AVIANCE BIANCA CARTER (NPI# 1992225098) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992225098 |
| Entity Type | Individual |
| Full Name | AVIANCE BIANCA CARTER |
| Credential | PA-C |
| Practice Address |
301 South 8th Street The Garfield Duncan Building, Ste. 2c Philadelphia PA 19106-4017 |
| Practice Telephone | 2158295022 |
| Practice Fax Number | 2158295060 |
| Mailing Telephone | 2158295022 |
| Mailing Fax Number | 2158295060 |
| Enumeration Date | 2017-06-21 |
| Last Update Date | 2019-08-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
MA059051 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
MA059051 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | STATE LICENSE NUMBER | MA059051 | 01 |
| Street Address |
301 SOUTH 8TH STREET THE GARFIELD DUNCAN BUILDING, STE. 2C |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19106-4017 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326075243 | John Stern | Internal Medicine | 301 South 8th Street, Duncan Bldg Ste 1b, Philadelphia, PA 19106 | 2006-06-27 |
| 1376102913 | Nadia Gerban | Nurse Practitioner | 301 South 8th Street, The Garfield Duncan Building, Ste. 2c, Philadelphia, PA 19106-4017 | 2019-06-07 |
| 1053496323 | Tara R Paige | Obstetrics & Gynecology | 301 South 8th Street, Suite 3d, Philadelphia, PA 19106-4035 | 2006-10-26 |
| 1124049093 | Stuart L Trager, M.d., P.C. | Orthopaedic Surgery | 301 South 8th Street, Suite 2-c, Philadelphia, PA 19106 | 2006-07-23 |
| 1972529063 | Frederick Anthony Simeone | Neurological Surgery | 301 South 8th Street, Suite 4b, Philadelphia, PA 19106-4013 | 2006-07-14 |
| 1811929284 | Kathleen A Brady | Internal Medicine | 301 South 8th Street, Duncan Bldg Suite 1b, Philadelphia, PA 19106 | 2006-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841807245 | Jaclyn Isis Lisberger | Speech-Language Pathologist | 130 North 2nd Street-#2e, Philadelphia, PA 19106 | 2020-09-29 |
| 1356964159 | Michelle Copija | Nurse Anesthetist, Certified Registered | Society Hill Anesthesia Consultants, P.C., 301 S. 8th St Suite 2l, Philadelphia, PA 19106 | 2020-05-27 |
| 1811468929 | Old City Orthodontics LLC | Clinic/Center | 14 S 3rd Street, 1st Floor, Philadelphia, PA 19106 | 2018-12-16 |
| 1437627569 | Peter James Voystock | Social Worker | Veterans' Multi-service Center, 2nd Floor, 213-217 N 4th St, Philadelphia, PA 19106 | 2018-11-07 |
| 1467975334 | Aasiyah's Inc | Nurse's Aide | 325-41 Chestnut Street Suite 800, Suite 800, Philadelphia, PA 19106 | 2017-07-21 |
| 1457883043 | Jackie Kurland | Registered Nurse | 301 S 8th St Ste 2l, Philadelphia, PA 19106 | 2017-04-01 |
| 1669851655 | Amy Hardenbergh | Nurse Anesthetist, Certified Registered | 325 Chestnut Street, Suite 210, Society Hill Anesthesia Consultants, Philadelphia, PA 19106 | 2015-05-22 |
| 1790178820 | Bita Khoshrou | Dentist | 604 S Washington Square, Philadelphia, PA 19106 | 2015-03-13 |
| 1144667262 | Krystal Maloni | Surgery | 700 Spruce St Ste 101, Philadelphia, PA 19106 | 2013-05-30 |
| 1487099305 | Aimee E Wood | Social Worker | 233 South 6th St, Suite C33, Philadelphia, PA 19106 | 2013-05-06 |
| Find all providers in zip 19106 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992963391 | Meredith Alley | Physician Assistant | 34th St & Civic Center Blvd 3rd Floor Wood Building, Childrens Hospital of Philadelphia Division of Urology, Philadelphia, PA 19104 | 2008-06-02 |
| 1477738524 | Jennifer L Spicer | Physician Assistant | 8834 Germantown Ave, Chestnut Hill Hospital, Philadelphia, PA 19118-4399 | 2008-01-08 |
| 1366653503 | Gary Alan Cook | Physician Assistant | 1025 Walnut St Ste 607, Philadelphia, PA 19107-5001 | 2007-05-26 |
| 1063516110 | Mitchell Charles Staska | Physician Assistant | Philadelpia Veterans Hospital, University and Woodland Avenue, Philadelphia, PA 19104 | 2006-09-11 |
| 1932755071 | Jessica Lauren Dell'aquila | Physician Assistant | 3400 Civic Center Blvd Fl 4, Philadelphia, PA 19104-5127 | 2019-08-14 |
| 1598224420 | Dana Beth Krimker | Physician Assistant | 10800 Knights Rd, Philadelphia, PA 19114 | 2019-03-19 |
| 1124582259 | Tiffany Si-ya Sun | Physician Assistant | 3400 Spruce St, 10 Silverstein, Philadelphia, PA 19104-4238 | 2019-01-23 |
| 1649744178 | Madison Ann Vitelli | Physician Assistant | 800 Spruce St, Philadelphia, PA 19107 | 2019-01-17 |
| 1861964439 | Mary Katherine Tonetti | Physician Assistant | 3400 Spruce St, 2 Dulles, Philadelphia, PA 19104-4238 | 2018-12-20 |
| 1770054702 | Laura Elizabeth Ayd | Physician Assistant | 3998 Red Lion Rd Ste 213, Philadelphia, PA 19114-1440 | 2018-12-17 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19106 |
Please comment or provide details below to improve the information on AVIANCE BIANCA CARTER.
| 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.