ROBIN ELIZABETH JENDRAZAK (NPI# 1003271156) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1003271156 |
Entity Type | Individual |
Full Name | ROBIN ELIZABETH JENDRAZAK |
Credential | OPA-C |
Practice Address |
2716 Ashton Dr Wilmington NC 28412-2489 |
Practice Telephone | 9103323800 |
Practice Fax Number | 9103323833 |
Mailing Telephone | 9103323800 |
Mailing Fax Number | 9103323833 |
Enumeration Date | 2015-12-16 |
Last Update Date | 2015-12-16 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
1255 | NC | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
2716 ASHTON DR |
City | WILMINGTON |
State | NC |
Zip Code | 28412-2489 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063413243 | Albert W Marr | Orthopaedic Surgery | 2716 Ashton Dr, Wilmington, NC 28412-2489 | 2005-08-10 |
1528536091 | Mikaela Paige Davis | Specialist/Technologist | 2716 Ashton Dr, Wilmington, NC 28412-2489 | 2018-11-02 |
1538602792 | Kayla Workman | Physical Therapist | 2716 Ashton Dr, Wilmington, NC 28412-2489 | 2016-11-21 |
1528416831 | Emergeortho, Pa | Orthopaedic Surgery | 2716 Ashton Dr, Wilmington, NC 28412-2489 | 2016-05-26 |
1710333885 | Kathleen Mcgowan | Occupational Therapist | 2716 Ashton Dr, Wilmington, NC 28412-2489 | 2016-05-09 |
1174978506 | David Francis Clawson | Occupational Therapist | 2716 Ashton Dr, Wilmington, NC 28412-2489 | 2016-05-04 |
1285053082 | Kelly Esposito | Orthopaedic Surgery | 2716 Ashton Dr, Wilmington, NC 28412-2489 | 2014-04-09 |
1588908149 | Susan Sobel | Nurse Practitioner | 2716 Ashton Dr, Wilmington, NC 28412-2489 | 2012-11-20 |
1295009827 | Kathryn Robbins Finch | Physician Assistant | 2716 Ashton Dr, Wilmington, NC 28412-2489 | 2012-02-29 |
1689992745 | Christopher D Parks | Orthopaedic Surgery | 2716 Ashton Dr, Wilmington, NC 28412-2489 | 2010-05-13 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891357166 | Alexandra Palamaru | Dentist | 2759, 6132 Carolina Beach Rd., 6, Wilmington, NC 28412 | 2019-07-08 |
1447640115 | Carrie Anne Emory | Physician Assistant | 1124 Gallery Park Blvd, #200, Wilmington, NC 28412 | 2015-02-02 |
1144639295 | Christina Marie Terry | Physical Therapist | 7842 Champlain Dr, Wilmington, NC 28412 | 2014-08-03 |
1972889715 | New Hanover House, LLC | Assisted Living Facility | 3915 Stedwick Court, Wilmington, NC 28412 | 2011-10-25 |
1538440672 | Celine Adair | Marriage & Family Therapist | 9809 River Rd, Wilmington, NC 28412 | 2011-09-02 |
1033412267 | American Anesthesiology of North Carolina, Pllc | Anesthesiology | 2520 Independence Blvd, Suite 200, Wilmington, NC 28412 | 2010-12-09 |
1932418357 | Dale Autry | Pharmacist | 3625 South College Road, Wilmington, NC 28412 | 2010-10-04 |
1528390762 | Sheila Flynn | Counselor | 710 St. Andrews Dr. #18, Wilmington, NC 28412 | 2010-02-12 |
1952563686 | Stephen Rolfe Wells | Anesthesiology | 2520 Independence Boulevard, Suite 200, Wilmington, NC 28412 | 2008-06-25 |
1396902722 | Henry D Browning Iv | Dentist | 604 Junction Creek, Wilmington, NC 28412 | 2008-05-22 |
Find all providers in zip 28412 |
Taxonomy Code | 363AS0400X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Surgical Technologist |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255757936 | Megan Lenore Mcnamara | Physician Assistant | 2504 Delaney Ave, Wilmington, NC 28403-6002 | 2014-03-05 |
1659597870 | Todd Francis Cox Cecchini | Physician Assistant | 7th & Clayton, Wilmington, DE 19805 | 2007-04-17 |
1124162581 | Robert Sean Hensler | Physician Assistant | 2800 Ashton Dr Ste 100, Wilmington, NC 28412-2486 | 2007-02-19 |
1154386340 | Yvonne Desmet | Physician Assistant | 1025 Medical Center Dr., Suite 201, Wilmington, NC 28401-7354 | 2006-04-19 |
1417912007 | Jeffrey Probst | Physician Assistant | 2800 Ashton Dr, Wilmington, NC 28412-2575 | 2006-04-18 |
1033171962 | Michele Deeley Stavovy | Physician Assistant | 1202 Medical Center Drive, Wilmington, NC 28401-7307 | 2006-04-05 |
1164428041 | Ryan Murphy | Physician Assistant | 5220 Oleander Dr, Second Floor, Wilmington, NC 28403-7021 | 2005-06-24 |
1255967824 | Robert Nelson | Physician Assistant | 5220 Oleander Dr, Wilmington, NC 28403-7021 | 2020-03-16 |
1023590502 | Chase Jonathan Whelan | Physician Assistant | 2208 S 17th St Ste 201, Wilmington, NC 28401 | 2018-08-31 |
1477060614 | Joshua William Ward | Physician Assistant | 2208 S 17th St Ste 201, Wilmington, NC 28401-7594 | 2018-01-09 |
Find all providers in WILMINGTON |
City | WILMINGTON |
Zip Code | 28412 |
Please comment or provide details below to improve the information on ROBIN ELIZABETH JENDRAZAK.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.