MANDY STUDEBAKER (NPI# 1740517820) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740517820 |
| Entity Type | Individual |
| Full Name | MANDY STUDEBAKER |
| Credential | PA-C |
| Practice Address |
101 Clinic Dr Tarboro NC 27886-1935 |
| Mailing Address |
2512 Dahlgreen Rd Raleigh NC 27615-4075 |
| Practice Telephone | 2528232105 |
| Enumeration Date | 2009-11-10 |
| Last Update Date | 2009-11-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 0010-02006 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
101 CLINIC DR |
| City | TARBORO |
| State | NC |
| Zip Code | 27886-1935 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588644157 | Gilbert Alligood | Internal Medicine | 101 Clinic Dr, Tarboro, NC 27886-1935 | 2006-01-19 |
| 1962042846 | Brittany Elizabeth Hines | Nurse Practitioner | 101 Clinic Dr, Tarboro, NC 27886-1935 | 2020-01-08 |
| 1841759578 | Alison L Webb | Social Worker | 101 Clinic Dr, Tarboro, NC 27886-1935 | 2019-03-12 |
| 1114447232 | Courtney Padrick Greene | Nurse Practitioner | 101 Clinic Dr, Tarboro, NC 27886-1935 | 2017-06-20 |
| 1306200282 | Christopher Motta | Nurse Practitioner | 101 Clinic Dr, Tarboro, NC 27886-1935 | 2016-04-07 |
| 1962871368 | Karen Odonnell | Nurse Practitioner | 101 Clinic Dr, Tarboro, NC 27886-1935 | 2015-09-16 |
| 1265840003 | Ramesh Raj Mishra | Internal Medicine | 101 Clinic Dr, Tarboro, NC 27886-1935 | 2014-07-24 |
| 1407266695 | Paul Richard Woodard II | Internal Medicine | 101 Clinic Dr, Tarboro, NC 27886 | 2014-04-28 |
| 1083052039 | Meridith Matthis Taylor | Family Medicine | 101 Clinic Dr, Tarboro, NC 27886-1935 | 2013-06-12 |
| 1265786115 | Manisha Tiwari | Internal Medicine | 101 Clinic Dr, Tarboro, NC 27886-1935 | 2012-10-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336781566 | Fountain Transportation | Non-emergency Medical Transport (VAN) | 350 William Walston Lane, Tarboro, NC 27886 | 2019-10-09 |
| 1942737481 | Jude Ude | Pharmacist | 1519 Man Street, Tarboro, NC 27886 | 2017-05-15 |
| 1487197406 | Fms Ena Home, LLC | Clinic/Center | 122 Hospital Drive, Tarboro, NC 27886 | 2016-11-22 |
| 1295191450 | Fountain Adult Home Care, LLC | Custodial Care Facility | 303 William Walston Lane, Tarboro, NC 27886 | 2016-01-04 |
| 1033464805 | Tiffany Chapman Barber | Pharmacist | 1519 N Main Street, Tarboro, NC 27886 | 2012-07-18 |
| 1891085247 | Illumi-nation Care Home | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7806 Hwy 42 East, Tarboro, NC 27886 | 2011-04-19 |
| 1376842187 | Hiren C Patel | Pharmacist | 1600 North Main St., Tarboro, NC 27886 | 2011-03-18 |
| 1407976590 | Edgecombe Chiropractic Inc | Chiropractor | 1801 Main Street, Tarboro, NC 27886 | 2007-03-30 |
| 1265567762 | Rinson A Weathers | Personal Emergency Response Attendant | 111 Hospital Drive, Tarboro, NC 27886 | 2007-02-23 |
| 1780758961 | George Thomas Ward | Dentist | 112 W St John Street, Tarboro, NC 27886 | 2006-11-20 |
| Find all providers in zip 27886 | ||||
| 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 |
|---|---|---|---|---|
| 1598121311 | Zackry Briggs | Physician Assistant | 111 Hospital Dr, Tarboro, NC 27886-2011 | 2016-01-08 |
| 1700131638 | Paul Natale Lanfranchi | Physician Assistant | 2906 N Main St, Tarboro, NC 27886-1921 | 2012-07-17 |
| 1912954223 | Karen E Mann | Physician Assistant | 111 Hospital Dr, Tarboro, NC 27886-2011 | 2006-05-30 |
| 1922078955 | Larry Jensen | Physician Assistant | 101 Clinic Dr, Tarboro, NC 27886-1935 | 2006-01-24 |
| 1376520684 | Thomas John Galisin | Physician Assistant | 2906 N Main St, Tarboro, NC 27886-1921 | 2005-12-28 |
| 1851383046 | Denise Poland-torres | Physician Assistant | 111 Hospital Dr, Tarboro, NC 27886-2011 | 2005-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215538459 | Sarah Jane Lamanna | Physician Assistant | 3012 Bristol Creek Dr, Morrisville, NC 27560-7811 | 2020-11-04 |
| 1043819741 | Brad Russell Tolan | Physician Assistant | 211 Pinegate Cir Apt 12, Chapel Hill, NC 27514-2221 | 2020-10-22 |
| 1265030654 | Vanessa Vinson | Physician Assistant | 284 Lower Edgewood Rd, Candler, NC 28715-9285 | 2020-10-16 |
| 1649878810 | Courtney Michelle Watlington | Physician Assistant | 360 N Bennett St, Southern Pines, NC 28387-4813 | 2020-10-11 |
| 1669079034 | Christine Meyer | Physician Assistant | 2523 Creek Ridge Ln, Chapel Hill, NC 27514-7454 | 2020-10-07 |
| 1407453319 | Khyan Waddell | Physician Assistant | 127 Sneed Rd, Enfield, NC 27823-9589 | 2020-10-04 |
| 1053918979 | Amjad Ali | Physician Assistant | 730 Montlieu Ave, High Point, NC 27260-4000 | 2020-10-04 |
| 1104433382 | Aditi Bhattacharjee Sundaresan | Physician Assistant | 131 Mallard Ct, Chapel Hill, NC 27517-9104 | 2020-09-30 |
| 1689281933 | Kathryn Tarulli | Physician Assistant | 600 W Main St Apt 624, Durham, NC 27701-5005 | 2020-09-29 |
| 1205443991 | Kelsey Mendez | Physician Assistant | 105 Basket Oak Dr, Bunnlevel, NC 28323-9141 | 2020-09-26 |
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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.