Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1134449614 Individual Practitioner Female Practitioner

Jamie Lichtenstein Stackman , PA-C

Physician Assistant - Medical • Gaithersburg, MD

Professional Overview & Biography Verified Profile Summary

Jamie Stackman, PA-C is a registered healthcare professional specializing in Physician Assistant - Medical in Gaithersburg, MD. Practice services are available at 7 GRANITE PL STE 14 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

7 Granite Pl Ste 14

Gaithersburg, MD 208786607

Telephone 2406311170
Associated Practice Facility / Clinic
🏢 Jeremy J. Janssen, M.d., P.c. Facility NPI 1891826392

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant - Medical in Gaithersburg, MD

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 13.7 Yrs
State Avg: 15.8 Yrs
Regional Practice Density
12 Specialists

Practicing in Gaithersburg, MD (886 Statewide)

Telehealth Adoption Rate
16.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Physician Assistant - Medical Primary Specialty

NUCC Taxonomy Code: 363AM0700X

State License MD C0004117

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
NPI 1255414371

Doctor of Medicine (M.D.)

Mary Farrar , PA-C

Physician Assistant - Medical

NPI 1417999640

Physician Assistant (Certified)

Michelle Tweedie , PA-C

Physician Assistant

NPI 1518646645

Physician Assistant (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active December 19, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location December 19, 2013

Registered at 7 GRANITE PL STE 14, GAITHERSBURG, MD 208786607 (Tel: 2406311170)

📍
Updated Business Mailing Address December 19, 2013

Registered at 7 GRANITE PLACE, SUITE 14, GAITHERSBURG, MD 208783201 (Tel: 2406311170)

👤
Provider Name / Credentials Updated December 19, 2013

Recorded as JAMIE STACKMAN, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 19, 2013

Physician Assistant (License #C0004117 in MD)

🟢
Initial NPI Registration & Enumeration June 07, 2010

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1134449614
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 07, 2010
Last Update: December 19, 2013
Sole Proprietor: No

Mailing Address

7 Granite Place, Suite 14

Gaithersburg, MD 208783201

Phone: 2406311170

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.