MRS. KIM ANH THI DANG (NPI# 1295932457) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295932457 |
| Entity Type | Individual |
| Full Name | MRS. KIM ANH THI DANG |
| Credential | P-AC |
| Practice Address |
257 Highway 125 Roanoke Rapids NC 27887 |
| Mailing Address |
131 Saundersville Rd Ste 160 Hendersonville TN 37075-8903 |
| Practice Telephone | 2524100001 |
| Practice Fax Number | 2524100003 |
| Mailing Telephone | 6158243737 |
| Enumeration Date | 2007-06-29 |
| Last Update Date | 2016-12-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 0010-01841 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | 85002978 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
0010-01841 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | PHYSICIAN ASST-LICENSED | 85002978 | 01 |
| NC | PHYSICIAN ASSISTANT LICENCE NUMBAER | 0010-01841 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750886610 | Kim Minh Dang | Student in an Organized Health Care Education/Training Program | 20201 South Crawford, Olympia Fields, IL 60461 | 2018-03-23 |
| 1699210229 | Kim N. Dang | Specialist/Technologist | 7 Whitelaw Pl Apt Tb, Baltimore, MD 21236 | 2017-01-06 |
| 1124207493 | Kim Dang | Pharmacist | 50 N Medical Dr Rm A050, Salt Lake City, UT 84132-0001 | 2007-11-02 |
| 1487251872 | Kim Ly Dang | Pharmacist | 900 Springfield Rd, Union, NJ 07083-8617 | 2020-10-08 |
| 1649732827 | Kim Nhu Dang | Student in an Organized Health Care Education/Training Program | 1900 E 4th St, Santa Ana, CA 92705-3962 | 2019-04-04 |
| 1922364512 | Kim Dang | Internal Medicine | 1401 N 10th Ave Ste 100, Stayton, OR 97383-1486 | 2012-04-08 |
| 1184637266 | Kim Bao Dang | Dentist | 2000 Van Ness Ave, Suite 203, San Francisco, CA 94109-3023 | 2006-08-13 |
| Street Address |
257 HIGHWAY 125 |
| City | ROANOKE RAPIDS |
| State | NC |
| Zip Code | 27887 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083161103 | Anesthesia Services Associates | Anesthesiology | 257 Hwy 125, Roanoke Rapids, NC 27887 | 2016-09-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912521154 | Thereasa Marie Bradley-bullock | Behavior Technician | 1119 Oakland St, Roanoke Rapids, NC 27870-3441 | 2020-06-03 |
| 1972126480 | Terrilyn Battle | Counselor | 628 Farley Cir, Roanoke Rapids, NC 27870-6390 | 2020-05-19 |
| 1548892102 | Vanessa Petrillo | Behavioral Analyst | 212 Olde Chimney Rd, Roanoke Rapids, NC 27870-7529 | 2020-02-11 |
| 1831721596 | Holt Assessment Services, LLC | Community/Behavioral Health | 622 Unit C Roanoke Avenue, Roanoke Rapids, NC 27870 | 2020-02-10 |
| 1053951244 | Wl Transportation LLC | Non-emergency Medical Transport (VAN) | 557 Litte Deep Creek Road, Roanoke Rapids, NC 27870 | 2020-01-15 |
| 1386289494 | Felicia Vann | Contractor | 135 Hunting Ridge Rd Apt 900, Roanoke Rapids, NC 27870-4127 | 2019-11-12 |
| 1922667310 | Vitaltiy Holistic Wellness LLC | Chiropractor | 600 Jackson St Ste C, Roanoke Rapids, NC 27870-2646 | 2019-06-10 |
| 1215590112 | House of Support Counseling Services, Pllc | Clinic/Center | 107 Se Main St, Ste. 317, Roanoke Rapids, NC 27870-4957 | 2019-04-16 |
| 1740748474 | Alexis S Gomez | Physician Assistant | 257 Nc-125, Roanoke Rapids, NC 27870 | 2019-03-12 |
| 1487118808 | Affinity Genesis Enterprises Inc | Home Health | 1015 Roanoke Ave Ste G, Roanoke Rapids, NC 27870-3721 | 2019-01-30 |
| Find all providers in ROANOKE RAPIDS | ||||
| 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 |
|---|---|---|---|---|
| 1740748474 | Alexis S Gomez | Physician Assistant | 257 Nc-125, Roanoke Rapids, NC 27870 | 2019-03-12 |
| 1780091918 | Kelly Mclean | Physician Assistant | 257 Nc Highway 125, Roanoke Rapids, NC 27870-6455 | 2014-07-21 |
| 1013915388 | Sonya S Bullock | Physician Assistant | 130 Cardinal Dr, Roanoke Rapids, NC 27870-4946 | 2005-07-12 |
| 1780141770 | Kristin Lee Henderson | Physician Assistant | 171 Nc Highway 125, Roanoke Rapids, NC 27870-6460 | 2019-02-26 |
| 1407212699 | Brandon Colby Carlisle | Physician Assistant | 306 Becker Dr., Roanoke Rapids, NC 27870 | 2016-01-05 |
| 1548639602 | Sarah Louanne Curry | Physician Assistant | 171 Nc Highway 125, Roanoke Rapids, NC 27870-6460 | 2015-09-18 |
| 1093713117 | Carlton Reid Beaman Jr. | Physician Assistant | 130 Cardinal Dr, Roanoke Rapids, NC 27870-4946 | 2005-07-12 |
| 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 | ROANOKE RAPIDS |
| Zip Code | 27887 |
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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.