HOLLY MARIE O'GRADY VANBENCOTEN (NPI# 1104151729) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104151729 |
| Entity Type | Individual |
| Full Name | HOLLY MARIE O'GRADY VANBENCOTEN |
| Other Name | HOLLY MARIE O'GRADY VANBENCOTEN |
| Credential | P.A. |
| Practice Address |
1714 Back Creek Ct Asheboro NC 27205 |
| Mailing Address |
1714 Back Creek Ct Asheboro NC 27205-4102 |
| Practice Telephone | 7047961309 |
| Enumeration Date | 2009-10-15 |
| Last Update Date | 2019-02-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
NC | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1714 BACK CREEK CT |
| City | ASHEBORO |
| State | NC |
| Zip Code | 27205 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003208349 | Marva Price | Nurse Practitioner | 2222 South Fayetteville Street, Randolph County Health Department, Asheboro, NC 27205 | 2015-02-24 |
| 1982948386 | Sara Ann Coponen | Counselor | 4539 Cross Creek Rd, Asheboro, NC 27205 | 2012-11-26 |
| 1306060280 | Harmon Physical Therapy, Inc | Clinic/Center | 304 Lanier Avenue, Asheboro, NC 27205 | 2007-04-12 |
| 1932154408 | Behavioral Associates of Asheboro | Counselor | 547 N. Fayettevillie Street, Asheboro, NC 27205 | 2006-05-23 |
| 1487120614 | Dallas Welborn Hurley | Nurse Practitioner | 2222 S Fayetteville St Ste B, Asheboro, NC 27205 | 2018-10-15 |
| 1225522592 | Ashley Humble Wilson | Nurse Practitioner | 300 Mack Rd, Suite B, Ashbeoro, NC 27205 | 2018-06-19 |
| 1134356819 | Monarch | Community/Behavioral Health | 837 Oakwood Acres Rd, Asheboro, NC 27205-0910 | 2009-06-19 |
| 1457644791 | Jakia Danielle Marshall | Counselor | 987 Redwood Dr, Asheboro, NC 27205-0926 | 2011-05-19 |
| 1851836662 | Manashi C-lim Therapy Services, Pllc. | Occupational Therapist | 2168 S Lake Dr, Asheboro, NC 27205-1053 | 2017-01-03 |
| 1700310984 | Manashi C-lim Therapy Services, Pllc. | Occupational Therapist | 2168 S Lake Dr, Asheboro, NC 27205-1053 | 2017-04-14 |
| Find all providers in zip 27205 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700939220 | Andrea Marie Johnson | Physician Assistant | 350 N Cox St Ste 28, Asheboro, NC 27203-5514 | 2007-01-19 |
| 1144221508 | Kelly J Trogdon | Physician Assistant | 360 Sunset Ave, Asheboro, NC 27203-5612 | 2005-08-09 |
| 1396069555 | Joseph Brent Leonard Cook | Physician Assistant | 364 White Oak St, Asheboro, NC 27203-5434 | 2010-03-17 |
| 1194056101 | Kate Mcbride | Physician Assistant | 364 White Oak St, Asheboro, NC 27203-5434 | 2010-01-15 |
| 1215010137 | Hans Jurgen White | Physician Assistant | 610 N Fayetteville St, Sute 103, Asheboro, NC 27203-4670 | 2006-10-23 |
| 1396798401 | Jason Vann Phillips | Physician Assistant | 364 White Oak St, Emergency Department, Asheboro, NC 27203-5434 | 2006-05-18 |
| 1154300713 | Edward Saguier | Physician Assistant | 550 White Oak St, Asheboro, NC 27203-4710 | 2006-01-12 |
| 1801872692 | Charles Richard Farabee Jr. | Physician Assistant | 237 N Fayetteville St Ste A, Asheboro, NC 27203-5573 | 2005-12-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902403884 | Billy Scott II | Physician Assistant | 3000 Rogers Rd Ste 100, Wake Forest, NC 27587-5745 | 2020-10-05 |
| 1982213765 | Michaela Lynne Mcbride | Physician Assistant | 9541 Kings Parade Blvd Unit 107, Charlotte, NC 28273-5819 | 2020-07-28 |
| 1386260347 | Elizabeth Warrington Maiche | Physician Assistant | 113 Montgomery Dr, Saluda, NC 28773-7787 | 2020-06-24 |
| 1831715663 | John Wheary | Physician Assistant | 3233 Austin Ave, New Bern, NC 28562-7084 | 2020-06-17 |
| 1629692439 | Julie Anne Augustine | Physician Assistant | 718 S Green St, Winston Salem, NC 27101-5112 | 2020-06-08 |
| 1659995710 | Kristopher Neal Priddy | Physician Assistant | 405 Forest Hill Dr, Shelby, NC 28150-5520 | 2020-06-04 |
| 1710500558 | Christian Wright Fulenwider | Physician Assistant | 104 Linden St, Morganton, NC 28655-3788 | 2020-05-27 |
| 1366065500 | Lisa Lynn Carder | Physician Assistant | 904 Foxcroft Cir Apt D, Shelby, NC 28152-6868 | 2020-05-22 |
| 1982234282 | Brandon Sorkin | Physician Assistant | 280 Executive Park Drive, Suite 100, Concord, NC 28025-2802 | 2020-01-25 |
| 1245860618 | Robert Maughan | Physician Assistant | 129 Bryce Creek Ln, Fayetteville, NC 28303-4981 | 2020-01-24 |
| 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.