TAYLOR ETTORE (NPI# 1942613443) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1942613443 |
Entity Type | Individual |
Full Name | TAYLOR ETTORE |
Credential | PA-C |
Practice Address |
4800 S Croatan Hwy Emergency Department Nags Head NC 27959-9704 |
Mailing Address |
4800 S Croatan Hwy Outer Banks Hospital Nags Head NC 27959 |
Practice Telephone | 2524495600 |
Mailing Telephone | 2524495600 |
Enumeration Date | 2014-06-03 |
Last Update Date | 2016-10-28 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 363A00000X | Physician Assistant | 0010-05921 | NC | Physician Assistants & Advanced Practice Nursing Providers |
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
4800 S CROATAN HWY EMERGENCY DEPARTMENT |
City | NAGS HEAD |
State | NC |
Zip Code | 27959-9704 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720075732 | Troy Haupt | Nurse Anesthetist, Certified Registered | 4800 S Croatan Hwy, Nags Head, NC 27959-9704 | 2005-10-04 |
1316548001 | Lisa Ferguson Minerich | Occupational Therapist | 4800 S Croatan Hwy, Nags Head, NC 27959-9704 | 2020-11-08 |
1295333250 | Gillian Lennox Stewart | Physical Therapist | 4800 S Croatan Hwy, Nags Head, NC 27959-9704 | 2020-10-13 |
1386279602 | Vann-virginia Center for Orthopaedics PC | Orthopaedic Surgery | 4800 S Croatan Hwy, Nags Head, NC 27959-9704 | 2020-03-06 |
1386182608 | Outer Banks Professional Services | Clinic/Center | 4800 S Croatan Hwy, Nags Head, NC 27959 | 2017-02-07 |
1154721140 | Jaclyn Eva Hall | Dietitian, Registered | 4800 S Croatan Hwy, Nags Head, NC 27959-9704 | 2014-08-27 |
1407137300 | Lauren Allison Joyce Zaritsky | Social Worker | 4800 S Croatan Hwy, Nags Head, NC 27959-9704 | 2011-09-06 |
1538370150 | Outer Banks Hospital | Anesthesiology | 4800 S Croatan Hwy, Nags Head, NC 27959-9704 | 2007-05-25 |
1205053139 | Outer Bank Hospital Inc | Pharmacy | 4800 S Croatan Hwy, Nags Head, NC 27959-9704 | 2007-04-20 |
1821127739 | Maria Nicole Saffell | Emergency Medicine | 4800 S Croatan Hwy, Nags Head, NC 27959-9704 | 2007-03-05 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821609124 | Charla D Huff | Counselor | 2224 S Croatan Hwy, Nags Head, Nc 27959, Nags Head, NC 27959 | 2020-08-11 |
1376029827 | Albemarle Eye Center, Pllc | Ophthalmology | 111 W Seachase Dr, Nags Head, NC 27959 | 2018-07-18 |
1780847392 | Brainard Lee Ackley | Chiropractor | 119 West Woodhill Drive, Suite 7, Nags Head, NC 27959 | 2008-07-03 |
1629241963 | Joseph Console Martone | Dentist | 2300 Croatan Highway, Suite #203, Nags Head, NC 27959 | 2008-04-08 |
1902096886 | Tristan Roderick | Psychologist | 2514 South Croatan Hwy, Nags Head, NC 27959 | 2007-07-27 |
1750593570 | Joan Beall | Counselor | 2215 Va Dare Trail, Nags Head, NC 27959 | 2007-05-04 |
1366654071 | William Milnor Downing Vi | Dentist | 2917 South Croatan Hwy, Nags Head, NC 27959 | 2007-05-04 |
1821117318 | Bear Drugs of Nags Head Inc. | Pharmacy | 4711 S. Croatan Hwy, Unit #4, Nags Head, NC 27959 | 2007-03-28 |
1275663916 | John Robert Wallace | Physical Therapist | 103 W Woodhill Dr, Suite A, Nags Head, NC 27959 | 2007-03-06 |
1477607273 | Albemarle Mental Health Center | Social Worker | 2514 S Croatan Hwy, Nags Head, NC 27959 | 2007-01-22 |
Find all providers in zip 27959 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902403884 | Billy Scott II | Physician Assistant | 3000 Rogers Rd Ste 100, Wake Forest, NC 27587-5745 | 2020-10-05 |
1982213765 | Michaela Lynne Mcbride | Physician Assistant | 9541 Kings Parade Blvd Unit 107, Charlotte, NC 28273-5819 | 2020-07-28 |
1386260347 | Elizabeth Warrington Maiche | Physician Assistant | 113 Montgomery Dr, Saluda, NC 28773-7787 | 2020-06-24 |
1831715663 | John Wheary | Physician Assistant | 3233 Austin Ave, New Bern, NC 28562-7084 | 2020-06-17 |
1629692439 | Julie Anne Augustine | Physician Assistant | 718 S Green St, Winston Salem, NC 27101-5112 | 2020-06-08 |
1659995710 | Kristopher Neal Priddy | Physician Assistant | 405 Forest Hill Dr, Shelby, NC 28150-5520 | 2020-06-04 |
1710500558 | Christian Wright Fulenwider | Physician Assistant | 104 Linden St, Morganton, NC 28655-3788 | 2020-05-27 |
1366065500 | Lisa Lynn Carder | Physician Assistant | 904 Foxcroft Cir Apt D, Shelby, NC 28152-6868 | 2020-05-22 |
1982234282 | Brandon Sorkin | Physician Assistant | 280 Executive Park Drive, Suite 100, Concord, NC 28025-2802 | 2020-01-25 |
1245860618 | Robert Maughan | Physician Assistant | 129 Bryce Creek Ln, Fayetteville, NC 28303-4981 | 2020-01-24 |
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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.