MR. STEVEN ERIC ANDERSON (NPI# 1467451203) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467451203 |
| Entity Type | Individual |
| Full Name | MR. STEVEN ERIC ANDERSON |
| Credential | P.A. |
| Practice Address |
1917 W Park Dr North Wilkesboro NC 28659-3585 |
| Mailing Address |
4601 Park Rd Suite 300 Charlotte NC 28209-3239 |
| Practice Telephone | 3369037845 |
| Practice Fax Number | 3369037841 |
| Mailing Telephone | 7043232000 |
| Enumeration Date | 2005-07-14 |
| Last Update Date | 2012-11-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 100443 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | PA3125 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
100443 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
PA3125 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA3125 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | MEDICARE PTAN, INDIVIDUAL AT WILKES | NC9073A | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538387386 | Steven Carl Anderson | Pharmacist | 47 Nottingham Rd, Deerfield, NH 03037-1532 | 2007-04-24 |
| 1326264599 | Steven Mark Anderson | Licensed Practical Nurse | 1511 Tiffany St, Boyceville, WI 54725-9543 | 2007-04-17 |
| 1003945403 | Steven R Anderson | Optometrist | 114 S Court St, Sullivan, IN 47882-1801 | 2007-03-04 |
| 1851446405 | Steven E Anderson | Dentist | 311 S Division Ave, Sandpoint, ID 83864-2710 | 2007-01-24 |
| 1083787410 | Steven Edward Anderson | Physician Assistant | Sotf Clinic Bldg 01900, Fort Bragg, NC 28310 | 2006-11-15 |
| 1104919521 | Steven Eric Anderson | Chiropractor | 190 E Mesquite Blvd Unit E, Mesquite, NV 89027-4790 | 2006-09-30 |
| 1861599201 | Steven Andrew Anderson | Dentist | 1675 South Main Street, Laurel Medical Center, Lower Level, London, KY 40741 | 2006-09-20 |
| 1700995800 | Steven Lawrence Anderson | Optometrist | 915 East Randol Mill Rd., Arlington, TX 76011 | 2006-08-30 |
| 1699788950 | Steven Paul Anderson | Dentist | 2208 E 52nd St, Davenport, IA 52807-2726 | 2006-08-15 |
| 1285648691 | Steven P. Anderson | Specialist | 9400 W Lincoln Ave, Suite A, West Allis, WI 53227-2306 | 2006-07-28 |
| Street Address |
1917 W PARK DR |
| City | NORTH WILKESBORO |
| State | NC |
| Zip Code | 28659-3585 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649742859 | Eric Jason Maggio | Specialist/Technologist | 1917 W Park Dr, North Wilkesboro, NC 28659-3585 | 2018-12-28 |
| 1265776306 | Alexa Grace Gregory | Physician Assistant | 1917 W Park Dr, North Wilkesboro, NC 28659-3585 | 2012-11-15 |
| 1144508987 | Amber Gail-cox Whitley | Nurse Practitioner | 1917 W Park Dr, North Wilkesboro, NC 28659-3585 | 2011-07-27 |
| 1437481496 | Jennifer M Pillow | Specialist/Technologist | 1917 W Park Dr, North Wilkesboro, NC 28659-3585 | 2010-02-02 |
| 1639302086 | Wilkes Physician Network, Inc. | Orthopaedic Surgery | 1917 W Park Dr, Orthopaedic Specialists of Wilkes, North Wilkesboro, NC 28659-3585 | 2009-09-02 |
| 1295853018 | Steven R. Anderson | Orthopaedic Surgery | 1917 W Park Dr, Orthopaedic Specialists of Wilkes, North Wilkesboro, NC 28659-3585 | 2007-03-27 |
| 1770539363 | Independent Nephrology Services, Inc. | Clinic/Center | 1917 W Park Dr, North Wilkesboro, NC 28659-3564 | 2006-05-25 |
