LESLEY A. NEVENZEL


Address: 5115 Oleander Dr, Wilmington, NC 28403-7018
Phone: 9103621011

LESLEY A. NEVENZEL (NPI# 1093023228) 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) 1093023228
Entity Type Individual
Full Name LESLEY A. NEVENZEL
Credential PA-C
Practice Address 5115 Oleander Dr
Wilmington
NC 28403-7018
Practice Telephone 9103621011
Practice Fax Number 9103621012
Mailing Telephone 9103621011
Mailing Fax Number 9103621012
Enumeration Date 2010-09-22
Last Update Date 2016-07-18
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant 5601005892 MI Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
MI BLUE CROSS BLUE SHIELD TRAD, TRUST, AND MEDICARE BLUE CROSS 1093023228 01
MI RAILROAD MEDICARE P00925484 01
MI 1093023228 05
MI RAILROAD MEDICARE 1093023228 01
MI BCBSM - BRONSON 1417961137 01
MI BLUE CROSS BLUE SHIELD TRAD, TRUST, AND MEDICARE BLUE CROSS 1053901340 01
MI BLUE CROSS BLUE SHIELD TRAD, TRUST, AND MEDICARE BLUE CROSS 1851569958 01

Office Location

Street Address 5115 OLEANDER DR
City WILMINGTON
State NC
Zip Code 28403-7018

Providers in the same location

NPI Name Taxonomy Address Enumeration
1316903495 Wendy M. Landrigan Physician Assistant 5115 Oleander Dr, Wilmington, NC 28403-7018 2006-04-26
1114544996 Coastal Carolina Sedation Associates, LLC Anesthesiology 5115 Oleander Dr, Wilmington, NC 28403-7018 2020-06-29
1396300430 Marykate Kubler Physician Assistant 5115 Oleander Dr, Wilmington, NC 28403-7018 2019-05-03
1508369620 Rheanna Michelle Mcknight Physician Assistant 5115 Oleander Dr, Wilmington, NC 28403-7018 2018-03-15
1942718721 Kate Logan Wilson Physician Assistant 5115 Oleander Dr, Wilmington, NC 28403-7018 2018-01-16
1952785131 Justin Toth Physician Assistant 5115 Oleander Dr, Wilmington, NC 28403-7018 2015-07-16
1912322470 Taylor Huckabee Thompson Physician Assistant 5115 Oleander Dr, Wilmington, NC 28403-7018 2014-02-20
1962748079 Lisa Leigh Ricci Physician Assistant 5115 Oleander Dr, Wilmington, NC 28403-7018 2012-12-17
1497065338 Kunal Sanjay Dalal Internal Medicine 5115 Oleander Dr, Wilmington, NC 28403-7018 2010-10-13
1528291762 Sarah Cay Rydock Physician Assistant 5115 Oleander Dr, Wilmington, NC 28403-7018 2009-09-03
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1902413875 Ymca of Southeastern Nc Health Educator 2710 Market Street, Wilmington, NC 28403 2020-09-25
1659917334 Noa Alper Occupational Therapist 5412 Old Garden Road, Wilmington, NC 28403 2019-11-18
1992346340 Nancy Rosita Carson Technician 5608 Locke Str. Apt 108, Wilmington, NC 28403 2019-10-07
1912484585 Jennifer Nicole Perry Behavior Technician 349 Campus Cv, Wilmington, NC 28403 2018-07-25
1386159929 Monumental Foundations LLC Clinic/Center Plum Tree Plaza 925 South Kerr Ave Suite F4, Wilmington, NC 28403 2017-12-05
1114445731 Jacqulyn Craichy Speech-Language Pathologist 75 Cavalier Drive, Wilmington, NC 28403 2017-09-04
1730638545 Ashley Mcneil Durable Medical Equipment & Medical Supplies 3435 Wilshire Blvd Apt 203, Wilmington, NC 28403 2016-09-22
1306204276 Valerie Pringle Jones Physical Therapist 1717 Shipyard Blvd. Ste 350, Wilmington, NC 28403 2016-02-05
1689039992 Lifeline Treatment Center Clinic/Center 5710 Oleander Dr Ste 100, Wilmington, NC 28403 2015-12-31
1750758264 Melissa Beatson Speech-Language Pathologist 4014 Oleander Drive, Ste. 3b, Coastal Speech & Language Pllc, Wilmington, NC 28403 2015-09-01
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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
1750990461 Kyra Isaacs Physician Assistant 1901 Greenbriar Dr, Wilmington, DE 19810-4320 2020-07-28
1144847252 Stephanie Marie Barczak Physician Assistant 11 Amherst Rd, Wilmington, MA 01887-2608 2020-07-06
1457984676 Jessica Patrick Lancaster Physician Assistant 602 Jennings Dr, Wilmington, NC 28403-2732 2020-02-17
1730727348 Lea Ann Cenname Physician Assistant 722 Mohican Trl, Wilmington, NC 28409-3429 2019-12-13
1467944645 Julie Renee Sims Physician Assistant 3411 Silverside Rd Ste 107, Wilmington, DE 19810-4806 2018-06-04
1740780865 Greater Tomorrow Wellness, LLC Physician Assistant 1097 W Locust St, Wilmington, OH 45177 2018-02-15
1336658657 Eric Dees Physician Assistant 501 W 14th St Fl 1, Wilmington, DE 19801-1013 2017-09-29
1174047591 Carlie M Black Physician Assistant 4815 Oleander Dr Ste 100, Wilmington, NC 28403-5116 2017-07-27
1497294581 Kathleen Lauren Meyer Physician Assistant 6419 Carolina Beach Rd Ste A, Wilmington, NC 28412-3672 2017-02-22
1477090967 David Romano Physician Assistant 15 Kilmarnock St, Wilmington, MA 01887-3061 2017-01-23
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Competitor

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City WILMINGTON
Zip Code 28403

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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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