MR. JEFFREY DEAN PATANE (NPI# 1790878510) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1790878510 |
Entity Type | Individual |
Full Name | MR. JEFFREY DEAN PATANE |
Credential | PA-C |
Practice Address |
108 Mosby Ave Littleton NC 27850-9411 |
Mailing Address |
Po Box 640 Roanoke Rapids NC 27870-0640 |
Practice Telephone | 2525865411 |
Practice Fax Number | 2525862028 |
Mailing Telephone | 2525365440 |
Mailing Fax Number | 2525365444 |
Enumeration Date | 2006-10-02 |
Last Update Date | 2014-10-02 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363A00000X | Physician Assistant | 0010-04808 | NC | Physician Assistants & Advanced Practice Nursing Providers |
N | 363AM0700X |
Physician Assistant Specialization: Medical |
PA9102979 | FL | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | BCBS OF FLORIDA | Y09Y9 | 01 |
FL | RAILROAD MEDICARE | P01065481 | 01 |
Street Address |
108 MOSBY AVE |
City | LITTLETON |
State | NC |
Zip Code | 27850-9411 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568449486 | Ashby Jeffries Burton IIi | Family Medicine | 108 Mosby Ave, Littleton, NC 27850-9411 | 2005-12-30 |
1326599523 | Laurie Ann Nilsen | Nurse Practitioner | 108 Mosby Ave, Littleton, NC 27850-9411 | 2016-10-22 |
1528170164 | Darlene Christine Kocich | Nurse Practitioner | 108 Mosby Ave, Littleton, NC 27850-9411 | 2006-08-31 |
1093767535 | Rural Health Group, Inc. | Clinic/Center | 108 Mosby Ave, Littleton, NC 27850-9411 | 2006-05-16 |
1952380545 | Carlotta Marvette Lindsay | Family Medicine | 108 Mosby Ave, Littleton, NC 27850-9411 | 2006-01-11 |
1518945336 | Richard Henry Gross | Surgery | 108 Mosby Ave, Littleton, NC 27850-9411 | 2006-01-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730730193 | Susan Draper Coley | Technician | 521 Wildwood Circle, Littleton, NC 27850 | 2019-09-26 |
1790045763 | Michael A Jackson | Pharmacist | 123 East South Main St, Littleton, NC 27850 | 2012-05-23 |
1861637159 | Family&youth Service Inc | Case Management | 214e South Main Street, Littleton, NC 27850 | 2008-12-16 |
1841471786 | Atlantic Uniforms and Medical Supplies | Durable Medical Equipment & Medical Supplies | 100 South Main St., Littleton, NC 27850 | 2007-11-20 |
1609997386 | Family&youth Services | Case Management | 127w S Main St, Durham, NC 27850 | 2007-04-02 |
1649365701 | Littleton Pharmacy Inc. | Pharmacy | 123 E. S. Main St., Littleton, NC 27850 | 2006-10-04 |
1205075280 | Atlantic Nursing Staff LLC | Home Health | 100 South Main St., Littleton, NC 27850 | 2009-02-13 |
1851538144 | Futrell Pharmacy Service Inc | Pharmacy | 123 East South Main Street, Littleton, NC 27850-0532 | 2009-01-08 |
1174753081 | Atlantic Nursing Staff LLC | Home Health | 100 South Main St, Littleton, NC 27850-1143 | 2009-07-27 |
1881825735 | Christine Bailey Cooper | Home Health Aide | 100 South Main St, Littleton, NC 27850-1143 | 2009-07-27 |
Find all providers in zip 27850 |
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 |
---|---|---|---|---|
1831704394 | Monica Gordon | Physician Assistant | 6856 S Dover Way, Littleton, CO 80128-4054 | 2020-09-11 |
1154939023 | Anna Nguyen | Physician Assistant | 4449 S Jellison Way, Littleton, CO 80123-1181 | 2020-07-16 |
1912532151 | Kallie Keith | Physician Assistant | 7685 S Harlan St, Littleton, CO 80128-5946 | 2020-03-09 |
1255825089 | Kathryn Calderwood | Physician Assistant | 7780 S Broadway Ste 250, Littleton, CO 80122-2633 | 2018-06-15 |
1609319789 | Sarah J Hostert | Physician Assistant | 13402 W Coal Mine Ave Ste 240a, Littleton, CO 80127-5407 | 2016-11-22 |
1639626286 | Allison Griffin Moore | Physician Assistant | 7720 S Broadway Ste 350, Littleton, CO 80122-2634 | 2016-09-01 |
1124495221 | Nancy Cobb | Physician Assistant | 8966 W Bowles Ave Ste L, Littleton, CO 80123-3454 | 2015-08-25 |
1609292101 | Taralyn Hoflen | Physician Assistant | 4798 W Mineral Ave Apt 203, Littleton, CO 80128-2621 | 2014-03-10 |
1104120518 | Michelle Warrick | Physician Assistant | 8199 South Park Lane, Ste #100, Littleton, CO 80120 | 2010-12-28 |
1487964466 | Lauren E Turra | Physician Assistant | 7780 S Broadway Ste 100, Littleton, CO 80122-2633 | 2010-10-08 |
Find all providers in LITTLETON |
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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.