DIEDRE M. BASS (NPI# 1306142336) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306142336 |
| Entity Type | Individual |
| Full Name | DIEDRE M. BASS |
| Credential | PA-C |
| Practice Address |
436 Airport Road Suite 20 Arden NC 28704 |
| Mailing Address |
Po Box 1869 Fletcher NC 28732-1869 |
| Practice Telephone | 4072002352 |
| Practice Fax Number | 4072001360 |
| Mailing Telephone | 8286875616 |
| Mailing Fax Number | 8286508076 |
| Enumeration Date | 2011-02-09 |
| Last Update Date | 2020-10-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 0010-05877 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | 2011002476 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 150 Ivey Ln, Pinehurst, NC 283749817 | 9102155200 |
| Street Address |
436 AIRPORT ROAD SUITE 20 |
| City | ARDEN |
| State | NC |
| Zip Code | 28704 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962642868 | Pandora M Hodge | Physician Assistant | 436 Airport Road, Suite 20, Arden, NC 28704 | 2009-03-05 |
| 1396041075 | Fletcher Hospital Inc | Clinic/Center | 436 Airport Road, Suite 20, Arden, NC 28704 | 2011-01-28 |
| 1396052965 | Julia Elizabeth Hankin | Nurse Practitioner | 436 Airport Road, Suite 20, Arden, NC 28704 | 2010-09-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801410949 | Lindsey Marie Gates | Dentist | 226 New Airport Rd Ste 30, Arden, NC 28704 | 2020-06-04 |
| 1669025565 | Casey Cho Dds Pllc | Dentist | 150 Airport Rd. Suite 30, Arden, NC 28704 | 2019-07-19 |
| 1700370913 | Eric Seth Shapiro | Chiropractor | 32 Southwicke Dr, Arden, NC 28704 | 2018-06-20 |
| 1285180406 | Adam Herbst | Physical Therapy Assistant | 101 Roberts Lake Circle Apt 105, Arden, NC 28704 | 2016-08-28 |
| 1760820013 | Dove Shoneman | Acupuncturist | 600 Julian Lane, Suite 660, Arden, NC 28704 | 2013-06-10 |
| 1710288378 | Higher Ground Pediatric Therapy, Pllc | Community/Behavioral Health | 3749 Sweeten Creek Road Suites 1-2, Arden, NC 28704 | 2010-11-12 |
| 1710135009 | Wal-mart Stores, Inc. | Eyewear Supplier (Equipment, not the service) | 60 Airport Rd., Asheville, NC 28704 | 2008-08-29 |
| 1679732598 | Patty Ann Dalton | Social Worker | 126 Locust Court, Arden, NC 28704 | 2008-06-05 |
| 1053501783 | Roger A Wallace | Psychologist | 410 Mills Gap Rd., Arden, NC 28704 | 2007-07-30 |
| 1285835314 | Diane Swift Feinberg | Counselor | 15 Spring Hill Dr, Arden, NC 28704 | 2007-05-29 |
| Find all providers in zip 28704 | ||||
| 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 |
|---|---|---|---|---|
| 1164087805 | Carolinas Fertility Institute, P.a. | Physician Assistant | 2159 Hendersonville Road, Suite 30, Arden, NC 28704-9719 | 2019-05-08 |
| 1962642868 | Pandora M Hodge | Physician Assistant | 436 Airport Road, Suite 20, Arden, NC 28704 | 2009-03-05 |
| 1407846777 | Charles Edmondson Lott | Physician Assistant | 310 Long Shoals Rd Ste 320, Mission Family Practice, Arden, NC 28704-8794 | 2005-10-26 |
| 1235526609 | Amelia Martin | Physician Assistant | 2695 Hendersonville Rd Ste 200, Arden, NC 28704 | 2015-04-23 |
| 1023446481 | Kristen Marie Fromal | Physician Assistant | 310 Long Shoals Rd, Suite 110, Arden, NC 28704-8794 | 2013-10-23 |
| 1275876682 | Claudia Deyanira Sotomayor | Physician Assistant | 15 Skyland Inn Dr, Arden, NC 28704-7714 | 2013-04-03 |
| 1205172202 | Katie Lynn Dager | Physician Assistant | 15 Skyland Inn Dr, Arden, NC 28704 | 2012-12-19 |
| 1558617910 | Ashley Marie Mores | Physician Assistant | 310 Long Shoals Rd Ste 110, Arden, NC 28704-8794 | 2012-08-02 |
| 1437426079 | Whitney Galloway Garren | Physician Assistant | 2695 Hendersonville Rd, Suite 204, Vista Family Health, Arden, NC 28704-8576 | 2011-11-28 |
| 1720382930 | Joseph Jonathan Suarez | Physician Assistant | 310 Long Shoals Road, Suite 110, Arden, NC 28704-8794 | 2011-01-03 |
| Find all providers in ARDEN | ||||
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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.