MICHELLE LEWIS MAYO


Address: 1717 Shipyard Blvd, Suite 220, Wilmington, NC 28401-8023
Phone: 9102549464

MICHELLE LEWIS MAYO (NPI# 1215177878) 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) 1215177878
Entity Type Individual
Full Name MICHELLE LEWIS MAYO
Credential PA-C
Practice Address 1717 Shipyard Blvd
Suite 220
Wilmington
NC 28401-8023
Mailing Address 509 Flagler Dr
Wilmington
NC 28411-7269
Practice Telephone 9102549464
Mailing Telephone 3366690688
Enumeration Date 2009-02-23
Last Update Date 2014-11-07
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
001001709 NC Physician Assistants & Advanced Practice Nursing Providers

Other Providers MICHELLE MAYO

NPI Name Taxonomy Address Enumeration
1134597750 Michelle Mayo Case Manager/Care Coordinator 238 Summar Dr, Jackson, TN 38301-3906 2015-09-14

Office Location

Street Address 1717 SHIPYARD BLVD
SUITE 220
City WILMINGTON
State NC
Zip Code 28401-8023

Providers in the same location

NPI Name Taxonomy Address Enumeration
1649274614 Joseph F Huppmann Dermatology 1717 Shipyard Blvd, Suite 100, Wilmington, NC 28403 2005-06-08
1225636947 Samantha Marie Dubay Physician Assistant 1717 Shipyard Blvd, Wilmington, NC 28403-8023 2020-10-14
1659889780 Rhonda Harrelson Radiologic Technologist 1717 Shipyard Blvd, Wilmington, NC 28403-8023 2018-01-10
1083129050 Jennifer Walker Specialist/Technologist 1717 Shipyard Blvd, Wilmington, NC 28403-8023 2017-12-12
1063927036 Mariah Jacobs Radiologic Technologist 1717 Shipyard Blvd, Wilmington, NC 28403-8023 2017-12-12
1841705811 Jennifer Hester Radiologic Technologist 1717 Shipyard Blvd, Wilmington, NC 28403-8023 2017-12-12
1346607066 Summit Cosmetic Surgery Center Specialist 1717 Shipyard Blvd, Suite 100, Wilmington, NC 28403-8023 2016-01-26
1114300027 Amber L. Smith Radiologic Technologist 1717 Shipyard Blvd, Suite 350, Wilmington, NC 28403 2015-07-09
1942694302 Cynthia Markley Caster Radiologic Technologist 1717 Shipyard Blvd, #350, Wilmington, NC 28403 2015-03-24
1851685010 Shoreline Physical Therapy, LLC Physical Therapist 1717 Shipyard Blvd, Suite 320, Wilmington, NC 28403-8023 2011-06-06
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1275002461 Thrivetothrive, LLC Physical Therapist 1606 Physicians Drive, Inside Promina Health, Wilmington, NC 28401 2018-11-16
1841787454 Kevin Christopher Panebianco Family Medicine 1911 S 17th St Ste 130a, Wilmington, NC 28401 2018-04-18
1518472588 Michelle Bruin Family Medicine 415 S. 2nd Street, Wilmington, NC 28401 2017-12-12
1639617343 Anna Farwell Behavior Technician 3904 Oleander Dr. Suite 102, Wilmington, NC 28401 2017-02-02
1588034144 Dimitri Zivko Pitovski Allergy & Immunology 1099 Medical Center Dr Unit 100b, Wilmington, NC 28401 2015-09-25
1629457007 Megan Havel Counselor 1512 E Lakeshore Drive, Wilmington, NC 28401 2015-05-19
1154709251 Lance Hutchens Dentist 1611 Doctors Cir, Wilmington, NC 28401 2015-05-11
1609281161 Diane Pittman Whitford Counselor 313 Walnut St., Wilmington, NC 28401 2014-06-24
1942550728 Bryan Cole Chalk Nurse Anesthetist, Certified Registered 2131 S 17th Street, Wilmington, NC 28401 2012-09-19
1740566546 Valerie Baars Pharmacist 2302 S 17th Street, Wilmington, NC 28401 2011-10-25
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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
1982244471 Caroline Gooch Reynolds Physician Assistant 340 Sabra Dr, Wilmington, NC 28405-3833 2020-01-13
1821658675 Matthew Hisler Hrin Physician Assistant 5209 W Woodmill Dr Ste 35, Wilmington, DE 19808-4068 2019-06-14
1922461482 Elma Estrada Physician Assistant 200 E. Anaheim Street, Wilmington, CA 90744 2016-04-01
1568833010 N. Barton & Associates Inc. Physician Assistant 3629 Old Capitol Trl, Wilmington, DE 19808-6025 2015-10-09
1770950305 Angelica Jackson Physician Assistant 1982 Eastwood Rd, Wilmington, NC 28403-7213 2015-08-31
1396015939 Access Internal Medicine, PC Physician Assistant 1606 Wellington Ave Ste A, Wilmington, NC 28401-7704 2012-01-11
1679741987 Amy L Strasser Physician Assistant 2700 Silverside Rd Ste 2, Wilmington, DE 19810-3724 2008-02-20
1932387842 Gabrielle Logan Neal-barney Physician Assistant 2301 Delaney Ave, Wilmington, NC 28403-6012 2008-02-01
1528247244 Teresa A. Holler Physician Assistant 4000 Shipyard Blvd Ste 120, Wilmington, NC 28403-6194 2007-10-30
1902922677 Robert Anthony Disibio Jr. Physician Assistant 3322 Silverside Rd, Wilmington, DE 19810 2007-03-22
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Competitor

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City WILMINGTON
Zip Code 28401

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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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