CAMERON K HOLMAN (NPI# 1861980633) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861980633 |
| Entity Type | Individual |
| Full Name | CAMERON K HOLMAN |
| Credential | PA |
| Practice Address |
1025 Medical Center Dr Wilmington NC 28401-7354 |
| Practice Telephone | 9107623882 |
| Mailing Telephone | 9107623882 |
| Enumeration Date | 2018-04-27 |
| Last Update Date | 2018-04-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1025 Medical Center Dr, Wilmington, NC 284017354 | 9107623882 |
| Street Address |
1025 MEDICAL CENTER DR |
| City | WILMINGTON |
| State | NC |
| Zip Code | 28401-7354 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609872282 | John Alexander Black | Radiology | 1025 Medical Center Dr, Delaney Radiologists Group, Pllc, Wilmington, NC 28401 | 2005-06-28 |
| 1629638457 | John Hammond Geis Iv | Physician Assistant | 1025 Medical Center Dr, Wilmington, NC 28401-7354 | 2019-06-14 |
| 1447719844 | Joshua Daniel Felix | Physician Assistant | 1025 Medical Center Dr, Wilmington, NC 28401-7354 | 2019-03-15 |
| 1457859431 | Alyse Jenna Moses-lebron | Physician Assistant | 1025 Medical Center Dr, Wilmington, NC 28401-7354 | 2018-01-25 |
| 1285048769 | Amber Michele Mittendorf | Radiology | 1025 Medical Center Dr, Wilmington, NC 28401-7354 | 2014-06-12 |
| 1326486374 | Raymond Groller | Radiology | 1025 Medical Center Dr, Wilmington, NC 28401-7354 | 2013-06-12 |
| 1255606364 | Tiffany Matoska Sills | Radiology | 1025 Medical Center Dr, Wilmington, NC 28401 | 2012-03-22 |
| 1013200203 | Aaron D Kline | Radiology | 1025 Medical Center Dr, Wilmington, NC 28401-7354 | 2011-05-19 |
| 1659661841 | Menaka M Nadar | Radiology | 1025 Medical Center Dr, Wilmington, NC 28401-7354 | 2011-04-09 |
| 1972828267 | John B. Crudup IIi | Radiology | 1025 Medical Center Dr, Wilmington, NC 28401-7354 | 2010-03-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275002461 | Thrivetothrive, LLC | Physical Therapist | 1606 Physicians Drive, Inside Promina Health, Wilmington, NC 28401 | 2018-11-16 |
| 1841787454 | Kevin Christopher Panebianco | Family Medicine | 1911 S 17th St Ste 130a, Wilmington, NC 28401 | 2018-04-18 |
| 1518472588 | Michelle Bruin | Family Medicine | 415 S. 2nd Street, Wilmington, NC 28401 | 2017-12-12 |
| 1639617343 | Anna Farwell | Behavior Technician | 3904 Oleander Dr. Suite 102, Wilmington, NC 28401 | 2017-02-02 |
| 1588034144 | Dimitri Zivko Pitovski | Allergy & Immunology | 1099 Medical Center Dr Unit 100b, Wilmington, NC 28401 | 2015-09-25 |
| 1629457007 | Megan Havel | Counselor | 1512 E Lakeshore Drive, Wilmington, NC 28401 | 2015-05-19 |
| 1154709251 | Lance Hutchens | Dentist | 1611 Doctors Cir, Wilmington, NC 28401 | 2015-05-11 |
| 1609281161 | Diane Pittman Whitford | Counselor | 313 Walnut St., Wilmington, NC 28401 | 2014-06-24 |
| 1942550728 | Bryan Cole Chalk | Nurse Anesthetist, Certified Registered | 2131 S 17th Street, Wilmington, NC 28401 | 2012-09-19 |
| 1740566546 | Valerie Baars | Pharmacist | 2302 S 17th Street, Wilmington, NC 28401 | 2011-10-25 |
| Find all providers in zip 28401 | ||||
| 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 |
|---|---|---|---|---|
| 1750990461 | Kyra Isaacs | Physician Assistant | 1901 Greenbriar Dr, Wilmington, DE 19810-4320 | 2020-07-28 |
| 1144847252 | Stephanie Marie Barczak | Physician Assistant | 11 Amherst Rd, Wilmington, MA 01887-2608 | 2020-07-06 |
| 1457984676 | Jessica Patrick Lancaster | Physician Assistant | 602 Jennings Dr, Wilmington, NC 28403-2732 | 2020-02-17 |
| 1730727348 | Lea Ann Cenname | Physician Assistant | 722 Mohican Trl, Wilmington, NC 28409-3429 | 2019-12-13 |
| 1467944645 | Julie Renee Sims | Physician Assistant | 3411 Silverside Rd Ste 107, Wilmington, DE 19810-4806 | 2018-06-04 |
| 1740780865 | Greater Tomorrow Wellness, LLC | Physician Assistant | 1097 W Locust St, Wilmington, OH 45177 | 2018-02-15 |
| 1336658657 | Eric Dees | Physician Assistant | 501 W 14th St Fl 1, Wilmington, DE 19801-1013 | 2017-09-29 |
| 1174047591 | Carlie M Black | Physician Assistant | 4815 Oleander Dr Ste 100, Wilmington, NC 28403-5116 | 2017-07-27 |
| 1497294581 | Kathleen Lauren Meyer | Physician Assistant | 6419 Carolina Beach Rd Ste A, Wilmington, NC 28412-3672 | 2017-02-22 |
| 1477090967 | David Romano | Physician Assistant | 15 Kilmarnock St, Wilmington, MA 01887-3061 | 2017-01-23 |
| Find all providers in WILMINGTON | ||||
| City | WILMINGTON |
| Zip Code | 28401 |
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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.