703) 780-8929 |
Dr. Sarah E Archer, AU.D. Audiologist Medicare: Accepting Medicare Assignments Practice Location: 6355 Walker Lane, Suite 308, Alexandria, VA 22310 Phone: 703-313-7700 Fax: 703-313-0178 | |
Jennifer L Little, AUD, CCC-A Audiologist Medicare: Not Enrolled in Medicare Practice Location: 6355 Walker Ln, 308, Alexandria, VA 22310 Phone: 703-313-7700 Fax: 703-313-0178 | |
Donna Proctor Ettinger, M.ED., CCC-A Audiologist Medicare: Not Enrolled in Medicare Practice Location: 8350 Richmond Hwy, Suite 233, Alexandria, VA 22309 Phone: 703-704-6159 Fax: 703-704-6671 | |
Dr. Jordan Rose Mecca, AUD Audiologist Medicare: Accepting Medicare Assignments Practice Location: 6355 Walker Lane, Suite 308, Alexandria, VA 22310 Phone: 703-313-7700 Fax: 703-313-0178 | |
Ms. Janani Perera, AUD Audiologist Medicare: Medicare Enrolled Practice Location: 6355 Walker Ln Ste 411, Alexandria, VA 22310 Phone: 703-922-4262 Fax: 703-921-1056 | |
Jessica Januszewski, Audiologist Medicare: Medicare Enrolled Practice Location: 2616 Sherwood Hall Ln Ste 408, Alexandria, VA 22306 Phone: 703-780-8929 | |
Dr. Marshall Warren Mcneese, AUD. Audiologist Medicare: Accepting Medicare Assignments Practice Location: 1111 Belle Pre Way Apt 606, Alexandria, VA 22314 Phone: 662-419-5880 |