ANDREA MOORE DUBOCQ BERNSTEIN


Address: 566 Ruin Creek Rd, Henderson, NC 27536-2927
Phone: 2524384143

ANDREA MOORE DUBOCQ BERNSTEIN (NPI# 1598212482) 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) 1598212482
Entity Type Individual
Full Name ANDREA MOORE DUBOCQ BERNSTEIN
Other Name ANDREA DUBOCQ BERNSTEIN
Credential PA-C
Practice Address 566 Ruin Creek Rd
Henderson
NC 27536-2927
Mailing Address 1431 Centerpoint Blvd Ste 100
Knoxville
TN 37932-1983
Practice Telephone 2524384143
Enumeration Date 2016-09-08
Last Update Date 2019-12-18
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant 0010-06697 NC Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 566 RUIN CREEK RD
City HENDERSON
State NC
Zip Code 27536-2927

Providers in the same location

NPI Name Taxonomy Address Enumeration
1841295904 Henderson Emergency Physicians, Pllc Emergency Medicine 566 Ruin Creek Rd, Henderson Emergency Physicians, Henderson, NC 27536-2927 2005-06-16
1639777212 Clarissa Stephens Nurse Practitioner 566 Ruin Creek Rd, Henderson, NC 27536-2927 2020-10-15
1447857016 Victoria Mccloskey Occupational Therapist 566 Ruin Creek Rd, Henderson, NC 27536-2927 2020-10-06
1649883190 Gloria Eun-sun Chun Physician Assistant 566 Ruin Creek Rd, Henderson, NC 27536-5932 2020-08-25
1386270460 Jacob Keith Poe Nurse Anesthetist, Certified Registered 566 Ruin Creek Rd, Henderson, NC 27536-2927 2020-03-20
1821554643 Claudia Kostich Specialist/Technologist 566 Ruin Creek Rd, Henderson, NC 27536-2927 2019-02-17
1407312424 Kevin Austin Rapp Physician Assistant 566 Ruin Creek Rd, Henderson, NC 27536-2927 2019-02-14
1265905780 Shakiera Whyte Nurse Practitioner 566 Ruin Creek Rd, Henderson, NC 27536-2927 2019-01-08
1174006902 Dlp Maria Parham Physician Practices LLC Physician Assistant 566 Ruin Creek Rd, Henderson, NC 27536-2927 2018-09-07
1083197818 Dlp Maria Parham Physician Practices LLC Surgery 566 Ruin Creek Rd, Henderson, NC 27536-2927 2018-09-07
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1952940926 Lane and Associates Xxxvi Dds Pa Dentist 900 South Garnett St., Henderson, NC 27536 2019-12-23
1487012076 Melissa Burroughs Registered Nurse 943-h W. Andrews Avenue, Henderson, NC 27536 2016-02-10
1578949269 Growth Recovery Opportunity & Wellness Community/Behavioral Health 804 South Garnett St, Henderson, NC 27536 2015-08-04
1003290297 Saintpaulhealthcarept, Inc. Home Health 839 E Montgomery St, Henderson, NC 27536 2015-07-17
1518369859 Kristina Thornton Pharmacist 200 North Cooper Road, Henderson, NC 27536 2014-09-18
1306285135 Green Home Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 429 Sunnyview Road, Henderson, NC 27536 2013-06-14
1760820278 Innovative Health Services In Home Supportive Care 1758 Parham Street, Henderson, NC 27536 2013-06-06
1578900015 Frances Veronica Finamore Counselor 710 Parham Street, Henderson, NC 27536 2013-05-23
1952530834 Sucessful Achievements Program Incorporated Driver 133 Us 1 A, Norlina, NC 27536 2009-07-13
1407096100 Recovery Response Center Psychiatric Hospital 300 Parkview Drive, Henderson, NC 27536 2009-02-20
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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
1013537794 Julia Alexa Ondarza Physician Assistant 10120 S Eastern Ave Ste 120, Henderson, NV 89052-3952 2020-04-22
1164060216 Hugh Andrew David Cooper Rosett Physician Assistant 2114 Rhonda Ter, Henderson, NV 89074-0653 2019-12-18
1982241261 Anna Liang Physician Assistant 2839 Saint Rose Pkwy Ste 100, Henderson, NV 89052-4849 2019-12-05
1194369710 Brooke Lauren Cossaboom Physician Assistant 2185 Rio Rancho Pointe Pl, Henderson, NV 89002-8606 2019-11-06
1316407810 Joseph William Rozmus IIi Physician Assistant 451 Ruin Creek Rd Ste 103, Henderson, NC 27536-5920 2019-03-21
1164996419 Emily Taylor Relles Physician Assistant 71 Falcon Feather Way, Henderson, NV 89012-5835 2019-01-18
1528511516 Clinton Matthew Emmons Physician Assistant 1095 Sheer Paradise Ln Unit 3, Henderson, NV 89002-1058 2016-07-26
1447616404 Marcos Gomez Physician Assistant 121 Pettswood Dr, Henderson, NV 89002-3390 2016-01-06
1407244593 Laura Schmitt Physician Assistant 2380 West Horizon Ridge Parkway, Suite 110, Henderson, NV 89052 2014-12-26
1740602275 Tanner J Smith Physician Assistant 830 Carnegie St Apt 623, Henderson, NV 89052-5734 2014-01-17
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Competitor

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City HENDERSON
Zip Code 27536

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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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