JONATHAN T. MUNDY (NPI# 1841207719) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841207719 |
| Entity Type | Individual |
| Full Name | JONATHAN T. MUNDY |
| Credential | P.A.C. |
| Practice Address |
1234 Huffman Mill Rd Burlington NC 27215-8700 |
| Mailing Address |
Po Box 1717 Burlington NC 27216-1717 |
| Practice Telephone | 3365381234 |
| Practice Fax Number | 3365382390 |
| Mailing Telephone | 3365381234 |
| Mailing Fax Number | 3365382390 |
| Enumeration Date | 2006-08-02 |
| Last Update Date | 2013-01-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
103035 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 8101201 | 05 |
| Street Address |
1234 HUFFMAN MILL RD |
| City | BURLINGTON |
| State | NC |
| Zip Code | 27215-8700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528068004 | Vishwanath Hande | Internal Medicine | 1234 Huffman Mill Rd, Burlington, NC 27215-8700 | 2005-07-27 |
| 1528667870 | Delicia M White | Nurse Practitioner | 1234 Huffman Mill Rd, Burlington, NC 27215-8777 | 2020-10-19 |
| 1215542378 | Anna Michelle Mackie | Midwife | 1234 Huffman Mill Rd, Burlington, NC 27215-8777 | 2020-09-14 |
| 1477191500 | Erin Redmond Webb | Physical Therapist | 1234 Huffman Mill Rd, Burlington, NC 27215-8700 | 2019-12-19 |
| 1912542911 | Michelle Jeanine Lacayo | Physician Assistant | 1234 Huffman Mill Rd, Burlington, NC 27215-8777 | 2019-11-13 |
| 1457906877 | John Scott Guthrie | Physical Therapist | 1234 Huffman Mill Rd, Burlington, NC 27215-8700 | 2019-08-02 |
| 1982170445 | Granville Mason Croley | Physician Assistant | 1234 Huffman Mill Rd, Burlington, NC 27215-8700 | 2018-10-22 |
| 1780162016 | Margaret Haviland | Advanced Practice Midwife | 1234 Huffman Mill Rd, Burlington, NC 27215-8777 | 2018-07-30 |
| 1164912796 | Amanda Assunta Ferri | Physician Assistant | 1234 Huffman Mill Rd, Burlington, NC 27215-8700 | 2018-05-18 |
| 1578069258 | Jason Hestle Whitaker | Physician Assistant | 1234 Huffman Mill Rd, Burlington, NC 27215-8700 | 2018-04-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235748708 | Svetlana Nepocatych | Dietitian, Registered | 542 Spaulding St, Burlington, NC 27215 | 2020-07-30 |
| 1992341382 | Gracepoint Recovery Services | Counselor | The Gregory Business Center, 154 Huffman Mill Roal, Burlington, NC 27215 | 2019-11-21 |
| 1336797331 | Kelly Elizabeth Fleming | Preventive Medicine | Stallings-evans Sports Medicine Center, 91 Stadium Drive, Chapel Hill, NC 27215 | 2019-09-03 |
| 1861911968 | Michael Frey | Pharmacist | 2344 South Church St, Burlington, NC 27215 | 2017-09-11 |
| 1174043822 | Comfort Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 1244 Plaza Dr, Burlington, NC 27215 | 2017-06-23 |
| 1811417561 | Burlington Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 1244 Plaza Drive, Burlington, NC 27215 | 2017-06-23 |
| 1912459132 | Herb Mccandless Jr. | Non-emergency Medical Transport (VAN) | 4412 Dogwood Rd, Burlington, NC 27215 | 2016-11-04 |
| 1023479623 | Alpha Diagnostics, LLC | Clinical Medical Laboratory | 3015 South Church St, Burlington, NC 27215 | 2016-03-10 |
| 1669720819 | Lucy Wessinger Menefee | Registered Nurse | Unc Nephrology and Hypertension, 3325 Garden Road, Burlington, NC 27215 | 2012-08-20 |
| 1154685402 | Sheryl Harper | Social Worker | 2815 North Church Street, Burlington, NC 27215 | 2012-07-02 |
| Find all providers in zip 27215 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629147665 | Shannon Ann Mcgowan | Physician Assistant | 827 Heather Rd, Burlington, NC 27215-6288 | 2006-11-06 |
| 1861457806 | Kathleen Thayer Maloney | Physician Assistant | Fahc, 111 Colchester Ave, Burlington, VT 05401-1063 | 2006-04-20 |
| 1760922454 | Kyle C Craven | Physician Assistant | 111 Colchester Ave, Burlington, VT 05401-1473 | 2017-03-01 |
| 1396089751 | Michael P. Higgins | Physician Assistant | 111 Colchester Ave, Uvm Medical Center - Surgery/ct & Trauma, Burlington, VT 05401-1473 | 2012-11-23 |
| 1124350806 | Andrew M Ancel | Physician Assistant | 111 Colchester Ave, Fahc Emergency Department, Burlington, VT 05401-1473 | 2010-02-05 |
| 1467787531 | Jonathan R Prentice | Physician Assistant | 1234 Huffman Mill Rd, Burlington, NC 27215-8700 | 2009-10-07 |
| 1528206075 | Deborah Beth Governale | Physician Assistant | 111 Colchester Ave, Burlington, VT 05401-1473 | 2009-01-21 |
| 1700070992 | Roshni R Patel | Physician Assistant | Lahey Clinic, 41 Mall Road, Burlington, MA 01805-0001 | 2007-08-30 |
| 1306059910 | Katie Lyn Norton | Physician Assistant | 111 Colchester Ave, Baird 196, Burlington, VT 05401-1473 | 2007-05-08 |
| 1548383144 | Anthony A Kopecky | Physician Assistant | 111 Colchester Ave, Mcclure 1 Radiology, Burlington, VT 05401-1473 | 2007-04-09 |
| Find all providers in BURLINGTON | ||||
| City | BURLINGTON |
| Zip Code | 27215 |
Please comment or provide details below to improve the information on JONATHAN T. MUNDY.
| 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.