MISS JESSICA PANKAJ VYAS (NPI# 1588057145) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588057145 |
| Entity Type | Individual |
| Full Name | MISS JESSICA PANKAJ VYAS |
| Credential | PA-C |
| Practice Address |
One Medical Drive Benson NC 27504 |
| Practice Telephone | 9198945787 |
| Practice Fax Number | 9192072090 |
| Mailing Telephone | 9198945787 |
| Mailing Fax Number | 9192072090 |
| Enumeration Date | 2015-03-06 |
| Last Update Date | 2016-10-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 0010-05151 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | NC MEDICAL LIC # | 0010-05151 | 01 |
| Street Address |
ONE MEDICAL DRIVE |
| City | BENSON |
| State | NC |
| Zip Code | 27504 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154426120 | Laraine Reibson Bowen | Physician Assistant | One Medical Drive, Benson, NC 27504 | 2006-09-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558970780 | Tara Baran | Pharmacist | 3333 Nc-242, Benson, NC 27504 | 2020-07-23 |
| 1306357652 | Kingdom Family Care Home | Nursing Care | 11062 Hwy 50 North, Benson, NC 27504 | 2017-10-13 |
| 1346622818 | Meagan Maida Parker | Dentist | 12330 Highway 210, Suite #115, Benson, NC 27504 | 2015-06-22 |
| 1437598067 | Dongmin Lee | Dentist | 12330 Nc-210, 115, Benson, NC 27504 | 2013-06-17 |
| 1770871014 | Mark Damian Greenwell | Pharmacist | 13440 Nc 210 Highway, Benson, NC 27504 | 2011-07-20 |
| 1346403151 | Liberty Healthcare Group LLC | Assisted Living Facility | 2315 Hwy 242 N, Benson, NC 27504 | 2008-07-02 |
| 1063580447 | Martin Davis Lee | Chiropractor | 106 South Elm Street, Benson, NC 27504 | 2006-12-01 |
| 1548348824 | Riccobene-mcgees | Dentist | 12330 Highway 210, Suite 115, Benson, NC 27504 | 2006-11-02 |
| 1225113277 | Monica Weathers | Speech-Language Pathologist | 102 North Market Street, Suite Ff, Benson, NC 27504 | 2006-10-26 |
| 1912081944 | Carl David Horkavy | Chiropractor | 202 Nilee St, Benson Chiropractic Center PC, Benson, NC 27504 | 2006-10-25 |
| Find all providers in zip 27504 | ||||
| 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 |
|---|---|---|---|---|
| 1124520440 | Grayson Colette Massey | Physician Assistant | 1 Medical Dr, Benson, NC 27504-1177 | 2018-03-02 |
| 1083158067 | Audrey Marie Gray | Physician Assistant | 300 S Ocotillo Ave, Benson, AZ 85602-6401 | 2016-12-12 |
| 1033469531 | Theresa M Micke | Physician Assistant | 3333 Nc Highway 242 N, Benson, NC 27504-7844 | 2012-09-12 |
| 1558641746 | Moboluwade Abe-lathan | Physician Assistant | 1 Medical Dr, Benson, NC 27504-1177 | 2011-08-19 |
| 1629201280 | Josh A. Balsly | Physician Assistant | 1 Medical Dr, Benson, NC 27504-1177 | 2009-08-31 |
| 1740437466 | Neema Chandel | Physician Assistant | 27 Annette Dr, Suite 109, Benson, NC 27504-8045 | 2008-08-25 |
| 1154516722 | Brenda Jean Justice | Physician Assistant | 125 E Main St, Benson, NC 27504-1506 | 2007-09-07 |
| 1871701847 | Jon Russell Clayton | Physician Assistant | 1 Medical Dr, Benson, NC 27504-1177 | 2007-05-21 |
| 1568683308 | Phyllis Jeanne Driver | Physician Assistant | 804 S Market St, Benson, NC 27504-2110 | 2007-05-01 |
| 1750400339 | Patrick Edward Malone | Physician Assistant | 1 Medical Dr, Benson, NC 27504-1177 | 2007-03-28 |
| Find all providers in BENSON | ||||
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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.