MICHELE DEELEY STAVOVY (NPI# 1033171962) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033171962 |
| Entity Type | Individual |
| Full Name | MICHELE DEELEY STAVOVY |
| Other Name | MICHELE LYNN DEELEY |
| Credential | PA-C |
| Practice Address |
1202 Medical Center Drive Wilmington NC 28401-7307 |
| Practice Telephone | 9103413300 |
| Practice Fax Number | 9102518824 |
| Mailing Telephone | 9103413300 |
| Mailing Fax Number | 9102518824 |
| Enumeration Date | 2006-04-05 |
| Last Update Date | 2014-08-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
0010-01051 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1202 MEDICAL CENTER DRIVE |
| City | WILMINGTON |
| State | NC |
| Zip Code | 28401-7307 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154600633 | Stephen Keith Funkhouser | Hospitalist | 1202 Medical Center Drive, Attn: Credentialing, Wilmington, NC 28401-7307 | 2011-08-15 |
| 1154412948 | Richard J Brannin | Physical Therapist | 1202 Medical Center Drive, Wilmington, NC 28401 | 2006-09-27 |
| 1275569188 | Linda M. Leck | Nurse Practitioner | 1202 Medical Center Drive, Attn: Credentialing, Wilmington, NC 28401-7307 | 2006-06-23 |
| 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 | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255757936 | Megan Lenore Mcnamara | Physician Assistant | 2504 Delaney Ave, Wilmington, NC 28403-6002 | 2014-03-05 |
| 1659597870 | Todd Francis Cox Cecchini | Physician Assistant | 7th & Clayton, Wilmington, DE 19805 | 2007-04-17 |
| 1124162581 | Robert Sean Hensler | Physician Assistant | 2800 Ashton Dr Ste 100, Wilmington, NC 28412-2486 | 2007-02-19 |
| 1154386340 | Yvonne Desmet | Physician Assistant | 1025 Medical Center Dr., Suite 201, Wilmington, NC 28401-7354 | 2006-04-19 |
| 1417912007 | Jeffrey Probst | Physician Assistant | 2800 Ashton Dr, Wilmington, NC 28412-2575 | 2006-04-18 |
| 1164428041 | Ryan Murphy | Physician Assistant | 5220 Oleander Dr, Second Floor, Wilmington, NC 28403-7021 | 2005-06-24 |
| 1255967824 | Robert Nelson | Physician Assistant | 5220 Oleander Dr, Wilmington, NC 28403-7021 | 2020-03-16 |
| 1023590502 | Chase Jonathan Whelan | Physician Assistant | 2208 S 17th St Ste 201, Wilmington, NC 28401 | 2018-08-31 |
| 1477060614 | Joshua William Ward | Physician Assistant | 2208 S 17th St Ste 201, Wilmington, NC 28401-7594 | 2018-01-09 |
| 1124545488 | Monica Catherine Real Fraatz | Physician Assistant | 701 N Clayton St, Wilmington, DE 19805-3165 | 2017-08-28 |
| Find all providers in WILMINGTON | ||||
| City | WILMINGTON |
| Zip Code | 28401 |
Please comment or provide details below to improve the information on MICHELE DEELEY STAVOVY.
| 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.