JOHN EDWARD PANTER (NPI# 1407294655) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1407294655 |
Entity Type | Individual |
Full Name | JOHN EDWARD PANTER |
Credential | PA |
Practice Address |
104 Quail Trl Unit B Edgewood NM 87015-7185 |
Practice Telephone | 5052080204 |
Practice Fax Number | 5053847028 |
Mailing Telephone | 5052080204 |
Enumeration Date | 2013-06-10 |
Last Update Date | 2018-05-04 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
104 QUAIL TRL UNIT B |
City | EDGEWOOD |
State | NM |
Zip Code | 87015-7185 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720269178 | Jodi A. Dettman | Nurse Practitioner | 104 Quail Trl Unit B, Edgewood, NM 87015-7185 | 2007-11-14 |
1083112437 | East Mountain Medical, LLC | Family Medicine | 104 Quail Trl Unit B, Edgewood, NM 87015 | 2018-01-30 |
1902333776 | Placitas Mountain Medical, Inc | Clinic/Center | 104 Quail Trl Unit B, Edgewood, NM 87015-7185 | 2017-05-11 |
1497280143 | Sandia Mountain Medical, Inc. | Clinic/Center | 104 Quail Trl Unit B, Edgewood, NM 87015-7185 | 2017-05-01 |
1669796595 | Effie E Medford | Specialist | 104 Quail Trl Unit B, Edgewood, NM 87015-7185 | 2010-03-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740772490 | Laura Hunsucker | Physical Therapist | 1090 Mountain Valley Road, Edgewood, NM 87015 | 2018-05-30 |
1295194629 | Ryan Grange | Physician Assistant | 1851 Old Highway 66 Unit 1, Edgewood, NM 87015 | 2016-02-12 |
1376895250 | Bianca Genco-morrison | Social Worker | 17 Venus Rd. West, Edgewood, NM 87015 | 2012-10-03 |
1447541909 | Rona H Vanwilligen | Physical Therapist | 1851 Highway 333, 2-b, Edgewood, NM 87015 | 2011-05-02 |
1679717789 | Alan Mannheimer | Pediatrics | 104 Quail Trail, Unit B, Edgewood, NM 87015 | 2009-04-21 |
1003085705 | Wal-mart Stores East, Lp | Eyewear Supplier (Equipment, not the service) | 66 State Road #344, Edgewood, NM 87015 | 2008-02-27 |
1821270828 | Fowler Enterprises, Inc. | Physical Therapist | 1851-2b Old Highway 66, Edgewood, NM 87015 | 2007-11-30 |
1366630121 | Jeana Spindle | Speech-Language Pathologist | 27 Camino Estribor, Edgewood, NM 87015 | 2007-10-05 |
1679794457 | Sharon Louise Meyer | Social Worker | 14 El Prado, Edgewood, NM 87015 | 2007-05-01 |
1912035478 | Cecilia Gonzales Morris | Occupational Therapist | 204 Dinkle Road, Edgewood, NM 87015 | 2007-02-28 |
Find all providers in zip 87015 |
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 |
---|---|---|---|---|
1811543812 | Emily Crocetti | Physician Assistant | 20 Medical Village Dr Ste 132, Edgewood, KY 41017-5406 | 2019-08-15 |
1053528380 | Casey Lynn Doty | Physician Assistant | 20 Medical Village Dr # 254, Edgewood, KY 41017 | 2007-05-17 |
1083212344 | Kelly O'brien | Physician Assistant | 900 Medical Village Dr, Edgewood, KY 41017-3422 | 2020-10-09 |
1255957122 | Lauren Slabaugh | Physician Assistant | 162 Barnwood Dr, Edgewood, KY 41017-2501 | 2020-06-17 |
1700422995 | Samuel Jacob Dedden | Physician Assistant | 560 S Loop Rd, Edgewood, KY 41017-3405 | 2019-11-21 |
1700368495 | Brian R Ingram | Physician Assistant | 1851 Old Hwy 66, Edgewood, NM 87015 | 2018-08-30 |
1033628268 | Jennifer Teresa Sprague | Physician Assistant | 20 Medical Village Dr, Edgewood, KY 41017-5401 | 2017-09-20 |
1932624707 | Thomas Slone Wilkinson | Physician Assistant | 1 Medical Village Dr, Edgewood, KY 41017-3403 | 2017-08-13 |
1215380100 | Madeleine Lansberry | Physician Assistant | 200 Medical Village Dr, Edgewood, KY 41017 | 2016-07-15 |
1922463918 | Nicholas Joseph Reist | Physician Assistant | 560 S Loop Rd, Edgewood, KY 41017-3405 | 2015-12-18 |
Find all providers in EDGEWOOD |
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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.