LA TASHA AL-JARBOUA (NPI# 1588078000) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588078000 |
| Entity Type | Individual |
| Full Name | LA TASHA AL-JARBOUA |
| Credential | PA-C |
| Practice Address |
501 Main St Gatesville NC 27938-9424 |
| Mailing Address |
Po Box 297 Gatesville NC 27938-0297 |
| Practice Telephone | 2523571226 |
| Practice Fax Number | 2523571236 |
| Mailing Telephone | 2523571226 |
| Mailing Fax Number | 2523571236 |
| Enumeration Date | 2014-06-12 |
| Last Update Date | 2014-06-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 0010-04854 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
501 MAIN ST |
| City | GATESVILLE |
| State | NC |
| Zip Code | 27938-9424 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518514025 | Anne Marie Monte-parker | Nurse Practitioner | 501 Main St, Gatesville, NC 27938-9424 | 2019-08-20 |
| 1295224772 | Candice S Mathis | Pharmacist | 501 Main St, Gatesville, NC 27938-9424 | 2018-05-09 |
| 1588039036 | Shelley Ann Smith | Nurse Practitioner | 501 Main St, Gatesville, NC 27938-9424 | 2015-12-09 |
| 1629478730 | Racheal Elliott Shaddeau | Nurse Practitioner | 501 Main St, Gatesville, NC 27938-9424 | 2014-08-26 |
| 1205241387 | Gateway Community Health Centers, Inc | Clinic/Center | 501 Main St, Gatesville, NC 27938-9424 | 2014-06-26 |
| 1093071011 | Abigail Claudia Bivans | Physician Assistant | 501 Main St, Gatesville, NC 27938-9424 | 2012-04-03 |
| 1518247576 | Gateway Community Health Centers, Inc. | Nurse Practitioner | 501 Main St, Gatesville, NC 27938-9424 | 2011-08-23 |
| 1639217631 | Gates County Medical Center LLC | Clinic/Center | 501 Main St, Gatesville, NC 27938-9424 | 2007-02-02 |
| 1700944238 | Suzanne Gardiner Mahar | Physician Assistant | 501 Main St, Gatesville, NC 27938-9424 | 2006-12-05 |
| 1255392197 | James Wayne Blanton | Family Medicine | 501 Main St, Gatesville, NC 27938-9424 | 2006-03-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841739877 | Todds Pharmacy of Gates Co Inc | Pharmacy | 504 Main St., Gatesville, NC 27938 | 2017-02-23 |
| 1306226253 | Gates House, LLC | Assisted Living Facility | 11 Commerce Drive, Gatesville, NC 27938 | 2015-06-05 |
| 1679705958 | Intensive Mental Care Inc | Community/Behavioral Health | 102 West Mapel Street, Gatesville, NC 27938 | 2009-08-20 |
| 1891831541 | John Burton Sledge Jr. | Pediatrics | Gates Correctional Center 308 Us Highway 158w, Gatesville, NC 27938 | 2007-01-29 |
| 1144716903 | Liberty Healthcare Group LLC | Home Health | 212 Main Street, Gatesville, NC 27938 | 2018-07-05 |
| 1689837841 | Carolinas Home Care Inc | Home Health | 111 Court St, Gatesville, NC 27938 | 2008-07-08 |
| 1073739561 | Coastal Rehabilitation Inc | Occupational Therapist | 501 Main Street, Gatesville, NC 27938 | 2007-04-17 |
| 1033203328 | Todds Pharmacy of Gates County | Pharmacy | 504 Main St, Gatesville, NC 27938 | 2006-10-03 |
| 1265686406 | Associates United Corporation | Community/Behavioral Health | 102 West Maple St, Gatesville, NC 27938-0102 | 2008-11-14 |
| 1164852935 | The Davis Housing Group | Case Management | 26 Langston Ln, Gatesville, NC 27938-9300 | 2013-11-15 |
| Find all providers in zip 27938 | ||||
| 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 |
|---|---|---|---|---|
| 1023365087 | Jessica Nicole Strube | Physician Assistant | 319 Highway 36 Byp S Ste 401, Gatesville, TX 76528-2741 | 2012-08-09 |
| 1992964274 | David James Bennett | Physician Assistant | 1916 N Hwy 36 Bypass, Gatesville, TX 76596 | 2008-06-03 |
| 1629540109 | Emily Leib | Physician Assistant | 1507 W Main St, Gatesville, TX 76528-1024 | 2018-12-21 |
| 1932468659 | Angelica Clark | Physician Assistant | 227 Memorial Dr, Gatesville, TX 76528-1028 | 2012-05-15 |
| 1093071011 | Abigail Claudia Bivans | Physician Assistant | 501 Main St, Gatesville, NC 27938-9424 | 2012-04-03 |
| 1922300623 | Natalie Joy Kortis | Physician Assistant | 1507 W Main St, Gatesville, TX 76528-1024 | 2010-12-01 |
| 1316003064 | Kimberly Jo Jacobs | Physician Assistant | 1507 W Main St, Gatesville, TX 76528-1024 | 2006-12-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215538459 | Sarah Jane Lamanna | Physician Assistant | 3012 Bristol Creek Dr, Morrisville, NC 27560-7811 | 2020-11-04 |
| 1043819741 | Brad Russell Tolan | Physician Assistant | 211 Pinegate Cir Apt 12, Chapel Hill, NC 27514-2221 | 2020-10-22 |
| 1265030654 | Vanessa Vinson | Physician Assistant | 284 Lower Edgewood Rd, Candler, NC 28715-9285 | 2020-10-16 |
| 1649878810 | Courtney Michelle Watlington | Physician Assistant | 360 N Bennett St, Southern Pines, NC 28387-4813 | 2020-10-11 |
| 1669079034 | Christine Meyer | Physician Assistant | 2523 Creek Ridge Ln, Chapel Hill, NC 27514-7454 | 2020-10-07 |
| 1407453319 | Khyan Waddell | Physician Assistant | 127 Sneed Rd, Enfield, NC 27823-9589 | 2020-10-04 |
| 1053918979 | Amjad Ali | Physician Assistant | 730 Montlieu Ave, High Point, NC 27260-4000 | 2020-10-04 |
| 1104433382 | Aditi Bhattacharjee Sundaresan | Physician Assistant | 131 Mallard Ct, Chapel Hill, NC 27517-9104 | 2020-09-30 |
| 1689281933 | Kathryn Tarulli | Physician Assistant | 600 W Main St Apt 624, Durham, NC 27701-5005 | 2020-09-29 |
| 1205443991 | Kelsey Mendez | Physician Assistant | 105 Basket Oak Dr, Bunnlevel, NC 28323-9141 | 2020-09-26 |
| Find all providers with the same taxonomy | ||||
| City | GATESVILLE |
| Zip Code | 27938 |
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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.