TATEISHA LYNELLE PAGE (NPI# 1134765423) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1134765423 |
Entity Type | Individual |
Full Name | TATEISHA LYNELLE PAGE |
Credential | PA |
Practice Address |
113 S Pine St Warsaw NC 28398-1924 |
Practice Telephone | 9102937246 |
Mailing Telephone | 9102937246 |
Enumeration Date | 2019-11-21 |
Last Update Date | 2019-12-17 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
0010-09435 | NC | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
113 S PINE ST |
City | WARSAW |
State | NC |
Zip Code | 28398-1924 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063448231 | Abayomi S Adediran | Family Medicine | 113 S Pine St, Warsaw, NC 28398-1924 | 2006-06-22 |
1447782354 | Jordan Gibble | Nurse Practitioner | 113 S Pine St, Warsaw, NC 28398-1924 | 2017-03-30 |
1649397357 | Linda K Flowers | Nurse Practitioner | 113 S Pine St, Warsaw, NC 28398-1924 | 2007-03-26 |
1457477820 | Goshen Medical Center Incorporated | Clinic/Center | 113 S Pine St, Warsaw, NC 28398-1924 | 2007-03-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659895985 | Jessica Lanier Gillen | Physical Therapy Assistant | 214 Lane Field Rd, Warsaw, NC 28398 | 2017-07-28 |
1023386190 | Afs of Warsaw, Inc. | Skilled Nursing Facility | 214 Lanefield Road, Warsaw, NC 28398 | 2011-12-05 |
1205195492 | Sovran Senior Living LLC | Assisted Living Facility | 214 Lanefield Rd, Warsaw, NC 28398 | 2012-05-09 |
1588736458 | William J Stoppelbein | Dentist | 121 Duplin Professional Court, Warsaw, NC 28398-0424 | 2006-11-15 |
1972650059 | Stoppelbein & Hardison, Dds Pa | Dentist | 121 Duplin Professional Court, Warsaw, NC 28398-0424 | 2007-01-04 |
1922170802 | Christopher D Hardison | Dentist | 121 Duplin Professional Court, Warsaw, NC 28398-0424 | 2006-11-15 |
1851423610 | Unified Nursing Care Service | Home Health | 103 W Chelly St, Warsaw, NC 28398-1332 | 2007-03-09 |
1467781898 | Omega Home Care Agency | Home Health | 213 E North St, Warsaw, NC 28398-1432 | 2009-12-14 |
1134669633 | Smarter Companion Care | Respite Care | 105 Clark Plz, Warsaw, NC 28398-1800 | 2017-03-02 |
1376552331 | Rai Care Centers of North Carolina II, LLC | Clinic/Center | 213 West College Street, Warsaw, NC 28398-1811 | 2006-08-07 |
Find all providers in zip 28398 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669954475 | Erika Vanelle Marin | Physician Assistant | 2680 Escalade Way, Warsaw, IN 46582 | 2018-08-29 |
1235217258 | Duplin Medical Association | Physician Assistant | 107 N Center St, Warsaw, NC 28398-1933 | 2006-11-01 |
1326271677 | Marcus William Scott | Physician Assistant | 2235 Dubois Dr, Warsaw, IN 46580-3212 | 2009-09-02 |
1861661266 | Thomas Michael Edwards | Physician Assistant | 400 N Main St, Warsaw, NY 14569-1025 | 2008-02-29 |
1528098308 | Lori Jane Mills | Physician Assistant | 3151 E Center Street Ext, Warsaw, IN 46582-3901 | 2006-07-04 |
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 |
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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.