CHARLES FRANCIS KRESHO (NPI# 1023003910) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023003910 |
| Entity Type | Individual |
| Full Name | CHARLES FRANCIS KRESHO |
| Credential | PA-C |
| Practice Address |
810 W H Smith Blvd Greenville NC 27834-3763 |
| Practice Telephone | 2527572663 |
| Practice Fax Number | 2523170829 |
| Mailing Telephone | 2527572663 |
| Mailing Fax Number | 2523170829 |
| Enumeration Date | 2005-09-16 |
| Last Update Date | 2017-03-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 103766 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DME MAC JURSIDICTION C | 1274070001 | 01 | |
| RAILROAD MEDICARE | P00405394 | 01 |
| Street Address |
810 W H SMITH BLVD |
| City | GREENVILLE |
| State | NC |
| Zip Code | 27834-3763 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316941958 | Bruce D. Wilhelmsen | Specialist | 810 W H Smith Blvd, Greenville, NC 27834-3763 | 2005-06-10 |
| 1013176965 | Shawn Michael Hopkins | Physician Assistant | 810 W H Smith Blvd, Greenville, NC 27834-3763 | 2008-06-05 |
| 1710190673 | Anthony Francis Skalak | Orthopaedic Surgery | 810 W H Smith Blvd, Greenville, NC 27834-3763 | 2007-05-08 |
| 1659310373 | Robert Franklin Mooring IIi | Physician Assistant | 810 W H Smith Blvd, Greenville, NC 27834-3763 | 2006-06-06 |
| 1093763237 | David A Baker | Physician Assistant | 810 W H Smith Blvd, Greenville, NC 27834-3763 | 2006-05-04 |
| 1780655803 | Orthopaedics East & Sports Medicine Center, Inc. | Specialist | 810 W H Smith Blvd, Greenville, NC 27834-3763 | 2006-01-27 |
| 1972599512 | Charles Thomas White Jr. | Physical Therapist | 810 W H Smith Blvd, Greenville, NC 27834-3763 | 2005-09-20 |
| 1699761239 | Sharon Wiggins Bullard | Physical Therapist | 810 W H Smith Blvd, Greenville, NC 27834-3763 | 2005-09-20 |
| 1134114127 | Ronald Winston Bewick | Physician Assistant | 810 W H Smith Blvd, Greenville, NC 27834-3763 | 2005-09-15 |
| 1720073943 | Edwin Clary Bartlett | Orthopaedic Surgery | 810 W H Smith Blvd, Greenville, NC 27834-3763 | 2005-09-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841801255 | Nicholas Mcarthur Bennett | Day Training, Developmentally Disabled Services | 302 C, Greenville, NC 27834 | 2020-08-11 |
| 1275150245 | Shelby Renee Jones | Student in an Organized Health Care Education/Training Program | East Carolina University College of Nursing, 600 Moye Blvd, Greenville, NC 27834 | 2020-06-25 |
| 1194347138 | Soban Ahmad | Student in an Organized Health Care Education/Training Program | 600 Moye Blvd., Vmc Ma Room 350. Internal Medicine Resi, Mailstop #734, Greenville, NC 27834 | 2020-05-13 |
| 1427687789 | Brandon Allen Yates | Student in an Organized Health Care Education/Training Program | 435 Clinic Drive, Greenville, NC 27834 | 2020-04-07 |
| 1144854407 | Kristen Springer Dreyfus | Marriage & Family Therapist | 2609 West Arlington Blvd Suite 106, Greenville, NC 27834 | 2020-02-26 |
| 1861038606 | Southern Surgical Outpatient Surgery Center, Pa | Clinic/Center | 2457 Emerald Place, Greenville, NC 27834 | 2019-11-26 |
| 1003460569 | Shaun Fitzpatrick | Nurse Practitioner | Physicians East, Pa 1850 W. Arlington Blvd., Greenville, NC 27834 | 2019-08-01 |
| 1649831496 | Katherine Salome Ross | Genetic Counselor, MS | 524 Moye Blvd, Greenville, NC 27834 | 2019-06-24 |
| 1477011880 | Lauren Bethune Scroggs | Counselor | 2150 West 5th Street, Health Sciences Building Mailstop 688, Greenville, NC 27834 | 2019-03-05 |
| 1669998001 | Idella's Care Home | Community/Behavioral Health | 2912 Lee Ct # 9a, Greenville, NC 27834 | 2017-08-17 |
| Find all providers in zip 27834 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | 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, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053924977 | Caitlyn N Jetter | Physician Assistant | 7238 N State Route 49, Greenville, OH 45331-8302 | 2020-08-29 |
| 1720618291 | Kaitlin Stover | Physician Assistant | 3444 Briarcliff Dr Apt K, Greenville, NC 27834-5419 | 2020-01-23 |
| 1962044321 | Tyler Robert Tefft | Physician Assistant | 25 Draper St Apt 129, Greenville, SC 29611-4786 | 2019-10-17 |
| 1780157842 | Briana Welch Denton | Physician Assistant | 2101 W Arlington Blvd # 100, Greenville, NC 27834-5758 | 2019-01-10 |
| 1548732027 | Jennifer Pedersen | Physician Assistant | 14314 Canter Trl, Greenville, SC 29609-0964 | 2018-12-21 |
| 1972089092 | Sarah Eileen Mann | Physician Assistant | 315 Greenville Blvd Se Ste 100, Greenville, NC 27858-5733 | 2018-07-11 |
| 1134588478 | Sarah Roeser | Physician Assistant | 2090 W Arlington Blvd Ste B, Greenville, NC 27834-5727 | 2016-02-15 |
| 1992177760 | Robert Chapman | Physician Assistant | 126 Milestone Way, Greenville, SC 29615-5065 | 2015-10-20 |
| 1497137756 | Alexandra Brooks | Physician Assistant | 2706 Aileen St Ste B, Greenville, TX 75402-6486 | 2015-06-23 |
| 1558776633 | David Jonathan Cutter | Physician Assistant | 1202 W Oak St Ste 200, Greenville, MI 48838-2155 | 2014-06-26 |
| Find all providers in GREENVILLE | ||||
| City | GREENVILLE |
| Zip Code | 27834 |
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| 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.