WILLIAM PANZO (NPI# 1275953614) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275953614 |
| Entity Type | Individual |
| Full Name | WILLIAM PANZO |
| Credential | PA |
| Practice Address |
2930 Forestville Rd Raleigh NC 27616-8774 |
| Mailing Address |
36 Wilson Ter Staten Island NY 10304-3206 |
| Practice Telephone | 9192356550 |
| Enumeration Date | 2014-04-24 |
| Last Update Date | 2018-06-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 0010-07910 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | 017481-1 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 475 Seaview Ave, Staten Island University Hospital, Staten Island, NY 103053436 | 7182269000 |
| Street Address |
2930 FORESTVILLE RD |
| City | RALEIGH |
| State | NC |
| Zip Code | 27616-8774 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700873460 | Eugene Leung | Internal Medicine | 2930 Forestville Rd, Raleigh, NC 27616-8774 | 2005-09-28 |
| 1255851424 | Wake Specialty Physicians LLC | Internal Medicine | 2930 Forestville Rd, Raleigh, NC 27616-8774 | 2017-06-20 |
| 1538511753 | Tatiana Hardy | Nurse Practitioner | 2930 Forestville Rd, Raleigh, NC 27616-8774 | 2016-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740768225 | Iam Healthcare, Pllc | Family Medicine | 5509 Cumberland Plain Dr, Raleigh, NC 27616 | 2018-08-06 |
| 1841791985 | George Solomon Edmond Sr. | Social Worker | 2700 Sumner Bldv Ste 142, Raleigh, NC 27616 | 2018-02-23 |
| 1366985194 | Kavita Joshi | Contractor | 3001 Spring Forest Road, Raleigh, NC 27616 | 2016-11-28 |
| 1447701701 | Nathaniel Byrams | Durable Medical Equipment & Medical Supplies | 5951 Poyner Village Parkway, Suite 101, Raleigh, NC 27616 | 2016-10-20 |
| 1760831424 | Courtney Lee Smith | Speech-Language Pathologist | 4804 Sinclair Dr, Raleigh, NC 27616 | 2016-06-03 |
| 1780060541 | Sharon Sims Smith | Pharmacist | 4901 Alenja Lane, Raleigh, NC 27616 | 2015-08-04 |
| 1427462035 | Cara Ellen Finn | Optometrist | 7500 Ramble Way Ste 101, Raleigh, NC 27616 | 2014-06-12 |
| 1609297209 | Vetted International, Ltd. | Ambulance | 6880 Perry Creek Road, Raleigh, NC 27616 | 2013-12-27 |
| 1437588324 | Lauren Primato | Counselor | 8645 Boysenberry Ln, Raleigh, NC 27616 | 2013-11-01 |
| 1275968729 | Rebecca Esliker | Counselor | 3200 Spring Forest Rd, Suite 214, Raleigh, NC 27616 | 2013-09-03 |
| Find all providers in zip 27616 | ||||
| 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 |
|---|---|---|---|---|
| 1457961682 | Megan Kathleen Brown | Physician Assistant | 3024 New Bern Ave Ste 102, Raleigh, NC 27610-1247 | 2020-08-03 |
| 1124640651 | Kayla Marie Sincock | Physician Assistant | 12205 Harcourt Dr, Raleigh, NC 27613-5603 | 2020-05-06 |
| 1093340531 | Hannah Stanifer | Physician Assistant | 510 N Wilmington St Apt 227, Raleigh, NC 27604-8021 | 2020-03-05 |
| 1962035642 | Brianna Stolz | Physician Assistant | 3811 Ed Dr Ste 110, Raleigh, NC 27612-2393 | 2020-02-20 |
| 1316577737 | Jacey Elizabeth Byers | Physician Assistant | 700 Hawes Ct Apt C, Raleigh, NC 27608-1745 | 2020-01-24 |
| 1033756598 | Julie A Romeis | Physician Assistant | 1929 N Hills Dr Unit G, Raleigh, NC 27612-4022 | 2019-12-04 |
| 1346886769 | Pooja Parmar | Physician Assistant | 8804 Bluff Pointe Ct, Raleigh, NC 27615-4172 | 2019-11-20 |
| 1649829557 | Bryan Edwards | Physician Assistant | 4551 New Bern Ave Ste A100, Raleigh, NC 27610-1551 | 2019-09-04 |
| 1790343192 | Savanah Palen Mullen | Physician Assistant | 10208 Cerny St Ste 204, Raleigh, NC 27617-7885 | 2019-05-31 |
| 1356906184 | Andrew Paul Apicella | Physician Assistant | 3024 New Bern Ave Ste 302, Raleigh, NC 27610-1247 | 2019-05-07 |
| Find all providers in RALEIGH | ||||
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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.