Individual provider · Type 1 NPI

Michaela Melodi Fiscus Poole, PA-C

Physician Assistant · Woodlawn, VA

NPI number 1831002054 Active

Practice location

5261 Carrollton Pike
Woodlawn, VA 24381-3034

Mailing address

7769 W Lee Hwy
Rural Retreat, VA 24368-2797

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X0110012346 (VA)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1831002054

Michaela Melodi Fiscus Poole, PA-C's National Provider Identifier is 1831002054, issued on Sep 28, 2026. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Woodlawn, VA. The record was last updated on Sep 29, 2026.