BRENDA KAY DUSHEK (NPI# 1740845148) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1740845148 |
Entity Type | Individual |
Full Name | BRENDA KAY DUSHEK |
Credential | OPA-C |
Practice Address |
20 Medical Campus Dr Nw Ste 104 Supply NC 28462-4094 |
Practice Telephone | 9105755800 |
Mailing Telephone | 9105755800 |
Enumeration Date | 2019-05-01 |
Last Update Date | 2019-05-01 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
1305 | NC | Physician Assistants & Advanced Practice Nursing Providers |
Address | Telephone Number | Fax Number |
---|---|---|
20 Medical Campus Dr Nw, Supply, NC 284624096 | 9105755800 |
Street Address |
20 MEDICAL CAMPUS DR NW STE 104 |
City | SUPPLY |
State | NC |
Zip Code | 28462-4094 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558910943 | Lisa M Jock | Technician | 1276 Skipper Run Sw, Supply, NC 28462 | 2019-09-09 |
1023532686 | Novant Health Brunswick Endoscopy Center, LLC | Nurse Anesthetist, Certified Registered | 13 Medical Campus Drive, Suite 101, Supply, NC 28462 | 2017-07-26 |
1821510579 | Novant Health Brunswick Endoscopy Center, LLC | Clinic/Center | 13 Medical Campus Dr, Suite 101, Supply, NC 28462 | 2017-07-14 |
1831461920 | Reginald Lofton Hewett | Counselor | 1473 Cedar Grove Rd, Supply, NC 28462 | 2012-02-03 |
1760793343 | Coastal Hearing Centers, Inc | Clinic/Center | 2298 Ocean Hwy, Supply, NC 28462 | 2010-06-29 |
1083943567 | Lorell Sneeden Pait | Nurse Practitioner | 795 Ocean Highway West, Supply, NC 28462 | 2009-12-14 |
1043451321 | Well Care Home Care | Home Health | 118 Ocean Highway West, Supply, NC 28462 | 2009-03-16 |
1467672873 | South Atlantic Radiation Oncology, LLC | Clinic/Center | 545 Ocean Highway West, Supply, NC 28462 | 2007-04-26 |
1225177702 | Barbara C Bauer | Counselor | 1041 Old Ocean Highway, Supply, NC 28462 | 2007-02-05 |
1891852323 | Liberty Medical Specialties, Inc | Durable Medical Equipment & Medical Supplies | 1120 Ocean Hwy West, Supply, NC 28462 | 2007-01-03 |
Find all providers in zip 28462 |
Taxonomy Code | 363AS0400X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Surgical Technologist |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336780147 | Kristen Leeann Canady | Physician Assistant | 610 Ocean Hwy W, Supply, NC 28462-4048 | 2019-10-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174170575 | Katherine Mccullough | Physician Assistant | Duke University Medicine Center 2301 Erwin Rd, Durham, NC 27710-0001 | 2019-08-20 |
1851955579 | Morgan Elizabeth Bridgers | Physician Assistant | 4051 Burnett Womack Dept of Surgery Cb 7050, Chapel Hill, NC 27599-1843 | 2019-04-29 |
1265947725 | Molly Cunningham Pradhan | Physician Assistant | 2301 Erwin Road Dumc 2945, Durham, NC 27710-0001 | 2017-12-06 |
1497273700 | Joseph Cameron Jones | Physician Assistant | 404 Westwood Ave Ste 303, High Point, NC 27262-4315 | 2017-09-07 |
1871011106 | Tashianna Renee Stockton | Physician Assistant | 101 Manning Drive Cb #7600, Chapel Hill, NC 27599-0001 | 2017-09-07 |
1205365335 | Joe Gates | Physician Assistant | 408 8th St Ste 1, North Wilkesboro, NC 28659-4167 | 2017-06-12 |
1023547585 | Audrey Catherine Fortezzo | Physician Assistant | 581 Leroy George Dr Ste 300, Clyde, NC 28721-8085 | 2017-06-08 |
1184013294 | Danielle King | Physician Assistant | 3611 N Duke Street, Durham, NC 27704 | 2015-01-13 |
1629474978 | Gary Lee Aldrich Jr. | Physician Assistant | 103a Mcalpine Ln, Laurinburg, NC 28352-4637 | 2014-11-14 |
1255757936 | Megan Lenore Mcnamara | Physician Assistant | 2504 Delaney Ave, Wilmington, NC 28403-6002 | 2014-03-05 |
Find all providers with the same taxonomy |
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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.