JAMIE HIGGINBOTHAM (NPI# 1417348228) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417348228 |
| Entity Type | Individual |
| Full Name | JAMIE HIGGINBOTHAM |
| Credential | PA-C |
| Practice Address |
218 Sunset Rd Willingboro NJ 08046-1110 |
| Mailing Address |
278 Eagleview Blvd Exton PA 19341-1157 |
| Practice Telephone | 6098353030 |
| Mailing Telephone | 6102266202 |
| Enumeration Date | 2015-02-16 |
| Last Update Date | 2019-09-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | MA057444 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363A00000X | Physician Assistant | 25MP00359500 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
218 SUNSET RD |
| City | WILLINGBORO |
| State | NJ |
| Zip Code | 08046-1110 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578543468 | Lourdes Specialty Hospital of Southern New Jersey LLC | Long Term Care Hospital | 218 Sunset Rd, Willingboro, NJ 08046-1110 | 2006-01-18 |
| 1043860174 | Mariya Rudi | Nurse Practitioner | 218 Sunset Rd, Willingboro, NJ 08046-1110 | 2019-09-20 |
| 1538640214 | Matthew B Louis | Student in an Organized Health Care Education/Training Program | 218 Sunset Rd, Willingboro, NJ 08046-1110 | 2018-08-22 |
| 1033577101 | Tijo Thomas | Internal Medicine | 218 Sunset Rd, Willingboro, NJ 08046-1110 | 2016-02-04 |
| 1427436468 | Amy Gestoso | Counselor | 218 Sunset Rd, Willingboro, NJ 08046-1110 | 2015-05-11 |
| 1831441674 | Inna Vaynberg | Physician Assistant | 218 Sunset Rd, Willingboro, NJ 08046-1110 | 2012-10-03 |
| 1124261904 | Florence Ann Bethe | Community Health Worker | 218 Sunset Rd, Willingboro, NJ 08046-1110 | 2009-04-09 |
| 1720255458 | Karen A Angel | Registered Nurse | 218 Sunset Rd, Willingboro, NJ 08046-1110 | 2008-05-12 |
| 1649464140 | Ibrahim Abdullah | Emergency Medicine | 218 Sunset Rd, Willingboro, NJ 08046-1110 | 2007-08-28 |
| 1235225525 | Karel Joseph Paul | Internal Medicine | 218 Sunset Rd, Willingboro, NJ 08046-1110 | 2006-10-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316548910 | Meghan Chan | Pharmacist | 4296 Us-130, Willingboro, NJ 08046 | 2020-11-02 |
| 1861004251 | Magdalena Alicja Szostak | Pharmacist | Pharmacy Dept 5987, 4296 Route 130, Willingboro Nj, Willingboro, NJ 08046 | 2020-08-18 |
| 1114560851 | Brian Paul Leonhardt | Physician Assistant | 1113 Hospital Drive Professional Building East, Suite 100, Willingboro, NJ 08046 | 2019-10-25 |
| 1144702804 | Iyanuoluwa Oluwafunmiso Alonge | Specialist/Technologist | 2009 Lewis Drive, Willingboro, NJ 08046 | 2018-08-29 |
| 1972095826 | Felicia Ann Ellis | Behavior Technician | 38 Trinity Turn, Wilingboro, NJ 08046 | 2018-06-05 |
| 1134630510 | Acme Markets Inc | Durable Medical Equipment & Medical Supplies | 2091 Route 130 N, Willingboro, NJ 08046 | 2017-10-12 |
| 1205387560 | Lj's Senior Care Services LLC | Home Health | 8 Peartree Lane, Willingboro, NJ 08046 | 2016-10-20 |
| 1174976963 | Dungarvin New Jersey, LLC-rancocas Day Program | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1000 Rev Dr Martin Luther King Jr Dr, Willingboro, NJ 08046 | 2016-07-18 |
| 1548633845 | Caringhouse Projects, Inc | Respite Care | 48 Toledo Lane, Willingboro, NJ 08046 | 2015-11-09 |
| 1275927352 | Cheryl Louise Avent-price | Social Worker | 130 Tiffany Lane, Willingboro, NJ 08046 | 2015-03-26 |
| Find all providers in zip 08046 | ||||
| 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 |
|---|---|---|---|---|
| 1972075083 | Taylor Jones | Physician Assistant | 4318 Route 130, Willingboro, NJ 08046-1427 | 2018-12-31 |
| 1669412276 | Sesame Worku | Physician Assistant | 218 Sunset Rd # A, Willingboro, NJ 08046-1110 | 2006-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114528163 | Paul J Lamartina | Physician Assistant | 1640 Highway 88 Ste 201, Brick, NJ 08724-3068 | 2020-11-05 |
| 1912507641 | Katherine Badecker | Physician Assistant | 30 Beams Ter, Manasquan, NJ 08736-2905 | 2020-10-30 |
| 1619577715 | Erin Kathryn Schlegel | Physician Assistant | 14 Timmons Hill Dr, Millstone Twp, NJ 08535-9307 | 2020-10-28 |
| 1235738006 | Amanda Kwartemaah Osei | Physician Assistant | 2 Colonial Sq, Middletown, NJ 07748-3548 | 2020-10-22 |
| 1972102770 | Vanesa Kodra | Physician Assistant | 1590 Anderson Ave Apt 2j, Fort Lee, NJ 07024-2707 | 2020-10-22 |
| 1366040750 | Gregory Joseph Salamon | Physician Assistant | 221 Belaire Ter, Mount Laurel, NJ 08054-2703 | 2020-10-16 |
| 1861099145 | Nathalie Jaqueline Rivera | Physician Assistant | 555 Ramapo Valley Rd, Oakland, NJ 07436-2817 | 2020-10-08 |
| 1710584222 | Shivam G. Patel | Physician Assistant | 207 Gambocz Ct, Monmouth Junction, NJ 08852-2167 | 2020-10-07 |
| 1932706579 | Michelle Rose Maddatu | Physician Assistant | 742 Durham Ter, Brick, NJ 08724-1064 | 2020-10-07 |
| 1154928737 | Jarna Patel | Physician Assistant | 11 Barley Ct, Plainsboro, NJ 08536-3100 | 2020-10-06 |
| Find all providers with the same taxonomy | ||||
| City | WILLINGBORO |
| Zip Code | 08046 |
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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.