THOMAS PETER COLLETTI (NPI# 1780640052) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780640052 |
| Entity Type | Individual |
| Full Name | THOMAS PETER COLLETTI |
| Credential | PA-C |
| Practice Address |
120 William Penn Plz Durham NC 27704-2150 |
| Practice Telephone | 9192205255 |
| Practice Fax Number | 9192206971 |
| Mailing Telephone | 9192205255 |
| Mailing Fax Number | 9192206971 |
| Enumeration Date | 2006-04-25 |
| Last Update Date | 2007-11-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 102955 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
120 WILLIAM PENN PLZ |
| City | DURHAM |
| State | NC |
| Zip Code | 27704-2150 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376548420 | Laura Reed Gerstner | Physician Assistant | 120 William Penn Plz, Durham, NC 27704-2150 | 2005-06-16 |
| 1861093494 | Tyler Knabe | Physical Therapist | 120 William Penn Plz, Durham, NC 27704-2150 | 2020-11-02 |
| 1366059594 | Hope R Caddell | Physical Therapist | 120 William Penn Plz, Durham, NC 27704-2150 | 2020-10-01 |
| 1881203461 | Sarah Lynne Duncan | Physician Assistant | 120 William Penn Plz, Durham, NC 27704-2150 | 2020-07-29 |
| 1023504263 | Diana Lavinder Nguyen | Specialist/Technologist | 120 William Penn Plz, Durham, NC 27704-2150 | 2018-07-10 |
| 1902308976 | Mackenzie Mallrey Eldridge | Physical Therapist | 120 William Penn Plz, Durham, NC 27704-2150 | 2018-03-06 |
| 1659870319 | Alyssa Crumpton Flowers | Physical Therapist | 120 William Penn Plz, Durham, NC 27704-2150 | 2018-02-08 |
| 1871010819 | Jared John Carl Gersch | Physical Therapist | 120 William Penn Plz, Durham, NC 27704-2150 | 2017-08-29 |
| 1013437060 | Diana Marie Frank | Physical Therapist | 120 William Penn Plz, Durham, NC 27704-2150 | 2017-06-21 |
| 1194173096 | Mark Geise | Physical Therapist | 120 William Penn Plz, Durham, NC 27704-2150 | 2016-06-01 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245723139 | Devang Ashokbhai Patel | Dentist | 2609 N Duke St Ste 618, Durham, NC 27704 | 2018-06-14 |
| 1891201042 | Little Family Care Home, LLC | Custodial Care Facility | 1012 Davinci Street, Durham, NC 27704 | 2017-12-26 |
| 1033625702 | Tondra A Little | Social Worker | 2804 Nellowood Street, Durham, NC 27704 | 2017-12-18 |
| 1437502408 | Jhazmere Shamas Preston | Counselor | 2609 N. Duke St. Suite 403, Durham, NC 27704 | 2016-07-14 |
| 1649626656 | Professional Elevations Pllc | Case Manager/Care Coordinator | 304 Crutchfield Drive, Durham, NC 27704 | 2016-05-09 |
| 1083071617 | Alyssa Wilson | Speech-Language Pathologist | 215 William Penn Plz Apt 908, Durham, NC 27704 | 2016-01-27 |
| 1932565124 | Arthur Reynolds Jr and Associates P.l.l.c. | Dentist | 2106 N Duke St, Durham, NC 27704 | 2016-01-05 |
| 1962877720 | Chimere Brooks | Contractor | 4001meriwether Drive Apt P-19, Durham, NC 27704 | 2015-12-04 |
| 1184013294 | Danielle King | Physician Assistant | 3611 N Duke Street, Durham, NC 27704 | 2015-01-13 |
| 1730581901 | Images, 'of Me To You' | Community/Behavioral Health | 2823 Cascadilla Street, Durham, NC 27704 | 2014-09-19 |
| Find all providers in zip 27704 | ||||
| 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 |
|---|---|---|---|---|
| 1689281933 | Kathryn Tarulli | Physician Assistant | 600 W Main St Apt 624, Durham, NC 27701-5005 | 2020-09-29 |
| 1801402896 | Kristy Marie Stevlingson | Physician Assistant | 2211 Hillsborough Rd Apt 4081, Durham, NC 27705-4163 | 2020-09-16 |
| 1700490877 | Alice Curchin | Physician Assistant | 813 N Buchanan Blvd Apt 4, Durham, NC 27701-1563 | 2020-09-04 |
| 1366056434 | Katherine Monjaras | Physician Assistant | 2901 Bertland Ave Apt 1538, Durham, NC 27705-6829 | 2020-09-04 |
| 1659980233 | Belinda Kim Khou | Physician Assistant | 501 Willard St Apt 215, Durham, NC 27701-3285 | 2020-07-29 |
| 1568080943 | Katherine Jean Hauler | Physician Assistant | 3802 Meriwether Dr Apt L, Durham, NC 27704-2855 | 2020-07-11 |
| 1114554094 | Lauren Michelle Grosse | Physician Assistant | Fastmed Urgent Care 7010 Nc-751, Durham, NC 27707 | 2020-03-23 |
| 1225668536 | Ashley Lynn Biggs | Physician Assistant | 4302 Waterford Valley Dr Apt 1911, Durham, NC 27713-8353 | 2020-01-26 |
| 1710546007 | Lauren Deruyter | Physician Assistant | 40 Duke Medicine Cir # 3j, Durham, NC 27710-4000 | 2019-06-10 |
| 1295202505 | Nathaniel Quinley | Physician Assistant | Duke Clinic 40 Duke Medicine Circle, Durham, NC 27710-0001 | 2018-10-25 |
| Find all providers in DURHAM | ||||
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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.