SHANNA BRADSHAW (NPI# 1265514087) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265514087 |
| Entity Type | Individual |
| Full Name | SHANNA BRADSHAW |
| Credential | PA |
| Practice Address |
7910 Us Hwy 117 S Unit 120 Rocky Point NC 28457-9431 |
| Mailing Address |
Po Box 19305 Charlotte NC 28219-9305 |
| Practice Telephone | 9103004500 |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2020-08-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 103392 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 7420 Market St, Wilmington, NC 284119453 | 9106862525 | |
| 1960 S 16th St, Wilmington, NC 284016676 | 9103439991 | |
| 5145 S College Rd, Wilmington, NC 284122207 | 9107921144 | |
| 1960 S 16th St, Wilmington, NC 284016676 | 9102590400 | |
| 7910 Us Hwy 117 S, Unit 120, Rocky Point, NC 284579431 | 9103004500 | |
| 1333 S Dickinson Dr, Leland, NC 284516430 | 9103320241 | |
| 619 Jefferson St, Whiteville, NC 284723707 | 9106420331 | |
| 1135 Military Cutoff Rd, Suite 103, Wilmington, NC 284053966 | 9102566222 |
| Street Address |
7910 US HWY 117 S UNIT 120 |
| City | ROCKY POINT |
| State | NC |
| Zip Code | 28457-9431 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811305998 | Marcus Bair | Physical Therapist | 7910 Us Hwy 117 S, Unit 120, Rocky Point, NC 28457-9431 | 2014-08-01 |
| 1013336833 | George Newbill Jr. | Family Medicine | 7910 Us Hwy 117 S, Unit 120, Rocky Point, NC 28457-9431 | 2014-04-09 |
| 1164856753 | Emily Spicer | Physician Assistant | 7910 Us Hwy 117 S, Unit 120, Rocky Point, NC 28457-9431 | 2013-08-30 |
| 1114362480 | Carli Williams | Family Medicine | 7910 Us Hwy 117 S, Unit 120, Rocky Point, NC 28457-9431 | 2013-05-01 |
| 1063713204 | Carolina Healthcare Associates Inc | Physical Therapist | 7910 Us Hwy 117 S, Unit 120, Rocky Point, NC 28457-9431 | 2010-11-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033442751 | Michael Brian Bush, Dmd, Pa | Dentist | 7864 Us Hwy 117 S, Suite A, Rocky Point, NC 28457 | 2009-09-14 |
| 1831300870 | Pender Memorial Hospital, Inc. | Radiology | 7910 Us Hwy 117, Rocky Point, NC 28457 | 2007-05-24 |
| 1013069491 | Michael B Bush | Dentist | 7864 Us Highway 117, Suite A, Rocky Point, NC 28457 | 2007-01-17 |
| 1427565944 | Robert Fedoronko | Contractor | 35 Stroud Will Ct, Rocky Point, NC 28457-6004 | 2018-01-05 |
| 1043344344 | Sheba L. Shiver | Psychologist | 871 Moore Town Rd, Rocky Point, NC 28457-7304 | 2007-03-16 |
| 1841257797 | Ricardo Luis Valdivia | Family Medicine | 13732 Highway 210, Suite 400, Rocky Point, NC 28457-7340 | 2006-04-26 |
| 1629691555 | Grey & Teal | Pharmacy | 7910 Us Hwy 117 S Unit 110, Rocky Point, NC 28457-7409 | 2020-05-27 |
| 1942464540 | Elizabeth J. Truman | Pharmacist | 7910 Us Highway 117 S Unit 110, Rocky Point, NC 28457-7409 | 2008-07-12 |
| 1316998347 | John C. Wadsworth | Physician Assistant | 7910 Us Highway 117 S, Suite 120, Rocky Point, NC 28457-7409 | 2006-05-15 |
| 1033686175 | Grey & Teal | Pharmacy | 7910 Us Highway 117 S Unit 110, Rocky Point, NC 28457-7409 | 2018-10-26 |
| Find all providers in zip 28457 | ||||
| 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 |
|---|---|---|---|---|
| 1316998347 | John C. Wadsworth | Physician Assistant | 7910 Us Highway 117 S, Suite 120, Rocky Point, NC 28457-7409 | 2006-05-15 |
| 1164856753 | Emily Spicer | Physician Assistant | 7910 Us Hwy 117 S, Unit 120, Rocky Point, NC 28457-9431 | 2013-08-30 |
| 1700163714 | Alisa Mcmorris | Physician Assistant | 799 Route 25a, Rocky Point, NY 11778-8564 | 2011-11-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215538459 | Sarah Jane Lamanna | Physician Assistant | 3012 Bristol Creek Dr, Morrisville, NC 27560-7811 | 2020-11-04 |
| 1043819741 | Brad Russell Tolan | Physician Assistant | 211 Pinegate Cir Apt 12, Chapel Hill, NC 27514-2221 | 2020-10-22 |
| 1265030654 | Vanessa Vinson | Physician Assistant | 284 Lower Edgewood Rd, Candler, NC 28715-9285 | 2020-10-16 |
| 1649878810 | Courtney Michelle Watlington | Physician Assistant | 360 N Bennett St, Southern Pines, NC 28387-4813 | 2020-10-11 |
| 1669079034 | Christine Meyer | Physician Assistant | 2523 Creek Ridge Ln, Chapel Hill, NC 27514-7454 | 2020-10-07 |
| 1407453319 | Khyan Waddell | Physician Assistant | 127 Sneed Rd, Enfield, NC 27823-9589 | 2020-10-04 |
| 1053918979 | Amjad Ali | Physician Assistant | 730 Montlieu Ave, High Point, NC 27260-4000 | 2020-10-04 |
| 1104433382 | Aditi Bhattacharjee Sundaresan | Physician Assistant | 131 Mallard Ct, Chapel Hill, NC 27517-9104 | 2020-09-30 |
| 1689281933 | Kathryn Tarulli | Physician Assistant | 600 W Main St Apt 624, Durham, NC 27701-5005 | 2020-09-29 |
| 1205443991 | Kelsey Mendez | Physician Assistant | 105 Basket Oak Dr, Bunnlevel, NC 28323-9141 | 2020-09-26 |
| Find all providers with the same taxonomy | ||||
| City | ROCKY POINT |
| Zip Code | 28457 |
Please comment or provide details below to improve the information on SHANNA BRADSHAW.
| 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.