MRS. LAURA JAY WEATHERMAN (NPI# 1790751196) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790751196 |
| Entity Type | Individual |
| Full Name | MRS. LAURA JAY WEATHERMAN |
| Credential | PA-C, MPAS |
| Practice Address |
2200 N Bryan Ave 2202 N Bryan Ave Lamesa TX 79331-2451 |
| Practice Telephone | 8068727494 |
| Practice Fax Number | 8068725917 |
| Mailing Telephone | 8068727291 |
| Enumeration Date | 2006-02-24 |
| Last Update Date | 2016-12-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA-C, MPAS | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2200 N BRYAN AVE 2202 N BRYAN AVE |
| City | LAMESA |
| State | TX |
| Zip Code | 79331-2451 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134108053 | Dawson County Hospital District | General Acute Care Hospital | 2200 N Bryan Ave, Lamesa, TX 79331-2451 | 2006-01-10 |
| 1851877823 | Devin Stark | Nurse Practitioner | 2200 N Bryan Ave, Lamesa, TX 79331-2451 | 2018-07-12 |
| 1467868059 | Dawson County Hospital District | Ambulance | 2200 N Bryan Ave, Lamesa, TX 79331-2451 | 2014-07-03 |
| 1679709893 | Michael Jerome Sprys | Neuromusculoskeletal Medicine & OMM | 2200 N Bryan Ave, Lamesa, TX 79331-2451 | 2009-06-02 |
| 1275768897 | Anthony Gipson | Family Medicine | 2200 N Bryan Ave, Lamesa, TX 79331-2451 | 2009-05-27 |
| 1033364617 | Dawson County Hospital District | Clinic/Center | 2200 N Bryan Ave, Lamesa, TX 79331-2451 | 2008-11-24 |
| 1861684441 | Mark R Key | Family Medicine | 2200 N Bryan Ave, Lamesa, TX 79331-2451 | 2007-08-16 |
| 1518164870 | Griengsak Chowpaknam Md Pa | Family Medicine | 2200 N Bryan Ave, Lamesa, TX 79331-2451 | 2007-06-29 |
| 1063468908 | Griengsak Chowpaknam | Pediatrics | 2200 N Bryan Ave, Lamesa, TX 79331-2451 | 2006-05-25 |
| 1124085295 | Isabel Molina | Family Medicine | 2200 N Bryan Ave, Lamesa, TX 79331-2451 | 2006-05-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417328279 | South Plains Rural Health Services, Inc. | Registered Nurse | 1300 S Gregg Street, Lamesa, TX 79331 | 2015-10-19 |
| 1285756197 | Lamesa Isd | Local Education Agency (LEA) | 401 S. Austin, Lamesa, TX 79331 | 2007-04-04 |
| 1962520932 | Terri Lynn Rose | General Practice | 1313 Cr 19, Smith Unit, Lamesa, TX 79331 | 2007-03-27 |
| 1073658118 | Klondike Isd | Local Education Agency (LEA) | 2911 Cr H, Lamesa, TX 79331 | 2007-02-20 |
| 1487757795 | Robert Kenneth Orr | Optometrist | 1601 North Bryan Ave, Lames, TX 79331 | 2006-09-06 |
| 1255379384 | Hill Corp. | Ambulance | 501 S Main, Lamesa, TX 79331 | 2006-06-02 |
| 1316326994 | Brownfield Dental | Dentist | 101 Seagraves Rd, Brownfield, TX 79331 | 2015-05-28 |
| 1841376811 | Joseph Craig Cowan Dds, Inc. | Dentist | 706 South First Street, Lamesa, TX 79331-0541 | 2006-10-31 |
| 1770551103 | Ben Luong | Emergency Medicine | 1313 County Road 19, Lamesa, TX 79331-1817 | 2006-03-10 |
| 1790220028 | Christopher D Ackerman | Nurse Practitioner | 2200 N. Bryan Ave, Lamesa, TX 79331-2145 | 2016-12-22 |
| Find all providers in zip 79331 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831704576 | Leila Olive Adell | Physician Assistant | 1221 S Congress Ave Apt 331, Austin, TX 78704-2461 | 2020-09-10 |
| 1619591864 | Today Telemedicine Pllc | Physician Assistant | 404 Oxford St Apt 2219, Houston, TX 77007-2679 | 2020-06-03 |
| 1497384168 | Gregory C Etienne | Physician Assistant | 7400 N 4th St, Mcallen, TX 78504-1859 | 2020-04-05 |
| 1689202475 | Theodore Inthaphom | Physician Assistant | 25222 Northwest Fwy Apt 349, Cypress, TX 77429-1065 | 2020-03-29 |
| 1740816982 | Alyssa Conrad | Physician Assistant | 4818 Star Jasmine Dr, Austin, TX 78723-6059 | 2020-03-19 |
| 1114558335 | Erin Lynn Brown | Physician Assistant | 1504 Taub Loop Houston, Houston, TX 77030 | 2020-01-27 |
| 1245870930 | Jessica Grimaldo | Physician Assistant | 1200 Brooklyn Ave Ste 230, San Antonio, TX 78212-0010 | 2020-01-09 |
| 1730728528 | Holli Marie Beard | Physician Assistant | 2625 Scripture St Ste 101, Denton, TX 76201-2304 | 2019-12-27 |
| 1477191237 | Ronald Edwin Brown | Physician Assistant | 1427 Cypress Point Dr, Gunter, TX 75058-3201 | 2019-12-11 |
| 1053957910 | Rossalya Aracely Granda Gutierrez | Physician Assistant | 4150 N Collins St, Arlington, TX 76005-4547 | 2019-11-25 |
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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.