MRS. VIRGINIA A JETHRO


Address: 1110 Se Cary Pkwy, Suite 206, Cary, NC 27518-7420
Phone: 9194631101

MRS. VIRGINIA A JETHRO (NPI# 1114988292) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1114988292
Entity Type Individual
Full Name MRS. VIRGINIA A JETHRO
Other Name VIRGINIA A BURKE
Credential PA-C
Practice Address 1110 Se Cary Pkwy
Suite 206
Cary
NC 27518-7420
Practice Telephone 9194631101
Practice Fax Number 9194631110
Mailing Telephone 9194631101
Mailing Fax Number 9194631110
Enumeration Date 2006-03-29
Last Update Date 2013-05-15
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
103811 NC Physician Assistants & Advanced Practice Nursing Providers
N 363AM0700X Physician Assistant
Specialization: Medical
MA-052635 PA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1110 SE CARY PKWY
SUITE 206
City CARY
State NC
Zip Code 27518-7420

Providers in the same location

NPI Name Taxonomy Address Enumeration
1154672426 Christopher Michael Surendra Physician Assistant 1110 Se Cary Pkwy, Suite 103, Cary, NC 27518-7420 2012-09-27
1790031656 Jennifer S Hill Physician Assistant 1110 Se Cary Pkwy, Cary, NC 27518-7420 2012-07-30
1033419569 Cary Orthopaedic & Sports Medicine Specialists, Pa Clinic/Center 1110 Se Cary Pkwy, Ste 103, Cary, NC 27518-7420 2010-11-01
1427366905 Kimberly Cakerice Physician Assistant 1110 Se Cary Pkwy, Suite 203, Cary, NC 27518-7420 2010-09-19
1346566536 Quest Diagnostics Clinical Laboratories Inc Clinical Medical Laboratory 1110 Se Cary Pkwy, Cary, NC 27518-7420 2010-04-13
1720231749 Nael Shanti Orthopaedic Surgery 1110 Se Cary Pkwy, Suite 103, Cary, NC 27518-7420 2008-11-04
1184811663 Julie Elizabeth Rockefeller Speech-Language Pathologist 1110 Se Cary Pkwy, Cary, NC 27518-7420 2007-09-28
1801091343 Kelly Pate Nguyen Nurse Practitioner 1110 Se Cary Pkwy, Suite 206, Cary, NC 27518-7420 2007-06-15
1780896589 Jennifer Susanne Taylor Physician Assistant 1110 Se Cary Pkwy, Ste. 203, Cary, NC 27518-7420 2007-05-04
1326184870 Christopher Lin Physical Medicine & Rehabilitation 1110 Se Cary Pkwy, Cary, NC 27518-7420 2007-01-30
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1932730801 Fuller & Associates Iv, Pllc Dentist 3420 Ten-ten Road, Suite 310, Cary, NC 27518 2020-01-30
1649761602 Uday N Reebye, Md. Dmd, Pa Dentist 431 Keisler Dr Ste 101, Cary, NC 27518 2018-05-25
1164912093 Cary Dental Rejuvenation Dentist 155 Parkway Office Court, Suite 104, Cary, NC 27518 2018-05-16
1104337021 Kaylah Mckinley Black Nurse Practitioner 530 New Waverly Pl Ste 301, Cary, NC 27518 2017-10-18
1013442961 Amber Pinsky Occupational Therapist 5310 Woodfield Lake Road, Cary, NC 27518 2017-04-28
1750733564 Maureen Lyons Reardon Psychologist 2500 Regency Parkway, Cary, NC 27518 2016-07-05
1730539651 Anna Liakh Dentist 8204 Tryon Woods Dr, Cary, NC 27518 2016-06-21
1609236173 Matthew John Myschisin II Chiropractor 4312 Farm Brook Dr, Cary, NC 27518 2016-02-26
1003299405 Amanda Lee Morris Social Worker 531 Keisler Dr Ste 104, Cary, NC 27518 2015-07-02
1053791343 Duke University Affiliated Physicians Family Medicine 530 Waverly Place, Suite 101, Cary, NC 27518 2015-06-02
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1336438829 Claire E Goodwin Physician Assistant 115 Cresent Commons Drive, Suite 200, Cary, NC 27518-8102 2011-04-05
1073572673 Cheryl A. Beauman Physician Assistant 115 Crescent Commons Dr, Suite 200, Cary, NC 27518-8102 2006-03-22
1356997381 Melanie Buchanan Overcash Physician Assistant 540 New Waverly Pl Ste 200, Cary, NC 27518-7422 2019-08-15
1396390514 Alexandra Rosse Ginn Physician Assistant 1900 Kildaire Farm Rd, Cary, NC 27518-6616 2019-08-05
1972083020 Courtney Nicole Antoinette Lubick Physician Assistant 100 Cornerstone Dr, Cary, NC 27519-8453 2018-08-17
1740738061 Veronica Crump Physician Assistant 3700 Nw Cary Pkwy Ste 110, Cary, NC 27513-8446 2016-09-15
1073978854 Amy Arruda Physician Assistant 400 Keisler Dr, Cary, NC 27518-7069 2015-12-22
1396129300 Katherine Peregrin Physician Assistant 210 Towne Village Dr, Weppa, Cary, NC 27513-8910 2015-07-20
1881932481 Kelly Weitz Physician Assistant 115 Kildaire Park Drive, Suite 301, Cary, NC 27518 2013-01-17
1427366905 Kimberly Cakerice Physician Assistant 1110 Se Cary Pkwy, Suite 203, Cary, NC 27518-7420 2010-09-19
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Competitor

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City CARY
Zip Code 27518

Improve Information

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Dataset Information

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.

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