| 1104808674 | Kevin Bruce George | Physician Assistant | 1917 W Park Dr, North Wilkesboro, NC 28659-3585 | 2005-11-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013579689 | Lisa C Carr | Social Worker | 1400 Willow Ln # C61-2, North Wilkesboro, NC 28659 | 2019-07-03 |
| 1780141507 | Brenda Barber | Counselor | 200 Northview Plaza, North Wilkesboro, NC 28659 | 2019-02-28 |
| 1639696941 | Lifespan Incorporated | Community/Behavioral Health | 2070 River Road, North Wilkesboro, NC 28659 | 2017-08-28 |
| 1184146011 | Daymark Recovery Services Inc | Community/Behavioral Health | 200 C.c. Wright School Road, Classrooms 126, 127, North Wilkesboro, NC 28659 | 2017-07-12 |
| 1033568258 | Rgm Al Holdings, LLC | Assisted Living Facility | 240 Independence Ave, North Wilkesboro, NC 28659 | 2016-06-08 |
| 1376997999 | Hayden Church | Driver | 29 Boone Trail, North Wilkesboro, NC 28659 | 2016-04-20 |
| 1033563192 | Nathan Grant Davis | Emergency Medicine | Wake Forest Baptist Health- Wilkes Medical Center, 1370 W D St, North Wilkesboro, NC 28659 | 2016-04-14 |
| 1720425408 | Lindsay Brooke Spears | Dentist | 1915 West Park Drive Ste 104, Wilkes Public Health Dental West, North Wilkesboro, NC 28659 | 2013-06-04 |
| 1881983419 | Pruitthealth Hospice, Inc. | Hospice Care, Community Based | 902 West D St, Ste B, North Wilkesboro, NC 28659 | 2011-04-05 |
| 1275838096 | Barium Springs Home for Children | Community Based Residential Treatment Facility, Mental Illness | 517 Boston Ave, North Wilkesboro, NC 28659 | 2011-01-26 |
| Find all providers in zip 28659 | ||||
| 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 |
|---|---|---|---|---|
| 1699751933 | James E. Westbrook | Physician Assistant | 1370 West D Street, Emergency Dept., North Wilkesboro, NC 28659-3506 | 2005-12-19 |
| 1275028011 | Kaisey Hampton Medley | Physician Assistant | 1370 W D St, North Wilkesboro, NC 28659-3506 | 2018-06-25 |
| 1679007066 | Jenna Kay Baker | Physician Assistant | 1370 W D St, North Wilkesboro, NC 28659 | 2017-04-12 |
| 1487006847 | Ginna Edwards | Physician Assistant | 1925 W Park Dr, North Wilkesboro, NC 28659-3564 | 2016-07-11 |
| 1881053064 | Jeffrey Forsyth | Physician Assistant | 1370 W D St, North Wilkesboro, NC 28659-3506 | 2016-02-17 |
| 1114309259 | Taylor Norman Sheets | Physician Assistant | 1919 W Park Dr, North Wilkesboro, NC 28659-3564 | 2015-06-25 |
| 1457731028 | Mitchell Adams | Physician Assistant | 1370 W D St, North Wilkesboro, NC 28659-3506 | 2015-06-09 |
| 1194167338 | Orthocarolina, Pa | Physician Assistant | 1914 W Park Dr, North Wilkesboro, NC 28659-3563 | 2013-07-29 |
| 1780925362 | Jacqueline C Tricarico | Physician Assistant | 1370 W D St, Department of Emergency Medicine, North Wilkesboro, NC 28659-3506 | 2013-03-07 |
| 1265776306 | Alexa Grace Gregory | Physician Assistant | 1917 W Park Dr, North Wilkesboro, NC 28659-3585 | 2012-11-15 |
| Find all providers in NORTH WILKESBORO | ||||
| City | NORTH WILKESBORO |
| Zip Code | 28659 |
Please comment or provide details below to improve the information on MR. STEVEN ERIC ANDERSON.
| 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.