STEPHEN B GATLIN (NPI# 1235223702) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235223702 |
| Entity Type | Individual |
| Full Name | STEPHEN B GATLIN |
| Credential | PA-C |
| Practice Address |
6030 Hwy 74 West Suite A Indian Trail NC 28079-3469 |
| Mailing Address |
Po Box 601888 Charlotte NC 28260-1888 |
| Practice Telephone | 7042462777 |
| Practice Fax Number | 7042462788 |
| Mailing Telephone | 7042462777 |
| Mailing Fax Number | 7042462788 |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2014-06-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
101047 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
6030 HWY 74 WEST SUITE A |
| City | INDIAN TRAIL |
| State | NC |
| Zip Code | 28079-3469 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992297485 | Carolina Cala | Community/Behavioral Health | 3817 Balsam St, Indian Trail, NC 28079 | 2018-05-31 |
| 1992294805 | Dr Patel & Associates, Pa | Clinic/Center | 6046 W Highway 74, Indian Trail, NC 28079 | 2018-05-07 |
| 1306389085 | Creative Counseling and Consulting, LLC | Counselor | 4389 Indian Trail-fairview Road, Indian Trail, NC 28079 | 2016-11-29 |
| 1922481381 | Aakar Gaurang Chokshi | Dentist | 5850 W Highway 74 Ste 135, Indian Trail, NC 28079 | 2015-07-02 |
| 1881944536 | Francy Johana Rodriguez | Naturopath | 124 Unionville Indian Trail Rd W Ste A9, Indian Trail, NC 28079 | 2012-09-10 |
| 1669767653 | Leigh Ann Zimmerman Tasillo | Psychologist | 124 Unionville-indian Trail Rd., Suite B3, Indian Trail, NC 28079 | 2011-06-17 |
| 1679715650 | Indian Trail Chiropractic & Rehabilitation, Pa | Chiropractor | 100 Park Road East, Indian Trail, NC 28079 | 2009-04-06 |
| 1003079518 | Shemeeka L Mcfadden | Optometrist | 5850 Us-74, Unit 116, Indian Trail, NC 28079 | 2008-07-03 |
| 1023290046 | Gary Lee Vaughn | Technician/Technologist | 622 Indian Trail Rd, Indian Trail, NC 28079 | 2007-11-30 |
| 1750574331 | Susana C Junco | Dentist | 136 Indian Trail Rd, Indian Trail, NC 28079 | 2007-08-27 |
| Find all providers in zip 28079 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902403884 | Billy Scott II | Physician Assistant | 3000 Rogers Rd Ste 100, Wake Forest, NC 27587-5745 | 2020-10-05 |
| 1982213765 | Michaela Lynne Mcbride | Physician Assistant | 9541 Kings Parade Blvd Unit 107, Charlotte, NC 28273-5819 | 2020-07-28 |
| 1386260347 | Elizabeth Warrington Maiche | Physician Assistant | 113 Montgomery Dr, Saluda, NC 28773-7787 | 2020-06-24 |
| 1831715663 | John Wheary | Physician Assistant | 3233 Austin Ave, New Bern, NC 28562-7084 | 2020-06-17 |
| 1629692439 | Julie Anne Augustine | Physician Assistant | 718 S Green St, Winston Salem, NC 27101-5112 | 2020-06-08 |
| 1659995710 | Kristopher Neal Priddy | Physician Assistant | 405 Forest Hill Dr, Shelby, NC 28150-5520 | 2020-06-04 |
| 1710500558 | Christian Wright Fulenwider | Physician Assistant | 104 Linden St, Morganton, NC 28655-3788 | 2020-05-27 |
| 1366065500 | Lisa Lynn Carder | Physician Assistant | 904 Foxcroft Cir Apt D, Shelby, NC 28152-6868 | 2020-05-22 |
| 1982234282 | Brandon Sorkin | Physician Assistant | 280 Executive Park Drive, Suite 100, Concord, NC 28025-2802 | 2020-01-25 |
| 1245860618 | Robert Maughan | Physician Assistant | 129 Bryce Creek Ln, Fayetteville, NC 28303-4981 | 2020-01-24 |
| Find all providers with the same taxonomy | ||||
| City | INDIAN TRAIL |
| Zip Code | 28079 |
Please comment or provide details below to improve the information on STEPHEN B GATLIN.
| 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.