JAHAZIEL RENDON


Address: 1001 Blythe Blvd, Ste 300 - Thoracic Surgery, Charlotte, NC 28203-5866
Phone: 7043730212

JAHAZIEL RENDON (NPI# 1336771666) 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) 1336771666
Entity Type Individual
Full Name JAHAZIEL RENDON
Credential PA
Practice Address 1001 Blythe Blvd
Ste 300 - Thoracic Surgery
Charlotte
NC 28203-5866
Mailing Address Po Box 19305
Charlotte
NC 28219-9305
Practice Telephone 7043730212
Enumeration Date 2020-02-05
Last Update Date 2020-09-25
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant 0010-09856 NC Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
1001 Blythe Blvd, Ste 300- Adult Cardiology, Charlotte, NC 282035866 7043730212
10650 Park Rd, Ste 220, Charlotte, NC 282108538 7046673840
200 Medical Park Dr, Ste 230, Concord, NC 280252982 7044031349

Office Location

Street Address 1001 BLYTHE BLVD
STE 300 - THORACIC SURGERY
City CHARLOTTE
State NC
Zip Code 28203-5866

Providers in the same location

NPI Name Taxonomy Address Enumeration
1699771790 Markus Scherer Internal Medicine 1001 Blythe Blvd, Ste 300- Adult Cardiology, Charlotte, NC 28203-5866 2005-06-23
1194334417 Sarah Hargett Nurse Practitioner 1001 Blythe Blvd, Medical Center Plaza Suite 200, Charlotte, NC 28203-5866 2020-07-23
1457985129 Laura Abramo Nurse Practitioner 1001 Blythe Blvd, Ste 200d, Charlotte, NC 28203-5866 2020-03-02
1497388490 Jessica Gallimore Nurse Practitioner 1001 Blythe Blvd, Ste 300 - Cardiac Surgery, Charlotte, NC 28203-5866 2020-02-18
1821620451 Kevin Wagner Nurse Practitioner 1001 Blythe Blvd, Ste 300- Adult Cardiology, Charlotte, NC 28203-5866 2020-02-11
1619508629 Yolanda Cousen Nurse Practitioner 1001 Blythe Blvd, Ste 300 - Thoracic Surgery, Charlotte, NC 28203-5866 2020-01-29
1316597115 Devan Herring Dietitian, Registered 1001 Blythe Blvd, Ste 200d, Charlotte, NC 28203-5866 2019-09-13
1194374793 Catherine Shah Nurse Practitioner 1001 Blythe Blvd, Ste 300- Adult Cardiology, Charlotte, NC 28203-5866 2019-09-05
1710535786 Cynthia Ann Klotz Pharmacist 1001 Blythe Blvd, Medical Center Plaza, Suite 601, Charlotte, NC 28203 2019-09-03
1700433489 Nicole Belcher Physician Assistant 1001 Blythe Blvd, Medical Center Plaza Suite 200, Charlotte, NC 28203-5866 2019-08-19
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1982225983 William Bedard Michel Emergency Medicine Carolina Medical Center, 1000 Blythe Blvd, Charlotte, NC 28203 2020-04-30
1922636927 Paulina M Kriska Dentist Cmc Dental Clinic, 1000 Blythe Blvd, Charlotte, NC 28203 2020-03-27
1386271930 Irina Maria Geiculescu Pediatrics 1000 Blythe Blvd Fl 4 Meb, Charlotte, NC 28203 2020-03-24
1205499316 James C Winnek Counselor 1713 East Blvd., Charlotte, NC 28203 2019-04-16
1487114492 Laurie Fford Counseling and Consulting Pllc Counselor 125 Remount Rd, Suite C-#391, Charlotte, NC 28203 2019-03-25
1184188815 Sunday Money Home Health 2151 Hawkins St., Suite 201, Charlotte, NC 28203 2019-01-28
1164902706 Lindsay Koonce Helton Dietitian, Registered 1218 East Blvd Ste G, Charlotte, NC 28203 2018-08-14
1376057406 Veritas Collaborative Charlotte, LLC Clinic/Center 1900 Scott Avenue, Suite 101, Charlotte, NC 28203 2017-11-28
1043733306 Kimberly Stripp Pharmacist 1300-b East Blvd, Charlotte, NC 28203 2017-07-19
1427570639 Caroline Kaleel Fogleman Optometrist 1710 Kenilworth Ave Ste 210, Charlotte, NC 28203 2017-07-10
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1396351607 Michael James Blackwell Physician Assistant 501 Billingsley Rd Ste B, Charlotte, NC 28211-1009 2020-09-22
1598371320 Jonathan Byron Lively Physician Assistant 1000 Blythe Blvd Fl 3, Charlotte, NC 28203-5812 2020-09-17
1902415532 Jacqueline Ellen Leyrer Physician Assistant 2630 E 7th St Ste 200, Charlotte, NC 28204-4319 2020-07-29
1750908380 Whitney Debroy Physician Assistant 125 W Tremont Ave Unit 726, Charlotte, NC 28203-5551 2020-06-30
1972129302 Ashley Nicole Short Physician Assistant 1022 E Worthington Ave, Charlotte, NC 28203-5760 2020-06-22
1558985176 Courtney Claugus Physician Assistant 300 E Park Ave Unit 7, Charlotte, NC 28203-4774 2020-05-29
1467071738 Patrick James Quinn Physician Assistant 2036 Millerton Ave Apt 4311, Charlotte, NC 28208-5290 2020-04-15
1225660301 Sunil Ranchhod Ghodasara Physician Assistant 1001 Blythe Blvd Ste 403, Charlotte, NC 28203-5863 2020-02-06
1225668601 Emily Rebecca Markey Physician Assistant 355 W Mlk Blvd Apt 1112, Charlotte, NC 28202-0043 2020-01-24
1639719586 Abosede Elizabeth Adamson Physician Assistant 3101 Amesbury Hill Dr, Charlotte, NC 28269-8951 2020-01-08
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Competitor

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City CHARLOTTE
Zip Code 28203

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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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