KENDALL BONOT RODGERS (NPI# 1487166906) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487166906 |
| Entity Type | Individual |
| Full Name | KENDALL BONOT RODGERS |
| Credential | PA-C |
| Practice Address |
11491 Us 70 Bus Hwy W Clayton NC 27520 |
| Mailing Address |
11491 Us 70 Bus Hwy W Clayton NC 27520-2207 |
| Practice Telephone | 9195502484 |
| Mailing Telephone | 9195502484 |
| Enumeration Date | 2017-10-25 |
| Last Update Date | 2019-10-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 0010-08760 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | 5601008408 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3011b Raleigh Road Pkwy W, Wilson, NC 278968213 | 2522931010 | 2522913232 |
| 4771 Michigan Ave, Detroit, MI 482103247 | 3138972600 |
| Street Address |
11491 US 70 BUS HWY W |
| City | CLAYTON |
| State | NC |
| Zip Code | 27520 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083256549 | Sydney Golden | Physician Assistant | 11491 Us 70 Bus Hwy W, Clayton, NC 27520-2207 | 2019-10-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336750959 | Ebony Nichole Sanders | Driver | 312 Kilgo, Clayton, NC 27520 | 2020-08-17 |
| 1831701382 | Deawna Jackson | Social Worker | 205 Gracie Lane, Clayton, NC 27520 | 2020-08-17 |
| 1952947798 | Mac Partners LLC | Home Health | 10027 Hwy 70 Business, Suite B, Clayton, NC 27520 | 2019-11-26 |
| 1386291102 | Benjamin R Anderson | Physician Assistant | 2138 Nc 42, Clayton, NC 27520 | 2019-08-26 |
| 1396217923 | Lindsey R. Williams Dds, Pa | Dentist | 45 Shotwell Rd., Clayton, NC 27520 | 2018-12-20 |
| 1063987303 | Christopher James Lane | Physician Assistant | 2076 Nc 42 W, Suite 230, Clayton, NC 27520 | 2018-10-12 |
| 1245733971 | Cordelia O Emebo | Pharmacist | 11360 Old Us Hwy 70 West, Clayton, NC 27520 | 2018-03-08 |
| 1033620828 | Laura Nguyen | Physician Assistant | 2076 Nc-42, Suite 230, Clayton, NC 27520 | 2017-10-19 |
| 1467974394 | Liliana Galvan | Social Worker | 510 W Main St., Suit 100, Clayton, NC 27520 | 2017-07-12 |
| 1013438738 | Caitlin Colletti | Social Worker | 510 West Main St., Suite 100, Clayton, Nc, NC 27520 | 2017-07-03 |
| Find all providers in zip 27520 | ||||
| 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 |
|---|---|---|---|---|
| 1386291102 | Benjamin R Anderson | Physician Assistant | 2138 Nc 42, Clayton, NC 27520 | 2019-08-26 |
| 1114483641 | Lindsey Diana Barrett | Physician Assistant | 2138 Nc Highway 42 W, Clayton, NC 27520-5300 | 2019-02-20 |
| 1558834051 | Jonathan Echeverria | Physician Assistant | 761 Slate Top Rd, Clayton, NC 27520-5984 | 2019-01-07 |
| 1033620828 | Laura Nguyen | Physician Assistant | 2076 Nc-42, Suite 230, Clayton, NC 27520 | 2017-10-19 |
| 1356851869 | Alexandra Kane Hom | Physician Assistant | 41 Mountaire Pl, Clayton, CA 94517-1524 | 2017-10-10 |
| 1578841334 | Megan Wester | Physician Assistant | 236 Butternut Ln, Clayton, NC 27520-5857 | 2011-07-28 |
| 1376698688 | Carrie Leigh Knaus | Physician Assistant | 2076 Hwy. 42 West, Clayton, NC 27520-5302 | 2007-01-24 |
| 1891726972 | Heather Linnea Lesieur | Physician Assistant | 5439 Clayton Rd Ste B, Clayton, CA 94517-1076 | 2006-07-06 |
| 1588623367 | Jennifer Marie Moore | Physician Assistant | 445 Hocutt Farm Dr, Clayton, NC 27527-3751 | 2006-03-21 |
| 1114905395 | Jason Macdonald Coggins | Physician Assistant | 2076 Hwy 42 W, Clayton, NC 27520-5302 | 2006-01-06 |
| Find all providers in CLAYTON | ||||
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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.