AUDREY CATHERINE FORTEZZO (NPI# 1023547585) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023547585 |
| Entity Type | Individual |
| Full Name | AUDREY CATHERINE FORTEZZO |
| Credential | PA-C |
| Practice Address |
581 Leroy George Dr Ste 300 Clyde NC 28721-8085 |
| Mailing Address |
1112 Asheville Springs Cir Asheville NC 28806 |
| Practice Telephone | 8284524131 |
| Mailing Telephone | 9499396215 |
| Enumeration Date | 2017-06-08 |
| Last Update Date | 2017-09-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
0010-07529 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
581 LEROY GEORGE DR STE 300 |
| City | CLYDE |
| State | NC |
| Zip Code | 28721-8085 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659828366 | Arcadia Pathology Network, Pllc | Pathology | 262 Leroy George Dr Pathology, Clyde, NC 28721 | 2016-09-10 |
| 1063760999 | Jenny Helms Caldwell | Pharmacist | 231 Ironwood Dr., Clyde, NC 28721 | 2012-08-27 |
| 1306112958 | Lynette Mount | Specialist/Technologist | 76 Leroy George Drive, Clyde, NC 28721 | 2012-03-28 |
| 1821242926 | Haywood Regional Medical Center | Clinic/Center | 75 Leroy George Drive, Clyde, NC 28721 | 2008-11-17 |
| 1770757338 | Colin James Bridger | Physical Therapist | 262 Leroy George Dve, Clyde, NC 28721 | 2008-04-15 |
| 1851585236 | Lori Anne Gerber | Counselor | 33 Sharon Lynne Way, Clyde, NC 28721 | 2007-08-29 |
| 1487779328 | Sandra Y Fowler | Social Worker | 73 Main St., Clyde, NC 28721 | 2007-03-20 |
| 1164593810 | County of Haywood | Case Management | 157 Paragon Pkwy Ste 300, Clyde, NC 28721 | 2006-11-13 |
| 1992779730 | Leroy S Crapanzano Jr. | Dentist | 157 Paragon Parkway, Haywood County Health Department, Clyde, NC 28721 | 2006-02-16 |
| 1063492007 | Ann Marie Mcdonald | Nurse Practitioner | 360 Hospital Dr Ste 120, Clyde, NC 28721 | 2006-01-17 |
| Find all providers in zip 28721 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770722019 | Aaron James Giese | Physician Assistant | 262 Leroy George Dr, Ste M, Clyde, NC 28721-7430 | 2009-02-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174170575 | Katherine Mccullough | Physician Assistant | Duke University Medicine Center 2301 Erwin Rd, Durham, NC 27710-0001 | 2019-08-20 |
| 1740845148 | Brenda Kay Dushek | Physician Assistant | 20 Medical Campus Dr Nw Ste 104, Supply, NC 28462-4094 | 2019-05-01 |
| 1851955579 | Morgan Elizabeth Bridgers | Physician Assistant | 4051 Burnett Womack Dept of Surgery Cb 7050, Chapel Hill, NC 27599-1843 | 2019-04-29 |
| 1265947725 | Molly Cunningham Pradhan | Physician Assistant | 2301 Erwin Road Dumc 2945, Durham, NC 27710-0001 | 2017-12-06 |
| 1497273700 | Joseph Cameron Jones | Physician Assistant | 404 Westwood Ave Ste 303, High Point, NC 27262-4315 | 2017-09-07 |
| 1871011106 | Tashianna Renee Stockton | Physician Assistant | 101 Manning Drive Cb #7600, Chapel Hill, NC 27599-0001 | 2017-09-07 |
| 1205365335 | Joe Gates | Physician Assistant | 408 8th St Ste 1, North Wilkesboro, NC 28659-4167 | 2017-06-12 |
| 1184013294 | Danielle King | Physician Assistant | 3611 N Duke Street, Durham, NC 27704 | 2015-01-13 |
| 1629474978 | Gary Lee Aldrich Jr. | Physician Assistant | 103a Mcalpine Ln, Laurinburg, NC 28352-4637 | 2014-11-14 |
| 1255757936 | Megan Lenore Mcnamara | Physician Assistant | 2504 Delaney Ave, Wilmington, NC 28403-6002 | 2014-03-05 |
| Find all providers with the same taxonomy | ||||
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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.