JESSICA MARTISSA (NPI# 1093253452) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093253452 |
| Entity Type | Individual |
| Full Name | JESSICA MARTISSA |
| Credential | MMSC, PA-C |
| Practice Address |
Unc Dept of Radiology 2000 Old Clinic Bldg Campus Box #7510 Chapel Hill NC 27599-7510 |
| Practice Telephone | 9198438741 |
| Practice Fax Number | 9198433957 |
| Mailing Telephone | 9198438741 |
| Mailing Fax Number | 9198433957 |
| Enumeration Date | 2017-02-06 |
| Last Update Date | 2017-02-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | NC | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
UNC DEPT OF RADIOLOGY 2000 OLD CLINIC BLDG CAMPUS BOX #7510 |
| City | CHAPEL HILL |
| State | NC |
| Zip Code | 27599-7510 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366060386 | Makayla Brooke Gresham | Dentist | 120 Dental Circle, Chapel Hill, NC 27599 | 2020-07-07 |
| 1609436385 | Elnaz N/a Gharah Bash | Dentist | Unc Adams School of Dentistry, Dept of Periodontology 111 Brauer Hall, Chapel Hill, NC 27599 | 2019-06-16 |
| 1528558384 | Alexandria Sims Hart | Student in an Organized Health Care Education/Training Program | Nc2198 Unc Hospitals Cb# 7010, Chapel Hill, NC 27599 | 2018-05-16 |
| 1972091833 | Kaila Tindle Yeste | Student in an Organized Health Care Education/Training Program | 101 Manning Drive Nc Memorial Hospital, Rm N1183 To Cb 7200, Chapel Hill, NC 27599 | 2018-04-26 |
| 1457860272 | Hiromi Nakamura | Dentist | 5441g Koury Oral Health Science Bulding, Chapel Hill, NC 27599 | 2017-09-25 |
| 1902324627 | Gustavo Ernesto Mahn Arteaga | Student in an Organized Health Care Education/Training Program | 401 Brauer Hall Operative Graduate Clinic, Chapel Hill, NC 27599 | 2017-09-01 |
| 1386165736 | Susun Theresa Kim | Dentist | Dept of Prosthodontics, Unc School of Dentistry, 330 Brauer Hall, Chapel Hill, NC 27599 | 2017-07-06 |
| 1407381148 | Shelby Lauren Register | Student in an Organized Health Care Education/Training Program | 101 Manning Drive, Cb# 7160, Chapel Hill, NC 27599 | 2017-05-01 |
| 1386021723 | Andrew Coniglio | Student in an Organized Health Care Education/Training Program | 170 Manning Drive, Cb 7070, Phys Off Bldg Room G190, Chapel Hill, NC 27599 | 2015-05-06 |
| 1871970319 | Laura Parente | Pediatrics | 260 Macnider Building Cb # 7220, 321 S Columbia Street Unc School of Medicine, Chapel Hill, NC 27599 | 2015-05-05 |
| Find all providers in zip 27599 | ||||
| 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 |
|---|---|---|---|---|
| 1043819741 | Brad Russell Tolan | Physician Assistant | 211 Pinegate Cir Apt 12, Chapel Hill, NC 27514-2221 | 2020-10-22 |
| 1669079034 | Christine Meyer | Physician Assistant | 2523 Creek Ridge Ln, Chapel Hill, NC 27514-7454 | 2020-10-07 |
| 1104433382 | Aditi Bhattacharjee Sundaresan | Physician Assistant | 131 Mallard Ct, Chapel Hill, NC 27517-9104 | 2020-09-30 |
| 1164031720 | Morgan Taylor Locklear | Physician Assistant | 360 Plaza Dr Apt B, Chapel Hill, NC 27517-7761 | 2020-07-29 |
| 1255893046 | Alan E Stuart | Physician Assistant | 900 Martin Luther King Jr Blvd Ste B, Chapel Hill, NC 27514-2601 | 2019-04-02 |
| 1316484702 | Eric Edward Conologue | Physician Assistant | 101 Cosgrove Ave Ste 110, Chapel Hill, NC 27514 | 2017-01-24 |
| 1083161384 | Rachel Kubin | Physician Assistant | 6610 Maynard Farm Rd, Chapel Hill, NC 27516-4100 | 2016-09-02 |
| 1871952812 | Cassiopeia Anne Cutchis Frank | Physician Assistant | N Carolina Cancer Hospital Unc, 170 Manning Dr, 3rd Floor, Chapel Hill, NC 27599-0001 | 2016-02-18 |
| 1801264049 | Todd Mcveigh | Physician Assistant | 304 Tripp Farm Rd, Chapel Hill, NC 27516-7716 | 2015-09-04 |
| 1922402452 | Gregory Retson | Physician Assistant | 6013 Farrington Rd Ste 101, Chapel Hill, NC 27517-8173 | 2014-10-13 |
| Find all providers in CHAPEL HILL | ||||
| City | CHAPEL HILL |
| Zip Code | 27599 |
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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.