MRS. LESSLIE MARQUEZ DURST


Address: 15830 Ballantyne Medical Place, Suite 100, Charlotte, NC 28277
Phone: 7043410090

MRS. LESSLIE MARQUEZ DURST (NPI# 1417093642) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1417093642
Entity Type Individual
Full Name MRS. LESSLIE MARQUEZ DURST
Other Name MS. LESSLIE MARQUEZ DURST
Credential P.A.-C
Practice Address 15830 Ballantyne Medical Place
Suite 100
Charlotte
NC 28277
Practice Telephone 7043410090
Practice Fax Number 7043410092
Mailing Telephone 7043410090
Mailing Fax Number 7043410092
Enumeration Date 2007-01-29
Last Update Date 2015-12-02
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant 0010-00785 NC Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 15830 BALLANTYNE MEDICAL PLACE
SUITE 100
City CHARLOTTE
State NC
Zip Code 28277

Providers in the same location

NPI Name Taxonomy Address Enumeration
1083662548 Ruth Anne Jameson Nurse Practitioner 15830 Ballantyne Medical Place, Suite 175, Charlotte, NC 28277 2006-05-05
1619124401 Charlotte Gastroenterology & Hepatology, Pllc Clinic/Center 15830 Ballantyne Medical Place, Suite 175, Charlotte, NC 28277-3295 2008-08-22
1790961670 Dermatologic Surgery of The Carolinas LLC Dermatology 15830 Ballantyne Medical Place, Suite 225, Charlotte, NC 28277 2008-01-10
1063429561 John F Mahoney Internal Medicine 15830 Ballantyne Medical Place, Suite 200, Charlotte, NC 28277-3297 2006-08-01
1093744096 David Richey Lane Specialist 15830 Ballantyne Medical Place, Ste 225, Charlotte, NC 28277-3294 2006-07-02

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NPI Name Taxonomy Address Enumeration
1255949731 New Life Peer Support and Coaching LLC Clinic/Center 3450 Toringdon Way, Suite 200, Charlotte, NC 28277 2020-07-21
1083256762 Speak Life Counseling Services, Pllc Counselor 16147 Lacaster Hwy, Suite 110, Charlotte, NC 28277 2019-10-14
1275010019 Jigneshkumar R Mistry Pharmacist 11805 Allforth Ln Apt 2105, Charlotte, NC 28277 2018-07-24
1255825410 Novant Medical Group Inc. Family Medicine 15033 Balloncroft Parkway, Suite 200, Charlotte, NC 28277 2018-06-20
1447752316 Harris Teeter LLC Durable Medical Equipment & Medical Supplies 11135 Golf Links Dr, Charlotte, NC 28277 2018-03-06
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1003331521 Accela Spine and Pain, Pllc Anesthesiology 10120 Ivey Chase Lane, Apt 617, Charlotte, NC 28277 2017-08-04
1265961619 Dominicka Whitaker Counselor 12365 Bluestem Ln., Charlotte, NC 28277 2017-06-08
1083143408 Monika D Hayes Counselor 11330 Snapfinger Drive, Charlotte, NC 28277 2017-06-08
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1396351607 Michael James Blackwell Physician Assistant 501 Billingsley Rd Ste B, Charlotte, NC 28211-1009 2020-09-22
1598371320 Jonathan Byron Lively Physician Assistant 1000 Blythe Blvd Fl 3, Charlotte, NC 28203-5812 2020-09-17
1902415532 Jacqueline Ellen Leyrer Physician Assistant 2630 E 7th St Ste 200, Charlotte, NC 28204-4319 2020-07-29
1750908380 Whitney Debroy Physician Assistant 125 W Tremont Ave Unit 726, Charlotte, NC 28203-5551 2020-06-30
1972129302 Ashley Nicole Short Physician Assistant 1022 E Worthington Ave, Charlotte, NC 28203-5760 2020-06-22
1558985176 Courtney Claugus Physician Assistant 300 E Park Ave Unit 7, Charlotte, NC 28203-4774 2020-05-29
1467071738 Patrick James Quinn Physician Assistant 2036 Millerton Ave Apt 4311, Charlotte, NC 28208-5290 2020-04-15
1225660301 Sunil Ranchhod Ghodasara Physician Assistant 1001 Blythe Blvd Ste 403, Charlotte, NC 28203-5863 2020-02-06
1225668601 Emily Rebecca Markey Physician Assistant 355 W Mlk Blvd Apt 1112, Charlotte, NC 28202-0043 2020-01-24
1639719586 Abosede Elizabeth Adamson Physician Assistant 3101 Amesbury Hill Dr, Charlotte, NC 28269-8951 2020-01-08
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Competitor

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City CHARLOTTE
Zip Code 28277

Improve Information

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Dataset Information

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.

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