Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Stacy L Gittler, PA

Individual provider Surgical Physician Assistant · NPI 1295743847

Stacy L Gittler, PA is a Physician Assistant in Richmond, Virginia. Qualified in 1997, 29 years ago. Practices with Bon Secours Medical Group Richmond Specialty Care LLC, a 354-clinician group and accepts Medicare assignment. Licensed in Pennsylvania and Virginia.

Years since qualifying
29
Licensed in
PA, VA
In the registry since
2006
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

5855 Bremo Rd Ste 406
Richmond, VA 23226-1930
Phone: (804) 285-4133
Fax: (804) 622-2224
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 0110002656 (VA)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence MA052610 (PA)

Record details

NPI number1295743847
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedAugust 3, 2006
Last updated in NPPESMarch 12, 2012

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Group practice Bon Secours Medical Group Richmond Specialty Care Llc — 354 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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