MR. JASON S URSO (NPI# 1205812666) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205812666 |
| Entity Type | Individual |
| Full Name | MR. JASON S URSO |
| Credential | REGISTERED PA |
| Practice Address |
920 Church St N Concord NC 28025-2927 |
| Mailing Address |
804 Scott Nixon Memorial Dr Augusta GA 30907-2464 |
| Practice Telephone | 7044031430 |
| Practice Fax Number | 7044031158 |
| Mailing Telephone | 8003944445 |
| Mailing Fax Number | 7066501034 |
| Enumeration Date | 2005-12-19 |
| Last Update Date | 2014-02-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
0010-02122 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
009412-1 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | LEGACY | 5489L1 | 01 |
| Street Address |
920 CHURCH ST N |
| City | CONCORD |
| State | NC |
| Zip Code | 28025-2927 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386647808 | Leanne Smith | Nurse Anesthetist, Certified Registered | 920 Church St N, Concord, NC 28025-2927 | 2005-05-30 |
| 1104431014 | Mrunmayee Manohar Shete | Genetic Counselor, MS | 920 Church St N, Concord, NC 28025-2927 | 2020-09-09 |
| 1083232144 | Sarah Elizabeth Garfinkle | Pharmacist | 920 Church St N, Concord, NC 28025-2927 | 2020-07-06 |
| 1184248924 | Dustin Edwards | Physician Assistant | 920 Church St N, Concord, NC 28025-2927 | 2020-06-06 |
| 1396372892 | Zaki Krishan Faraz Dard | Student in an Organized Health Care Education/Training Program | 920 Church St N, Concord, NC 28025-2927 | 2020-03-24 |
| 1477185825 | Tonda Vanderburg Proulx | Nurse Practitioner | 920 Church St N, Concord, NC 28025-2927 | 2020-02-04 |
| 1245870724 | Caroline A. Miller | Nurse Anesthetist, Certified Registered | 920 Church St N, Concord, NC 28025-2927 | 2020-01-13 |
| 1316585417 | Adam Beam | Nurse Anesthetist, Certified Registered | 920 Church St N, Concord, NC 28025-2927 | 2019-12-19 |
| 1114565496 | Kendal Brianne Mcmakin | Nurse Anesthetist, Certified Registered | 920 Church St N, Concord, NC 28025-2927 | 2019-12-17 |
| 1962053561 | Amanda Huneycutt Helms | Nurse Practitioner | 920 Church St N, Concord, NC 28025-2927 | 2019-09-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053910729 | Renewed Mindset Therapeutic Services, Pllc | Social Worker | 349 Copperfield Blvd Suite L #334, Concord, NC 28025 | 2020-10-22 |
| 1194284380 | Carolinas Physicians Network Inc | Internal Medicine | 610 Alfred Brown Jr. Court, Concord, NC 28025 | 2019-03-18 |
| 1164913596 | Damarius Raymond Faggart | Counselor | 503 Amhurst Drive, Concord, NC 28025 | 2018-05-22 |
| 1437677085 | Kathryn Emily Kanauer | Counselor | 280 Executive Park Dr Ne, Concord, NC 28025 | 2017-09-05 |
| 1649794439 | Foster Health & Homecare, LLC | Home Health | 363 Church Street North, Suite 260-i, Concord, NC 28025 | 2017-08-02 |
| 1326569336 | Jessie Leigh Tilley-compton | Social Worker | 371 Amhurst St Sw, Concord, NC 28025 | 2017-06-29 |
| 1609305663 | Sarah Katherine Thompson | Licensed Practical Nurse | 248 Executive Park Dr, Concord, NC 28025 | 2017-06-05 |
| 1023463098 | Kiera Brown | Social Worker | 219 Lephillip Court, Concord, NC 28025 | 2016-04-27 |
| 1992169445 | Brittiny N. Ingram Vanterpool | Counselor | 250 Branchview Dr Sw, Concord, NC 28025 | 2016-04-11 |
| 1215399852 | The Charlotte-mecklenburg Hospital Authority | Clinic/Center | 840 Warren C. Coleman Blvd, Concord, NC 28025 | 2016-03-23 |
| Find all providers in zip 28025 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982234282 | Brandon Sorkin | Physician Assistant | 280 Executive Park Drive, Suite 100, Concord, NC 28025-2802 | 2020-01-25 |
| 1083252357 | Kelsey Ann Rothenberg | Physician Assistant | 284 Executive Park Dr Ste 110, Concord, NC 28025-1834 | 2019-12-17 |
| 1336557644 | Brian Daniel II | Physician Assistant | 2380 Salvio St, Concord, CA 94520-2193 | 2014-07-30 |
| 1447529573 | Sharon Yvonne Leavitt | Physician Assistant | 2095 Diamond Blvd Ste B150, Concord, CA 94520-5832 | 2011-12-19 |
| 1467588087 | Lynde Rouche | Physician Assistant | 1260 Hale Dr, Concord, CA 94518-1516 | 2007-02-26 |
| 1114069259 | Svetlana Alexander Lisovskiy | Physician Assistant | 2425 East St Ste 15, Concord, CA 94520-1926 | 2007-02-13 |
| 1457360802 | Alan D Parzick | Physician Assistant | 264 Pleasant Street, Concord, NH 03301-2551 | 2006-08-05 |
| 1013973858 | Jeniane L. Rathburn | Physician Assistant | 201 E Main Street, Concord Health Center, Concord, VT 05824-0355 | 2006-04-21 |
| 1740245224 | Alison Jean Dominguez | Physician Assistant | 1070 Vinehaven Dr Ne, Concord, NC 28025-2438 | 2006-04-19 |
| 1386611895 | David Alan Johnson | Physician Assistant | 219 Le Phillip Ct, Concord, NC 28025-2900 | 2006-03-02 |
| Find all providers in CONCORD | ||||
Please comment or provide details below to improve the information on MR. JASON S URSO.
| 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.