CARSON LEE ANTIS (NPI# 1538614151) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538614151 |
| Entity Type | Individual |
| Full Name | CARSON LEE ANTIS |
| Credential | PA-C |
| Practice Address |
1725 New Hanover Medical Park Dr Wilmington NC 28403-5345 |
| Mailing Address |
2819 Willow St Wilmington NC 28405-3051 |
| Practice Telephone | 9103437001 |
| Enumeration Date | 2016-08-24 |
| Last Update Date | 2016-08-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
0010-06483 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1725 NEW HANOVER MEDICAL PARK DR |
| City | WILMINGTON |
| State | NC |
| Zip Code | 28403-5345 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134189046 | Wilmington Cardiology Pllc | Internal Medicine | 1725 New Hanover Medical Park Dr, Wilmington, NC 28403-5345 | 2006-03-24 |
| 1801356282 | Matthew R Merrill | Nurse Practitioner | 1725 New Hanover Medical Park Dr, Wilmington, NC 28403-5345 | 2019-03-22 |
| 1376037549 | Brandon Montana | Family Medicine | 1725 New Hanover Medical Park Dr, Wilmington, NC 28403-5345 | 2018-06-20 |
| 1164893798 | Cape Fear Physician Services | Internal Medicine | 1725 New Hanover Medical Park Dr, Wilmington, NC 28403-5345 | 2015-10-08 |
| 1982075511 | Cape Fear Physician Services Inc. | Surgery | 1725 New Hanover Medical Park Dr, Wilmington, NC 28403-5345 | 2015-10-08 |
| 1699146225 | Cape Fear Physician Services Inc. | Nurse Practitioner | 1725 New Hanover Medical Park Dr, Wilmington, NC 28403-5345 | 2015-10-08 |
| 1881065415 | Cape Fear Physician Services Inc. | Oral & Maxillofacial Surgery | 1725 New Hanover Medical Park Dr, Wilmington, NC 28403-5345 | 2015-10-08 |
| 1831576255 | Jonathan Pan | Internal Medicine | 1725 New Hanover Medical Park Dr, Wilmington, NC 28403-5345 | 2015-05-06 |
| 1700017209 | Jan Thomas Clemmons | Nurse Practitioner | 1725 New Hanover Medical Park Dr, Wilmington, NC 28403-5345 | 2009-07-31 |
| 1376702811 | Chukwuemeka Obiora | Surgery | 1725 New Hanover Medical Park Dr, Wilmington, NC 28403 | 2008-06-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902413875 | Ymca of Southeastern Nc | Health Educator | 2710 Market Street, Wilmington, NC 28403 | 2020-09-25 |
| 1659917334 | Noa Alper | Occupational Therapist | 5412 Old Garden Road, Wilmington, NC 28403 | 2019-11-18 |
| 1992346340 | Nancy Rosita Carson | Technician | 5608 Locke Str. Apt 108, Wilmington, NC 28403 | 2019-10-07 |
| 1912484585 | Jennifer Nicole Perry | Behavior Technician | 349 Campus Cv, Wilmington, NC 28403 | 2018-07-25 |
| 1386159929 | Monumental Foundations LLC | Clinic/Center | Plum Tree Plaza 925 South Kerr Ave Suite F4, Wilmington, NC 28403 | 2017-12-05 |
| 1114445731 | Jacqulyn Craichy | Speech-Language Pathologist | 75 Cavalier Drive, Wilmington, NC 28403 | 2017-09-04 |
| 1730638545 | Ashley Mcneil | Durable Medical Equipment & Medical Supplies | 3435 Wilshire Blvd Apt 203, Wilmington, NC 28403 | 2016-09-22 |
| 1306204276 | Valerie Pringle Jones | Physical Therapist | 1717 Shipyard Blvd. Ste 350, Wilmington, NC 28403 | 2016-02-05 |
| 1689039992 | Lifeline Treatment Center | Clinic/Center | 5710 Oleander Dr Ste 100, Wilmington, NC 28403 | 2015-12-31 |
| 1750758264 | Melissa Beatson | Speech-Language Pathologist | 4014 Oleander Drive, Ste. 3b, Coastal Speech & Language Pllc, Wilmington, NC 28403 | 2015-09-01 |
| Find all providers in zip 28403 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255757936 | Megan Lenore Mcnamara | Physician Assistant | 2504 Delaney Ave, Wilmington, NC 28403-6002 | 2014-03-05 |
| 1659597870 | Todd Francis Cox Cecchini | Physician Assistant | 7th & Clayton, Wilmington, DE 19805 | 2007-04-17 |
| 1124162581 | Robert Sean Hensler | Physician Assistant | 2800 Ashton Dr Ste 100, Wilmington, NC 28412-2486 | 2007-02-19 |
| 1154386340 | Yvonne Desmet | Physician Assistant | 1025 Medical Center Dr., Suite 201, Wilmington, NC 28401-7354 | 2006-04-19 |
| 1417912007 | Jeffrey Probst | Physician Assistant | 2800 Ashton Dr, Wilmington, NC 28412-2575 | 2006-04-18 |
| 1033171962 | Michele Deeley Stavovy | Physician Assistant | 1202 Medical Center Drive, Wilmington, NC 28401-7307 | 2006-04-05 |
| 1164428041 | Ryan Murphy | Physician Assistant | 5220 Oleander Dr, Second Floor, Wilmington, NC 28403-7021 | 2005-06-24 |
| 1255967824 | Robert Nelson | Physician Assistant | 5220 Oleander Dr, Wilmington, NC 28403-7021 | 2020-03-16 |
| 1023590502 | Chase Jonathan Whelan | Physician Assistant | 2208 S 17th St Ste 201, Wilmington, NC 28401 | 2018-08-31 |
| 1477060614 | Joshua William Ward | Physician Assistant | 2208 S 17th St Ste 201, Wilmington, NC 28401-7594 | 2018-01-09 |
| Find all providers in WILMINGTON | ||||
| City | WILMINGTON |
| Zip Code | 28403 |
Please comment or provide details below to improve the information on CARSON LEE ANTIS.
| 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.