MRS. AMANDA WHITAKER TIPTON


Address: 1901 Mooney St, Winston Salem, NC 27103-3032
Phone: 3367162011

MRS. AMANDA WHITAKER TIPTON (NPI# 1073862355) 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) 1073862355
Entity Type Individual
Full Name MRS. AMANDA WHITAKER TIPTON
Credential PA-C
Practice Address 1901 Mooney St
Winston Salem
NC 27103-3032
Mailing Address 1370 Abingdon Way
Winston Salem
NC 27106-4478
Practice Telephone 3367162011
Mailing Telephone 6618571041
Enumeration Date 2012-09-02
Last Update Date 2016-10-14
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant 0010-06441 NC Physician Assistants & Advanced Practice Nursing Providers
N 363A00000X Physician Assistant PA22505 CA Physician Assistants & Advanced Practice Nursing Providers

Other Providers AMANDA TIPTON

NPI Name Taxonomy Address Enumeration
1780052977 Amanda Carole Tipton Chiropractor 21860 Willamette Drive, West Linn, OR 97068 2015-09-04

Office Location

Street Address 1901 MOONEY ST
City WINSTON SALEM
State NC
Zip Code 27103-3032

Providers in the same location

NPI Name Taxonomy Address Enumeration
1912041773 Richard Thomas Galinski Physical Therapist 1901 Mooney St, Winston Salem, NC 27103-3032 2007-02-16
1134731227 Wake Forest University Health Sciences Durable Medical Equipment & Medical Supplies 1901 Mooney St, Winston Salem, NC 27103-3032 2020-08-19
1073135448 Charles Ramy Badawy Physical Therapist 1901 Mooney St, Winston Salem, NC 27103-3032 2020-05-08
1124517644 Justin Pfruender Physical Therapist 1901 Mooney St, Winston Salem, NC 27103-3032 2018-05-10
1467959627 Carla Parker Specialist/Technologist 1901 Mooney St, Winston Salem, NC 27103-3032 2018-04-12
1992228738 Edmond Christopher Ina Specialist/Technologist 1901 Mooney St, Winston Salem, NC 27103-3032 2017-07-24
1215310123 Kristen Lee Marion Physical Therapist 1901 Mooney St, Winston Salem, NC 27103-3032 2015-07-09
1518158724 Brian Robert Waterman Orthopaedic Surgery 1901 Mooney St, Winston Salem, NC 27103-3032 2007-08-05

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1124648126 Kelly Anne Wales Pharmacist 3917-a Westpoint Boulevard, Winston-salem, NC 27103 2020-04-20
1386281533 Elena Mcginty Nurse Practitioner 1225 Creekshire Way, Suite 270, Winston Salem, NC 27103 2019-12-06
1992359442 Madeline Pryor Pharmacist 255 Charlois Drive, Winston Salem, NC 27103 2019-08-01
1215599584 Palmetto Oxygen LLC Durable Medical Equipment & Medical Supplies 1100 S Stratford Road, Building B, Suite 420, Winston Salem, NC 27103 2019-07-07
1548734718 Trivy Johnson Specialist 1384-b Westgate Center Dr., Winston Salem, NC 27103 2019-01-21
1447745047 Novant Health Rehabilitation Hospital of Winston-salem, LLC Rehabilitation Hospital 2475 Hillcrest Center Circle, Winston Salem, NC 27103 2018-06-26
1346740206 Joseph Miller Physical Therapist 1605 Westbrook Dr, Suite 103, Winston-salem, NC 27103 2018-02-17
1548779101 Kristin Blow Counselor 3000 Bethesda Pl Ste 202, Winston Salem, NC 27103 2017-09-27
1891213443 Alisha Dawn Wilson Occupational Therapy Assistant 2101 Homestead Hills Drive, Winston Salem, NC 27103 2017-09-05
1588186969 Brandy Wilson Social Worker 153 Cameron Way Circle, Winston Salem, NC 27103 2017-07-07
Find all providers in zip 27103

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
1598375032 Anthony Gentile Physician Assistant 2632 Wynbrook Dr, Winston Salem, NC 27103-8005 2020-08-07
1376152074 Meera Shah Physician Assistant 3288 Robinhood Rd Ste 202, Winston Salem, NC 27106-5464 2020-07-28
1770118457 Heather Leigh Bissell Physician Assistant 153 Lavender Ln, Winston Salem, NC 27107-6023 2020-03-03
1245899806 Cheryl L Sizer Physician Assistant Wake Forest Baptist Health 1 Medical Center Blvd, Winston Salem, NC 27157-0001 2019-06-07
1235606575 Vincent James Alderete Physician Assistant Wake Forest Baptist Health 1 Medical Center Boulevard, Winston Salem, NC 27157-0001 2018-10-25
1386127538 Frederick Keith Stirewalt Physician Assistant Medical Center Blvd Faithhealth, Winston Salem, NC 27157-0001 2018-09-13
1164936852 Lindsay Webster Physician Assistant 10479 Nc-109, 107a, Winston Salem, NC 27107 2017-11-17
1518477694 Raul Canchari Ames Physician Assistant 512 Waughtown St, Winston Salem, NC 27127-2236 2017-10-03
1922528611 Devon Adams Physician Assistant 1 Medical Center Blvd Gastroenterology Dept, Winston Salem, NC 27157-7223 2017-06-22
1053862474 Seguin Warwick Beuerlein Physician Assistant 2425 Riley Forest Dr, Winston Salem, NC 27127-7573 2016-10-20
Find all providers in WINSTON SALEM

Competitor

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City WINSTON SALEM
Zip Code 27103

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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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