Provider Demographics
NPI:1033215827
Name:POCSIK, STEPHANIE (MD)
Entity type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:
Last Name:POCSIK
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2610 GASKINS RD STE B
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23238-1403
Mailing Address - Country:US
Mailing Address - Phone:804-548-4700
Mailing Address - Fax:804-548-4788
Practice Address - Street 1:2610 GASKINS RD STE B
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23238-1403
Practice Address - Country:US
Practice Address - Phone:804-548-4700
Practice Address - Fax:804-548-4788
Is Sole Proprietor?:No
Enumeration Date:2006-09-16
Last Update Date:2024-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101280396208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1033215827Medicaid
OK0843393-01Medicaid
OKP087K3144Medicaid