PETER M DOMINICK (NPI# 1639644198) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639644198 |
| Entity Type | Individual |
| Full Name | PETER M DOMINICK |
| Credential | PA-C |
| Practice Address |
1007 N 6th St Albemarle NC 28001-3551 |
| Mailing Address |
531 E Farriss Ave High Point NC 27262-3254 |
| Practice Telephone | 7049828410 |
| Enumeration Date | 2018-10-10 |
| Last Update Date | 2018-10-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1007 N 6TH ST |
| City | ALBEMARLE |
| State | NC |
| Zip Code | 28001-3551 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578542759 | Eric Merriman Johnsen | Family Medicine | 1007 N 6th St, Albemarle, NC 28001-3551 | 2006-01-16 |
| 1497226252 | Kacie B Stancil | Nurse Practitioner | 1007 N 6th St, Albemarle, NC 28001-3551 | 2018-12-05 |
| 1942255708 | Stanly Family Care Clinic Pa | Family Medicine | 1007 N 6th St, Albemarle, NC 28001-3551 | 2006-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649835828 | Ashley M Duncan | Physician Assistant | Atrium Stanly Emergent Department, 320 Yadkin St, Albermarle, NC 28001 | 2019-05-03 |
| 1659870616 | Crystal Hamilton | Home Health Aide | 1741 West Main Street, Albemarble, NC 28001 | 2018-02-06 |
| 1548703358 | J. Lemmons, Dds and Associates, Pa | Clinic/Center | 319 North Second Street, Albemarle, NC 28001 | 2016-11-28 |
| 1265807937 | Novant Medical Group, Inc | Orthopaedic Surgery | 1420 Us Highway 52, Suite B, Albemarle, NC 28001 | 2015-12-07 |
| 1053785220 | Novant Medical Group, Inc. | Surgery | 1420 Us Highway North 52, Suite B, Albermarle, NC 28001 | 2015-11-25 |
| 1942674775 | The Charlotte-mecklenburg Hospital Authority | Skilled Nursing Facility | 625 Bethany Road, Albemarle, NC 28001 | 2015-11-17 |
| 1508248279 | Athena Vu Dds Pllc. | Dentist | 1122 North 6th Street, Albemarle, NC 28001 | 2015-06-18 |
| 1629482054 | Erika Shew | Pharmacist | 835 North Carolina 24, Albemarle, NC 28001 | 2014-06-13 |
| 1558794974 | Ted Allen Thompson Jr. | Pharmacist | 835 Hwy 24-27, Albemarle, NC 28001 | 2013-08-21 |
| 1912349606 | Elite Care Services Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 33973 Lowder Reunion Rd, Albemarle, NC 28001 | 2013-07-23 |
| Find all providers in zip 28001 | ||||
| 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 |
|---|---|---|---|---|
| 1215219126 | Gretta Starnes | Physician Assistant | 50021 Fox Rd, Albemarle, NC 28001-7611 | 2011-09-16 |
| 1184643959 | Charles Walker | Physician Assistant | 703 Leonard Ave, Albemarle, NC 28001 | 2006-07-19 |
| 1437147105 | Jeffery Chance | Physician Assistant | 703 Leonard Avenue, Albemarle, NC 28001 | 2005-10-07 |
| 1104394188 | Melissa Sackowitz | Physician Assistant | 301 Yadkin St, Albemarle, NC 28001-3441 | 2018-11-07 |
| 1679010813 | Tiffany Lowder | Physician Assistant | 923 N 2nd St, Ste 204, Albemarle, NC 28001-3317 | 2017-01-26 |
| 1396127577 | Aleshia Gaddy | Physician Assistant | 105 Yadkin St, Ste 303, Albemarle, NC 28001-3449 | 2015-06-23 |
| 1801287479 | Katie Furr | Physician Assistant | 1908 Hilco St, Suite B, Albemarle, NC 28001-6387 | 2015-02-18 |
| 1215350988 | Rachel G Louis | Physician Assistant | 1908 Hilco St, Ste. B, Albemarle, NC 28001-6387 | 2014-01-30 |
| 1598079527 | Brianna Mangum | Physician Assistant | 105 Yadkin St, Ste 101, Albemarle, NC 28001-3449 | 2010-08-02 |
| 1003120247 | Nader Emami-kelishadi | Physician Assistant | 301 Yadkin St, Albemarle, NC 28001-3441 | 2010-07-29 |
| Find all providers in ALBEMARLE | ||||
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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.