MS. EDITH LOSEY WIGMAN (NPI# 1306985643) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306985643 |
| Entity Type | Individual |
| Full Name | MS. EDITH LOSEY WIGMAN |
| Credential | PHYSICIAN ASSISTANT |
| Practice Address |
2415 W Vernon Avenue Caswell Center Kinston NC 28504 |
| Mailing Address |
1987 Banks School Road Kinston NC 28504 |
| Practice Telephone | 2522084066 |
| Practice Fax Number | 2522084035 |
| Mailing Telephone | 2525202069 |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
101945 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 3406105 | 05 |
| Street Address |
2415 W VERNON AVENUE CASWELL CENTER |
| City | KINSTON |
| State | NC |
| Zip Code | 28504 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437647385 | Kinston Clinic Pharmacy Inc | Pharmacy | 2717 Nc Hwy 11 South, Kinston, NC 28504 | 2018-04-26 |
| 1316336241 | Jo Jackson | Developmental Therapist | 137 Norma Drive, Kinston, NC 28504 | 2015-01-15 |
| 1700105160 | Stephanie Price Jones | Dietitian, Registered | 1457 Elijah Loftin Rd, Kinston, NC 28504 | 2010-05-25 |
| 1093045783 | Patricia Ann Dodd | Chiropractor | 4010 W. Vernon Ave., Kinston, NC 28504 | 2010-01-03 |
| 1861626723 | Eastpoint Prosthetics & Orthotics, Inc. | Durable Medical Equipment & Medical Supplies | 310 Airport Rd, Kinston, NC 28504 | 2009-05-07 |
| 1174705081 | Vernon Sy Chiu | Internal Medicine | 608-a Airport Road, Kinston, NC 28504 | 2007-12-03 |
| 1235326943 | Jennifer M Shenk | Optometrist | 703 Rosanne Drive, Kinston, NC 28504 | 2007-09-26 |
| 1760678478 | Classic Country Care Inc | Assisted Living Facility | 288 Hwy 11 S, Kinston, NC 28504 | 2007-09-18 |
| 1528271632 | Andrew Jackson Harrell IIi | Dentist | 315 Airport Road, Kinston, NC 28504 | 2007-05-07 |
| 1316161045 | Joshua House | Pharmacy Technician | 2415 West Vernon Ave., Kinston, NC 28504 | 2007-04-12 |
| Find all providers in zip 28504 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760649503 | Gary Edward Bolduc | Physician Assistant | 5080 Hwy 70 W, Kinston, NC 28504-9202 | 2008-05-20 |
| 1902240880 | Tricia Marie Greenwell | Physician Assistant | 100 Airport Rd, Kinston, NC 28501-1604 | 2013-04-23 |
| 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 |
| Find all providers with the same taxonomy | ||||
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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.