THERESA M MICKE


Address: 3333 Nc Highway 242 N, Benson, NC 27504-7844
Phone: 9198942011

THERESA M MICKE (NPI# 1033469531) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1033469531
Entity Type Individual
Full Name THERESA M MICKE
Other Name THERESA M JAEGER
Credential PA-C
Practice Address 3333 Nc Highway 242 N
Benson
NC 27504-7844
Mailing Address Po Box 399
Benson
NC 27504-0399
Practice Telephone 9198942011
Practice Fax Number 9198947645
Mailing Telephone 9198942011
Mailing Fax Number 9198947645
Enumeration Date 2012-09-12
Last Update Date 2013-06-18
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant 0010-04279 NC Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 3333 NC HIGHWAY 242 N
City BENSON
State NC
Zip Code 27504-7844

Providers in the same location

NPI Name Taxonomy Address Enumeration
1518930783 Crystal B Rambeau Family Medicine 3333 Nc Highway 242 N, Benson, NC 27504-7844 2006-02-08
1972159465 Myron Daniel Adams Physician Assistant 3333 Nc Highway 242 N, Benson, NC 27504-7844 2019-08-12
1861975484 Amanda Taylor Family Medicine 3333 Nc Highway 242 N, Benson, NC 27504-7844 2018-09-10
1497256630 Kristen N Seidel Physician Assistant 3333 Nc Highway 242 N, Benson, NC 27504-7844 2018-02-22
1396113296 Ashley Brooke Barham Nurse Practitioner 3333 Nc Highway 242 N, Benson, NC 27504-7844 2015-09-09
1528468394 Ellen Ashley Dickens Duke Nurse Practitioner 3333 Nc Highway 242 N, Benson, NC 27504-7844 2014-08-29
1295090942 Amanda R Steventon Family Medicine 3333 Nc Highway 242 N, Benson, NC 27504-7844 2012-07-09
1316258031 Vicky Mooring Family Medicine 3333 Nc Highway 242 N, Benson, NC 27504-7844 2010-06-28
1609028182 Benson Area Medical Center Non-Pharmacy Dispensing Site 3333 Nc Highway 242 N, Benson, NC 27504-7844 2008-10-16
1477755841 Jennifer B. Phifer Family Medicine 3333 Nc Highway 242 N, Benson, NC 27504-7844 2007-06-05
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1558970780 Tara Baran Pharmacist 3333 Nc-242, Benson, NC 27504 2020-07-23
1306357652 Kingdom Family Care Home Nursing Care 11062 Hwy 50 North, Benson, NC 27504 2017-10-13
1346622818 Meagan Maida Parker Dentist 12330 Highway 210, Suite #115, Benson, NC 27504 2015-06-22
1437598067 Dongmin Lee Dentist 12330 Nc-210, 115, Benson, NC 27504 2013-06-17
1770871014 Mark Damian Greenwell Pharmacist 13440 Nc 210 Highway, Benson, NC 27504 2011-07-20
1346403151 Liberty Healthcare Group LLC Assisted Living Facility 2315 Hwy 242 N, Benson, NC 27504 2008-07-02
1063580447 Martin Davis Lee Chiropractor 106 South Elm Street, Benson, NC 27504 2006-12-01
1548348824 Riccobene-mcgees Dentist 12330 Highway 210, Suite 115, Benson, NC 27504 2006-11-02
1225113277 Monica Weathers Speech-Language Pathologist 102 North Market Street, Suite Ff, Benson, NC 27504 2006-10-26
1912081944 Carl David Horkavy Chiropractor 202 Nilee St, Benson Chiropractic Center PC, Benson, NC 27504 2006-10-25
Find all providers in zip 27504

Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1124520440 Grayson Colette Massey Physician Assistant 1 Medical Dr, Benson, NC 27504-1177 2018-03-02
1083158067 Audrey Marie Gray Physician Assistant 300 S Ocotillo Ave, Benson, AZ 85602-6401 2016-12-12
1588057145 Jessica Pankaj Vyas Physician Assistant One Medical Drive, Benson, NC 27504 2015-03-06
1558641746 Moboluwade Abe-lathan Physician Assistant 1 Medical Dr, Benson, NC 27504-1177 2011-08-19
1629201280 Josh A. Balsly Physician Assistant 1 Medical Dr, Benson, NC 27504-1177 2009-08-31
1740437466 Neema Chandel Physician Assistant 27 Annette Dr, Suite 109, Benson, NC 27504-8045 2008-08-25
1154516722 Brenda Jean Justice Physician Assistant 125 E Main St, Benson, NC 27504-1506 2007-09-07
1871701847 Jon Russell Clayton Physician Assistant 1 Medical Dr, Benson, NC 27504-1177 2007-05-21
1568683308 Phyllis Jeanne Driver Physician Assistant 804 S Market St, Benson, NC 27504-2110 2007-05-01
1750400339 Patrick Edward Malone Physician Assistant 1 Medical Dr, Benson, NC 27504-1177 2007-03-28
Find all providers in BENSON

Competitor

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City BENSON
Zip Code 27504

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Dataset Information

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.

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