LAURA DERK HART (NPI# 1235192832) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235192832 |
| Entity Type | Individual |
| Full Name | LAURA DERK HART |
| Credential | PA-C |
| Practice Address |
1970 Boulevard Salem VA 24153-6404 |
| Mailing Address |
1970 Roanoke Blvd Salem VA 24153-6404 |
| Practice Telephone | 5409822463 |
| Practice Fax Number | 5408553415 |
| Mailing Telephone | 5409822463 |
| Mailing Fax Number | 5408553415 |
| Enumeration Date | 2006-04-07 |
| Last Update Date | 2012-01-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 0110840267 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689295735 | Laura Hart | Counselor | 105 E Division St Ste 2, Arlington, WA 98223-1288 | 2020-04-29 |
| 1912381385 | Laura Kathryn Hart | Counselor | 13725 Starr Commonwealth Rd, Albion, MI 49224-9525 | 2015-07-16 |
| 1497157374 | Laura Ann Hart | Pharmacist | 1660 S Columbian Way # S119, Seattle, WA 98108-1532 | 2014-09-22 |
| 1073929998 | Laura Hart | Pharmacist | 1111 N Main Ave, Scranton, PA 18508-2109 | 2014-07-11 |
| 1902152135 | Laura Elizabeth Hart | Speech-Language Pathologist | 902 Provident Dr Ste C, Warsaw, IN 46580-3379 | 2012-07-25 |
| 1922392661 | Laura Michelle Hart | Registered Nurse | 493 Mitchell Rd, Wilmington, OH 45177-8519 | 2011-05-28 |
| 1861794364 | Laura Hart | Social Worker | 50 Washington St Ste 751, Norwalk, CT 06854 | 2010-12-03 |
| 1588861975 | Laura J Hart | Speech-Language Pathologist | 50 Parkerville Rd, Chelmsford, MA 01824-3725 | 2007-06-28 |
| 1073557120 | Laura Jeannine Hart | Urology | 1959 Ne Pacific St., Seattle, WA 98195-0001 | 2006-06-16 |
| 1720072234 | Laura Ellen Hart | Nurse Practitioner | 12450 Wayzata Blvd, Suite 215 Ridge Plaza, Minnetonka, MN 55305-1978 | 2005-09-12 |
| Street Address |
1970 BOULEVARD |
| City | SALEM |
| State | VA |
| Zip Code | 24153-6404 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659332906 | Richard M Marencik | Pharmacist | 1970 Boulevard, Salem, VA 24153-6404 | 2006-03-28 |
| 1740230515 | Christopher Lloyd Lentz | Physician Assistant | 1970 Boulevard, Clinic 2, Salem, VA 24153 | 2006-05-11 |
| 1063460582 | Amando Valencia Esguerra | Pathology | 1970 Boulevard, Salem, VA 24153-6404 | 2006-05-05 |
| 1053378737 | Tamara Derrise Morton | Dietitian, Registered | 1970 Boulevard, Salem, VA 24153-6404 | 2006-04-27 |
| 1376509356 | Steven Joseph Lash | Psychologist | 1970 Boulevard, Vamc Psychology Service (116b1), Salem, VA 24153-6404 | 2006-04-26 |
| 1649237454 | Diane Rene Godman | Physician Assistant | 1970 Boulevard, Salem, VA 24153-6404 | 2006-04-26 |
| 1194781476 | Frank Frederick Tellian | Psychiatry & Neurology | 1970 Boulevard, Vamc - Mental Health Clinic - 116a6, Salem, VA 24153-6404 | 2006-04-25 |
| 1386606531 | Elizabeth Ann Pingle | Pharmacist | 1970 Boulevard, Salem, VA 24153-6404 | 2006-04-04 |
| 1144282633 | Rhonda Kay Fletcher | Social Worker | 1970 Boulevard, Salem, VA 24153-6404 | 2006-04-03 |
| 1871555367 | Gordon Mcdonald King | Pharmacist | 1970 Boulevard, Salem, VA 24153-6404 | 2006-04-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669001228 | Paul Mcguire | Student in an Organized Health Care Education/Training Program | 1906 Braeburn Drive Psychiatry Gme, Salem, VA 24153 | 2020-04-06 |
| 1386114965 | Dynamic Medical LLC | Clinical Medical Laboratory | 1201 Texas Street, Salem, VA 24153 | 2018-11-27 |
| 1134607898 | Renew Psychiatry Services | Psychiatry & Neurology | 177 Electric Rd, Salem, VA 24153 | 2018-08-03 |
| 1508304015 | Samantha Getz | Assisted Living Facility | 3706 Knollridge Rd., Salem, VA 24153 | 2017-02-03 |
| 1518409762 | Melissa Ward | Case Manager/Care Coordinator | 1380 Southside Dr, Suite 100, Salem, VA 24153 | 2016-11-04 |
| 1154729051 | Allison Marie Parry | Physician Assistant | 1336 W Main St., Salem, VA 24153 | 2014-12-09 |
| 1598199457 | Stacy Stanley | Occupational Therapy Assistant | 4812 Moore Rd, Salem, VA 24153 | 2013-08-28 |
| 1366888034 | Dolores Hager | Speech-Language Pathologist | 1851 Harrogate Dr, Salem, VA 24153 | 2013-05-21 |
| 1073850764 | Joel Aaron Nickerson | Specialist/Technologist | 400 Spartan Dr., Salem High School, Salem, VA 24153 | 2013-01-15 |
| 1023387271 | National Diabetic Medical Supply, LLC | Durable Medical Equipment & Medical Supplies | 2153 Apperson Drive, Salem, VA 24153 | 2011-12-16 |
| Find all providers in zip 24153 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699374660 | Sarah Ilana Katz | Physician Assistant | 11a Laurel St, Salem, MA 01970-4657 | 2020-10-21 |
| 1306444641 | Zachary Wright | Physician Assistant | 11 Harley Ln, Salem, NH 03079-2888 | 2020-10-09 |
| 1174132195 | Andrew Yosim | Physician Assistant | 1750 Pexton Ave, Salem, VA 24153-4108 | 2020-07-27 |
| 1689202269 | Adam Joyce | Physician Assistant | 1005 Meadowrun Ct, Salem, VA 24153-6687 | 2020-03-30 |
| 1417504085 | Alexis Marie Biewend | Physician Assistant | 1645 Waln Dr Se Apt 263, Salem, OR 97306-2963 | 2019-08-19 |
| 1497309322 | Lindsey Ann Castleberry | Physician Assistant | 1111 Meadow Sage Cir, Salem, UT 84653-5578 | 2019-07-29 |
| 1134773450 | Jillian Netland | Physician Assistant | 6507 Lipscomb St Se, Salem, OR 97317-9513 | 2019-07-25 |
| 1457827354 | Gretchen Amrien | Physician Assistant | 4 Bypass Rd Ste 201, Salem, NJ 08079-2053 | 2018-10-17 |
| 1649751934 | Matthew Hansen | Physician Assistant | 875 Oak St. Se Ste 5020, Salem, OR 97301 | 2018-08-24 |
| 1487152948 | Jessica Lynn Brooks | Physician Assistant | 875 Oak St Se Ste 5060, Salem, OR 97301 | 2018-01-30 |
| Find all providers in SALEM | ||||
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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.