MR. PETER OMONDE II (NPI# 1245202738) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245202738 |
| Entity Type | Individual |
| Full Name | MR. PETER OMONDE II |
| Credential | P.A. |
| Practice Address |
120 W. Martin Luther Kng Jr. Drive Washington NC 27889 |
| Mailing Address |
102 N Eden Dr Washington NC 27889-3114 |
| Practice Telephone | 2529400602 |
| Practice Fax Number | 2529400605 |
| Mailing Telephone | 2529400602 |
| Mailing Fax Number | 2529400605 |
| Enumeration Date | 2006-02-07 |
| Last Update Date | 2015-04-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 102580 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | FQHC MEDICAID | 344591A/344591C | 01 |
| NC | FQHC MEDICARE | 341871 | 01 |
| NC | 344591C | 05 |
| Street Address |
120 W. MARTIN LUTHER KNG JR. DRIVE |
| City | WASHINGTON |
| State | NC |
| Zip Code | 27889 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336786326 | Coastal Solutions LLC | Counselor | 51 Hwy 33 W, Chocowinity, NC 27889 | 2019-12-09 |
| 1952946246 | Emily Hodges Hall | Pharmacy | 627 E 12th Street, Washington, NC 27889 | 2019-11-11 |
| 1649780032 | John Bailey Bland II | Chiropractor | 610 W. 15th. St., Washington, NC 27889 | 2017-10-11 |
| 1255780136 | County of Beaufort | Ambulance | 1420 Highland Drive, Washington, NC 27889 | 2016-06-10 |
| 1790175917 | Inner Coastal Orthotics and Prosthetics | Orthotist | 1102 North Brown St., Washington, NC 27889 | 2015-01-26 |
| 1972847390 | Country Living Guest Home #7 | Community/Behavioral Health | 207 W 11th St, Washington, NC 27889 | 2012-11-26 |
| 1104182005 | Country Living Guest Home #8 | Community/Behavioral Health | 618 Plant St, Washington, NC 27889 | 2012-04-04 |
| 1881986537 | Mary Lewis Scarbraugh | Social Worker | 408 E. 11th St., Washington, NC 27889 | 2011-05-12 |
| 1952615825 | Country Living Guest Home #6 | Community/Behavioral Health | 252 Dan Taylor Rd, Washington, NC 27889 | 2010-08-03 |
| 1376784371 | Jennifer Michele Richardson | Nurse Practitioner | 1207 Highland Drive, Washington, NC 27889 | 2009-03-20 |
| Find all providers in zip 27889 | ||||
| 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 |
|---|---|---|---|---|
| 1487254306 | Zane T Mcguire | Physician Assistant | 378 W Chestnut St Ste 103, Washington, PA 15301-4661 | 2020-10-29 |
| 1609487370 | Rachel Alexis Solomon | Physician Assistant | 1920 L St Nw Ste 350, Washington, DC 20036-5004 | 2020-08-14 |
| 1740805175 | Alexandra Fraser | Physician Assistant | 1125 11th St Nw Apt 204, Washington, DC 20001-6420 | 2020-06-11 |
| 1699399162 | Enrique Manriquez | Physician Assistant | 2413 39th Pl Nw, Washington, DC 20007-1702 | 2020-06-01 |
| 1710510565 | Peter Bourland | Physician Assistant | 130 M St Ne Apt 1113, Washington, DC 20002-7925 | 2020-02-20 |
| 1619517950 | Jaclyn Finley | Physician Assistant | 57103 Curtis St, Washington, MI 48094-3844 | 2020-01-15 |
| 1033770755 | Lauren Taylor Parrish | Physician Assistant | 3800 Reservoir Rd Nw # 2phc, Washington, DC 20007-2113 | 2019-06-24 |
| 1821654617 | Connor James Butz | Physician Assistant | 2311 M St Nw Ste 401, Washington, DC 20037-1495 | 2019-05-16 |
| 1164087482 | Lisa Chuong | Physician Assistant | 110 Irving St Nw # 3b19, Washington, DC 20010-3017 | 2019-05-02 |
| 1932660362 | Matthew Joseph Moon | Physician Assistant | Medstar Washington Hospital Center - Sicu, 110 Irving Street Nw, Washington, DC 20010 | 2019-03-28 |
| Find all providers in WASHINGTON | ||||
| City | WASHINGTON |
| Zip Code | 27889 |
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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.