STEPHEN C CARR (NPI# 1689966012) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689966012 |
| Entity Type | Individual |
| Full Name | STEPHEN C CARR |
| Credential | PA |
| Practice Address |
100 Brewster Blvd Camp Lejeune NC 28547-2538 |
| Practice Telephone | 9104503218 |
| Practice Fax Number | 9104503346 |
| Mailing Telephone | 9104503218 |
| Mailing Fax Number | 9104503346 |
| Enumeration Date | 2011-05-04 |
| Last Update Date | 2015-05-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 0010-04726 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | PA.200439 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336620731 | Stephen Alexander Carr | Registered Nurse | 110 Pine Grove Cmns, York, PA 17403-5151 | 2018-08-23 |
| 1518469923 | Stephen Carr | Community Health Worker | 199 S Central Ave, Columbus, OH 43223-1301 | 2018-03-01 |
| 1679991913 | Stephen Michael Carr | Hospitalist | 104 W 5th Ave Ste 200w, Spokane, WA 99204-4803 | 2014-04-03 |
| 1306179841 | Stephen Llyod Carr | Counselor | 101 Peaceful Ln, Converse, TX 78109-1007 | 2009-09-16 |
| 1174627194 | Stephen Michael Carr | Optometrist | 6515 Main St, Suite 8 L, Trumbull, CT 06611-1354 | 2006-09-11 |
| 1194756379 | Stephen Carr | Obstetrics & Gynecology | 101 Dudley St, Providence, RI 02905-2401 | 2006-07-05 |
| 1629021811 | Stephen L Carr | Radiology | 1600 Phillips Rd, Tallahassee, FL 32308-5304 | 2006-05-18 |
| Street Address |
100 BREWSTER BLVD |
| City | CAMP LEJEUNE |
| State | NC |
| Zip Code | 28547-2538 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588668982 | Pierce Overman | Family Medicine | 100 Brewster Blvd, Naval Hospital, Camp Lejeune, NC 28547-2538 | 2005-06-13 |
| 1275146417 | Kristi Lynn Dixon | Nurse Practitioner | 100 Brewster Blvd, Camp Lejeune, NC 28547-2575 | 2020-08-27 |
| 1841802253 | Konstance Mackie | Nurse Practitioner | 100 Brewster Blvd, Camp Lejeune, NC 28547-2575 | 2020-08-18 |
| 1003425117 | Jeremy Moore | Licensed Practical Nurse | 100 Brewster Blvd, Camp Lejeune, NC 28547-2575 | 2020-07-24 |
| 1801404546 | Erika Merite Papenfuss | Nurse Anesthetist, Certified Registered | 100 Brewster Blvd, Camp Lejeune, NC 28547-2575 | 2020-07-20 |
| 1306454244 | Devon Nicole Dan | Nurse Anesthetist, Certified Registered | 100 Brewster Blvd, Camp Lejeune, NC 28547-2575 | 2020-07-16 |
| 1851918957 | Uriah Nmn Paul | Nurse Anesthetist, Certified Registered | 100 Brewster Blvd, Camp Lejeune, NC 28547-2575 | 2020-07-06 |
| 1447876529 | Leslee Lynne Smith | Speech-Language Pathologist | 100 Brewster Blvd, Camp Lejeune, NC 28547-2575 | 2020-06-24 |
| 1356965727 | Haleigh Leister | Specialist/Technologist | 100 Brewster Blvd, Camp Lejeune, NC 28547-2575 | 2020-06-02 |
| 1407482045 | Shajaylyn Lee-combs | Student in an Organized Health Care Education/Training Program | 100 Brewster Blvd, Camp Lejeune, NC 28547-2575 | 2020-03-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558906032 | Abigail Deemer | Physician Assistant | L Street, Bldg Hp-416, Camp Lejeune, NC 28547 | 2019-11-08 |
| 1407406267 | Michelle Ferricher | Nurse Practitioner | Naval Medical Center Pediatric Clinic, Nh-200 Recovery Way, Camp Lejeune, NC 28547 | 2019-09-13 |
| 1215595566 | Kayla L Torrez Chang | General Practice | Mcmh Fc 308, Hm Smith Boulevard, Camp Lejeune, NC 28547 | 2019-06-02 |
| 1699338442 | Amanda Leigh Jepsen | Military Health Care Provider | Naval Medical Center; 100 Brewster Blvd, Camp Lejeune, NC 28547 | 2019-04-17 |
| 1306336995 | Erik Reid King | Physician Assistant | F Street Bldg. Hp206, Camp Lejeune, NC 28547 | 2018-05-18 |
| 1114434032 | David John Mcdermott | Specialist/Technologist | Bldg. H1 Julian C Smith Rd., Camp Lejuene, NC 28547 | 2017-12-30 |
| 1235678434 | Nicolle Elizabeth Johnson | Occupational Therapist | 180 Hospital Corps Blvd., Camp Lejeune, NC 28547 | 2017-02-21 |
| 1427435585 | Naval Medical Center Camp Lejeune | Military/U.S. Coast Guard Pharmacy | Stone St. Extention, Bldg Nh200, Camp Lejeune, NC 28547 | 2015-04-28 |
| 1043634173 | Garrett Michael Wren | Obstetrics & Gynecology | Naval Medical Center, 100 Brewster Blvd, Camp Lejeune, NC 28547 | 2014-02-10 |
| 1245662436 | Samuel Maluil | Internal Medicine | Bldg 124 Wallace Creek, Camp Lejeunce, NC 28547 | 2013-07-30 |
| Find all providers in zip 28547 | ||||
| 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 |
|---|---|---|---|---|
| 1558906032 | Abigail Deemer | Physician Assistant | L Street, Bldg Hp-416, Camp Lejeune, NC 28547 | 2019-11-08 |
| 1992352454 | Kirsten Janel Snow | Physician Assistant | Hm Smith Boulevard, Bldg Fc-308, Camp Lejeune, NC 28542 | 2019-08-20 |
| 1306336995 | Erik Reid King | Physician Assistant | F Street Bldg. Hp206, Camp Lejeune, NC 28547 | 2018-05-18 |
| 1619418548 | Megan Vaughn | Physician Assistant | 1st Battalion 2d Marines, Wc-159, Camp Lejeune, NC 28546 | 2017-03-11 |
| 1821367996 | Jeffrey Michael Rollman | Physician Assistant | 2nd Battalion, 6th Marines Bas, Camp Lejeune, NC 28542 | 2011-12-20 |
| 1164624318 | Jason Bryan Beard | Physician Assistant | 1st Battalion 8th Marines, Psc 20102, Camp Lejeune, NC 28540 | 2007-06-01 |
| 1306852165 | Edward Bangor | Physician Assistant | 180 Hospital Corps Blvd, Naval Hospital, Camp Lejeune, NC 28547-2538 | 2006-08-01 |
| 1659351088 | Christopher Lee Owston | Physician Assistant | Hp 217 F Street, Camp Lejeune, NC 28547-5109 | 2006-01-20 |
| 1124680186 | Kelsey Elizabeth Richard | Physician Assistant | 100 Brewster Blvd, Camp Lejeune, NC 28547-2575 | 2019-06-30 |
| 1336667195 | Jordan Shankle | Physician Assistant | 100 Brewster Blvd, Camp Lejeune, NC 28547-2575 | 2017-08-31 |
| Find all providers in CAMP LEJEUNE | ||||
| City | CAMP LEJEUNE |
| Zip Code | 28547 |
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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.