LAWRENCE BLELLOCH (NPI# 1245287416) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1245287416 |
Entity Type | Individual |
Full Name | LAWRENCE BLELLOCH |
Credential | PA |
Practice Address |
6512 Six Forks Rd Suite 102b Raleigh NC 27615-6561 |
Practice Telephone | 9198708845 |
Practice Fax Number | 9198708845 |
Mailing Telephone | 9198708845 |
Mailing Fax Number | 9198708845 |
Enumeration Date | 2006-05-31 |
Last Update Date | 2019-11-21 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363A00000X | Physician Assistant | 101803 | NC | Physician Assistants & Advanced Practice Nursing Providers |
Address | Telephone Number | Fax Number |
---|---|---|
4420 Lake Boone Trl, Raleigh, NC 276077505 | 9197843100 |
Street Address |
6512 SIX FORKS RD SUITE 102B |
City | RALEIGH |
State | NC |
Zip Code | 27615-6561 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043767247 | Comprehensive Health Solutions | Community/Behavioral Health | 6512 Six Forks Rd, Ste # 402, Raleigh, NC 27615-6561 | 2016-09-06 |
1194270744 | Walt Fritz, Lpc, LLC | Counselor | 6512 Six Forks Rd, Suite 104, Raleigh, NC 27615-6561 | 2016-08-23 |
1548714108 | Jaleh Neshat | Home Health | 6512 Six Forks Rd, Ste. 205, Raleigh, NC 27615-6561 | 2016-08-11 |
1487007563 | Vida Counseling, Pllc | Counselor | 6512 Six Forks Rd, Suite 403b, Raleigh, NC 27615-6561 | 2016-07-13 |
1144686130 | Anna Clare Smith | Social Worker | 6512 Six Forks Rd, Suite 200, Raleigh, NC 27615-6561 | 2016-01-07 |
1104222322 | Lauren Lambertus Warren | Counselor | 6512 Six Forks Rd, Suite 200, Raleigh, NC 27615-6561 | 2014-11-16 |
1962803627 | Maxwell Kirn | Social Worker | 6512 Six Forks Rd, Suite 200, Raleigh, NC 27615-6561 | 2014-09-11 |
1912316084 | Phillip Michael Shoe | Counselor | 6512 Six Forks Rd, Suite 403b, Raleigh, NC 27615-6561 | 2014-08-04 |
1215355896 | Kristin Mastro | Counselor | 6512 Six Forks Rd, Suite 403b, Raleigh, NC 27615-6561 | 2014-04-01 |
1134556186 | Assurance Home Care LLC | In Home Supportive Care | 6512 Six Forks Rd, Suite 502b, Raleigh, NC 27615-6561 | 2013-10-07 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588278535 | Emily Grace Johnson | Behavior Technician | 119 Wind Chime Court, Suite 4, Raleigh, NC 27615 | 2020-09-06 |
1730706110 | Maja V Martin, Dds, Pa1 | Clinic/Center | 7371 Six Forks Road, Raleigh, NC 27615 | 2020-07-01 |
1972146967 | Atlantic Avenue Pharmaceutical, Inc | Pharmacy | 5621 Atlantic Ave, Suite 103, Raleigh, NC 27615 | 2019-10-22 |
1023503950 | Siyara Shannay Dobbs | Social Worker | 7013 Woodbend Dr Apt H, Raleigh, NC 27615 | 2018-06-23 |
1194210153 | Brittanie Ja'nell Harris | Dentist | 1911 Falls Valley Dr Ste 107, Raleigh, NC 27615 | 2018-06-22 |
1710489448 | Sherise Swensen | Social Worker | 8368 Six Forks Road, Suite 101, Raleigh, NC 27615 | 2018-03-08 |
1881100345 | Casey Paul Baine | Counselor | 6330 Falls of Neuse Rd Ste 104, Raleigh, NC 27615 | 2017-12-20 |
1588177885 | Michael Lacidonia | Acupuncturist | 6400 Falls of Neuse Rd Ste 200, Raleigh, NC 27615 | 2017-11-08 |
1457877631 | Matt Henderson | Behavioral Analyst | 8374 Six Forks Road, Suite 101, Raleigh, NC 27615 | 2017-08-18 |
1760907646 | Shakeda Muldrow | Social Worker | 7323 Brookbank Lane, Raleigh, NC 27615 | 2017-08-11 |
Find all providers in zip 27615 |
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 |
---|---|---|---|---|
1457961682 | Megan Kathleen Brown | Physician Assistant | 3024 New Bern Ave Ste 102, Raleigh, NC 27610-1247 | 2020-08-03 |
1124640651 | Kayla Marie Sincock | Physician Assistant | 12205 Harcourt Dr, Raleigh, NC 27613-5603 | 2020-05-06 |
1093340531 | Hannah Stanifer | Physician Assistant | 510 N Wilmington St Apt 227, Raleigh, NC 27604-8021 | 2020-03-05 |
1962035642 | Brianna Stolz | Physician Assistant | 3811 Ed Dr Ste 110, Raleigh, NC 27612-2393 | 2020-02-20 |
1316577737 | Jacey Elizabeth Byers | Physician Assistant | 700 Hawes Ct Apt C, Raleigh, NC 27608-1745 | 2020-01-24 |
1033756598 | Julie A Romeis | Physician Assistant | 1929 N Hills Dr Unit G, Raleigh, NC 27612-4022 | 2019-12-04 |
1346886769 | Pooja Parmar | Physician Assistant | 8804 Bluff Pointe Ct, Raleigh, NC 27615-4172 | 2019-11-20 |
1649829557 | Bryan Edwards | Physician Assistant | 4551 New Bern Ave Ste A100, Raleigh, NC 27610-1551 | 2019-09-04 |
1790343192 | Savanah Palen Mullen | Physician Assistant | 10208 Cerny St Ste 204, Raleigh, NC 27617-7885 | 2019-05-31 |
1356906184 | Andrew Paul Apicella | Physician Assistant | 3024 New Bern Ave Ste 302, Raleigh, NC 27610-1247 | 2019-05-07 |
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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.