CHASE PENNEL (NPI# 1730707183) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730707183 |
| Entity Type | Individual |
| Full Name | CHASE PENNEL |
| Credential | PA-C |
| Practice Address |
1135 Carthage St Sanford NC 27330-4162 |
| Mailing Address |
317 Stone Hedge Ct Holly Springs NC 27540-8640 |
| Practice Telephone | 8178750418 |
| Mailing Telephone | 8178750418 |
| Enumeration Date | 2020-07-13 |
| Last Update Date | 2020-09-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 0010-10606 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1135 CARTHAGE ST |
| City | SANFORD |
| State | NC |
| Zip Code | 27330-4162 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013915776 | Dennis P Legolvan | Pathology | 1135 Carthage St, Sanford, NC 27330-4162 | 2005-07-07 |
| 1396384343 | Vera Kotlyar | Dietitian, Registered | 1135 Carthage St, Sanford, NC 27330-4162 | 2019-12-21 |
| 1831737402 | Emily Grace Gamble | Physician Assistant | 1135 Carthage St, Sanford, NC 27330-4162 | 2019-12-14 |
| 1508412511 | Jessica Rakes Heyse | Nurse Practitioner | 1135 Carthage St, Sanford, NC 27330-4162 | 2019-08-15 |
| 1700438546 | Gary Taylor | Physician Assistant | 1135 Carthage St, Sanford, NC 27330-4162 | 2019-07-11 |
| 1497310148 | Jonathan Goldston | Emergency Medicine | 1135 Carthage St, Sanford, NC 27330-4162 | 2019-05-08 |
| 1336607464 | Katherine Vanderford | Registered Nurse | 1135 Carthage St, Sanford, NC 27330 | 2019-03-07 |
| 1972069243 | Mark Benning | Physician Assistant | 1135 Carthage St, Sanford, NC 27330-4162 | 2019-02-12 |
| 1164900544 | Pazoo Xiong | Physician Assistant | 1135 Carthage St, Sanford, NC 27330-4162 | 2018-07-30 |
| 1932615135 | Lexis Hohman | Physician Assistant | 1135 Carthage St, Sanford, NC 27330-4162 | 2017-12-26 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043836232 | Felicia Alston | Chore Provider | 160a Chatham St, Sanford, NC 27330 | 2020-06-23 |
| 1730727470 | Kathy M Taylor | Homemaker | 1665 Lower Moncure Rd, Sanford, NC 27330 | 2019-12-12 |
| 1982185377 | Fhpg, LLC | Internal Medicine | 2925 Beechtree Dr, Suite 142, Sanford, NC 27330 | 2018-08-24 |
| 1154849719 | Schuyler Karl Behnke | Family Medicine | 125 Chatham Street, Sanford, NC 27330 | 2017-09-05 |
| 1205375953 | Dlp Central Carolina Medical Group LLC | Surgery | 117 Dennis Dr, Sanford, NC 27330 | 2017-02-14 |
| 1760921613 | Open Water Medical, Pa | Family Medicine | 109 South Vance St, Sanford, NC 27330 | 2017-02-13 |
| 1972050458 | Brent Layne | Physician Assistant | 724 South Horner Blvd, Sanford, NC 27330 | 2016-09-01 |
| 1174977185 | Jennifer Lynn Beard | Physician Assistant | 2412 Wilkins Drive, Sanford, NC 27330 | 2016-04-15 |
| 1003277252 | North Carolina Wellness | Community/Behavioral Health | 321a Court Square, Sanford, NC 27330 | 2016-03-16 |
| 1518343573 | The Family Doc Back To Basics Medical Practice, Pllc | General Practice | 1503 Elm Street, Suite C, Sanford, NC 27330 | 2015-07-31 |
| Find all providers in zip 27330 | ||||
| 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 |
|---|---|---|---|---|
| 1922611565 | Kiarash Peter Rahmanian | Physician Assistant | Central Carolina Hospital - Emergency Medicine, 1135 Carthage Street, Sanford, NC 27330-4162 | 2020-08-24 |
| 1679045835 | Daniel Burleson | Physician Assistant | 1212 Central Dr Ste 103, Sanford, NC 27330-4170 | 2018-12-27 |
| 1588147458 | Tyler Harrell | Physician Assistant | 96 Mountain View Dr, Sanford, NC 27332-1361 | 2018-09-07 |
| 1538675806 | Karli Ann Plunkett | Physician Assistant | 141 Bellagio Cir, Sanford, FL 32771-5000 | 2017-12-21 |
| 1972050458 | Brent Layne | Physician Assistant | 724 South Horner Blvd, Sanford, NC 27330 | 2016-09-01 |
| 1174977185 | Jennifer Lynn Beard | Physician Assistant | 2412 Wilkins Drive, Sanford, NC 27330 | 2016-04-15 |
| 1992111488 | Innovative Healthcare Solutions of Florida LLC | Physician Assistant | 1561 Travertine Ter, Sanford, FL 32771-7731 | 2014-07-07 |
| 1902228786 | Samantha Gordon | Physician Assistant | 1811 Phillips Dr, Sanford, NC 27330 | 2014-01-13 |
| 1629329727 | Leah Marie Gruber | Physician Assistant | 2412 Wilkins Dr., Sanford, NC 27330 | 2012-09-28 |
| 1134442338 | Jennifer Rahn Bridger | Physician Assistant | 717 N Horner Blvd, Sanford, NC 27330-3517 | 2010-03-03 |
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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.