MR. TRACY IVAN EARL (NPI# 1053310250) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053310250 |
| Entity Type | Individual |
| Full Name | MR. TRACY IVAN EARL |
| Credential | P.A. |
| Practice Address |
36 14th Ave Ne Suite 103 Hickory NC 28601-2580 |
| Mailing Address |
36 14th Ave Ne Suite 102 Hickory NC 28601-2580 |
| Practice Telephone | 8283456468 |
| Practice Fax Number | 8283451468 |
| Mailing Telephone | 8283456468 |
| Mailing Fax Number | 8283451468 |
| Enumeration Date | 2005-07-19 |
| Last Update Date | 2011-01-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 0010-01786 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | NORTH CAROLINA MEDICAL BOARD | 154755 | 01 |
| Street Address |
36 14TH AVE NE SUITE 103 |
| City | HICKORY |
| State | NC |
| Zip Code | 28601-2580 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093057887 | Robert W Kilpatrick | Physical Therapist | 36 14th Ave Ne, Suite 103, Hickory, NC 28601-2580 | 2013-03-20 |
| 1992038186 | Wellness One of Hickory, Inc. | Chiropractor | 36 14th Ave Ne, Suite 101, Hickory, NC 28601-2580 | 2009-09-07 |
| 1205032430 | Margaret Anne Hendrix | Counselor | 36 14th Ave Ne, Suite 101, Hickory, NC 28601 | 2007-06-25 |
| 1942338538 | Carolina Podiatry Center Pllc | Podiatrist | 36 14th Ave Ne, Suite 102, Hickory, NC 28601-2581 | 2007-03-02 |
| 1780729129 | Solutions of Hickory, Pa | Psychologist | 36 14th Ave Ne, Suite 101, Hickory, NC 28601 | 2007-02-21 |
| 1871503318 | Chrisopher M Kent | Physical Therapist | 36 14th Ave Ne, Suite 102, Hickory, NC 28601-2580 | 2006-08-08 |
| 1346278629 | William Jesse Johncock | Podiatrist | 36 14th Ave Ne, Suite 102, Hickory, NC 28601-2581 | 2006-06-28 |
| 1548296015 | Joint Replacement Specialists, P.C. | Podiatrist | 36 14th Ave Ne, Suite 102, Hickory, NC 28601-2580 | 2006-06-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417555236 | Mathew Ryan Dunn | Specialist/Technologist | 755 5th St Ne, Hickory, NC 28601 | 2020-10-14 |
| 1669086757 | Alex Neil Hines | Massage Therapist | 2759 North Center Street, Hickory, NC 28601 | 2020-09-04 |
| 1306327515 | Natasha Anderson | Nurse Practitioner | 2830 16th St Ne Apt 94, Hickory, NC 28601 | 2018-08-25 |
| 1902382120 | Danielle Marie Cisney | Counselor | 1219 10th Street Blvd Nw Apt F, Hickory, NC 28601 | 2018-07-11 |
| 1295243681 | Maggie Isabelle Mccarrick | Specialist/Technologist | 2225 6th St Nw, Hickory, NC 28601 | 2018-01-19 |
| 1487165395 | Healthstat Onsite Clinic Hsm Metal | Preventive Medicine | 180 Mcdonald Parkway Sw, Hickory, NC 28601 | 2017-10-18 |
| 1407249691 | Alexcia Dawn Pennell | Registered Nurse | 1501 Tate Blvd Sw, Suite 201, Hickory, NC 28601 | 2015-03-11 |
| 1134527484 | Pamilla Griffin Yount | Specialist | 825 3rd Ave. Nw, Hickory, NC 28601 | 2014-12-18 |
| 1831593615 | Josephine Lovelace Polhemus | Pharmacist | 12th Avenue Ne, Hickory, NC 28601 | 2014-10-22 |
| 1275957128 | Amy Lor | Acupuncturist | 46 Cloninger Mill Rd Ne Ste E, Hickory, NC 28601 | 2014-02-13 |
| Find all providers in zip 28601 | ||||
| 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 |
|---|---|---|---|---|
| 1699386797 | Mayla Chung | Physician Assistant | 188 Players Ridge Rd, Hickory, NC 28601-8815 | 2020-08-12 |
| 1871128512 | Trina Blair Dale | Physician Assistant | 844 Highland Ave Se, Hickory, NC 28602-1111 | 2020-03-03 |
| 1841823572 | Francesca Shrout | Physician Assistant | 1221 10th Street Blvd Nw, Hickory, NC 28601-2384 | 2020-02-21 |
| 1083274575 | Morgan Kelsey Edwards | Physician Assistant | 10 3rd Ave Ne Ste 500, Hickory, NC 28601-5055 | 2019-06-17 |
| 1578078895 | Zachary Chad Greer | Physician Assistant | 1927 3rd Ave Ln Se, Hickory, NC 28602 | 2017-12-08 |
| 1558711184 | Courtney Stump Browning | Physician Assistant | 212 29th Ave Ne Ste 1, Hickory, NC 28601-1085 | 2016-06-14 |
| 1487807772 | Jennifer Lynn Schnering | Physician Assistant | 1985 Tate Blvd Se Ste 600, Hickory, NC 28602-1433 | 2008-10-30 |
| 1578634648 | Cornerstone Treatment Center Pa | Physician Assistant | 11 9th Ave Ne, Hickory, NC 28601-3739 | 2006-11-12 |
| 1912005224 | Helen S Martin | Physician Assistant | 4213 Windsor Ct, Hickory, NC 28602-8985 | 2006-09-20 |
| 1770694440 | Kathy Margaret Rudisill II | Physician Assistant | 731 5th St Sw, Hickory, NC 28602-3235 | 2006-08-31 |
| Find all providers in HICKORY | ||||
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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.