DONNA M AJO (NPI# 1174629414) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174629414 |
| Entity Type | Individual |
| Full Name | DONNA M AJO |
| Credential | PA |
| Practice Address |
300 Medical Pavilion Dr Ste 150 Raeford NC 28376-0030 |
| Mailing Address |
504 Broad St Apt A Emporia VA 23847-1843 |
| Practice Telephone | 9109048025 |
| Practice Fax Number | 9106159751 |
| Mailing Telephone | (678) 755-5248 |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2017-07-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 0110002353 | VA | Allopathic & Osteopathic Physicians |
| Y | 363A00000X | Physician Assistant | 0010-00988 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | LICINCE | 0110002353 | 01 |
| Street Address |
300 MEDICAL PAVILION DR STE 150 |
| City | RAEFORD |
| State | NC |
| Zip Code | 28376-0030 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619426624 | Dikshya Hamal | Internal Medicine | 300 Medical Pavilion Dr Ste 150, Raeford, NC 28376-0030 | 2016-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578185104 | Elite Supply Services, Inc. | Durable Medical Equipment & Medical Supplies | 2148 Bus-us 401, Raeford, NC 28376 | 2020-05-18 |
| 1205485695 | Brenda P Gregorio | Technician | 297 Gregorios Ln, Raeford, NC 28376 | 2019-09-09 |
| 1083197115 | Jennifer Picerno Bowyer | Nurse Practitioner | 929 Prospect Ave., Raeford, NC 28376 | 2018-09-14 |
| 1730694746 | Embassy Health Network | Counselor | 2148 Hwy 401 Business, Raeford, NC 28376 | 2017-12-13 |
| 1508398991 | Rockfish Pharmacy Inc | Pharmacy | 221 Flagstone Lane, Raeford, NC 28376 | 2017-04-03 |
| 1205281235 | William Fiebig | Nurse Practitioner | Hoke Hospital, 210 Medical Pavilion Drive, Raeford, NC 28376 | 2016-04-27 |
| 1306200647 | Tia Hart Community Recovery Program | Community/Behavioral Health | 2188 A Us 401 Business, Raeford, NC 28376 | 2016-04-13 |
| 1508240631 | Integrated Mental Health Services Agency Inc | Community/Behavioral Health | 2188-a Hwy 401 Business, Raeford, NC 28376 | 2015-07-18 |
| 1649658287 | Divine Medical Supplies Inc | Durable Medical Equipment & Medical Supplies | 320 Birch St, Raeford, NC 28376 | 2015-05-15 |
| 1992192298 | David Abdulhaqq | Counselor | 225 Aggies Lane, Raeford, NC 28376 | 2015-04-24 |
| Find all providers in zip 28376 | ||||
| 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 |
|---|---|---|---|---|
| 1942725700 | Jennifer Lynnette Wilson | Physician Assistant | 282 Equestrian Way, Raeford, NC 28376-7721 | 2017-08-13 |
| 1942689864 | Jason Spinnicchia | Physician Assistant | 211 Autumn Ln, Raeford, NC 28376-8451 | 2015-05-26 |
| 1992872394 | Chad C Mcgraw | Physician Assistant | 114 Breckenridge Dr, Raeford, NC 28376-5460 | 2006-11-29 |
| 1497702823 | Brian E Savage | Physician Assistant | 469 Forrest Woods Dr, Raeford, NC 28376-6420 | 2006-05-30 |
| 1255311916 | Vickie Lynn Farmer | Physician Assistant | 1090 E Central Ave, Raeford, NC 28376-3039 | 2006-01-19 |
| 1659358372 | Richard David Young | Physician Assistant | 210 Medical Pavilion Dr, Raeford, NC 28376 | 2005-12-22 |
| 1003337528 | Hoke Emergency Group, PC | Physician Assistant | 210 Medical Pavilion Dr, Raeford, NC 28376-9111 | 2017-07-06 |
| 1063958577 | Amanda Cierra Mcneill | Physician Assistant | 1090 E Central Ave, Raeford, NC 28376-3039 | 2017-01-09 |
| 1447609391 | Curt Andrew Litton | Physician Assistant | 210 Medical Pavilion Dr, Raeford, NC 28376-9111 | 2016-06-10 |
| 1295141661 | Zena Kobaissi | Physician Assistant | 313 Teal Dr, Raeford, NC 28376-2567 | 2014-07-07 |
| Find all providers in RAEFORD | ||||
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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.