ANNE THERESA VAILLANCOURT (NPI# 1982763306) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982763306 |
| Entity Type | Individual |
| Full Name | ANNE THERESA VAILLANCOURT |
| Credential | PA-C |
| Practice Address |
1728 Fordham Blvd 151 Ram's Plaza Chapel Hill NC 27514-2397 |
| Mailing Address |
Po Box 63362 151 Ram's Plaza Charlotte NC 28263-3362 |
| Practice Telephone | 9199681985 |
| Practice Fax Number | 9199420038 |
| Mailing Telephone | 9196204918 |
| Mailing Fax Number | 9196204921 |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2016-03-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 100680 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | MEDICAL LICENSE | 100680 | 01 |
| Street Address |
1728 FORDHAM BLVD 151 RAM'S PLAZA |
| City | CHAPEL HILL |
| State | NC |
| Zip Code | 27514-2397 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053308049 | Bruce Bair | Physician Assistant | 1728 Fordham Blvd, 151 Rams Plaza, Chapel Hill, NC 27514 | 2005-10-04 |
| 1255851358 | Med First Immediate Care & Family Practice Pa | Family Medicine | 1728 Fordham Blvd, Chapel Hill, NC 27514-2397 | 2017-06-21 |
| 1417493008 | Kristin Stankevitz | Physician Assistant | 1728 Fordham Blvd, Chapel Hill, NC 27514-2397 | 2017-01-06 |
| 1659510139 | Katrina Hoke Williams | Physician Assistant | 1728 Fordham Blvd, 151 Rams Plaza, Chapel Hill, NC 27514-2397 | 2009-02-06 |
| 1497898597 | William Ingram Powell Iv | Nurse Practitioner | 1728 Fordham Blvd, 151 Rams Plaza, Chapel Hill, NC 27514-2397 | 2007-02-15 |
| 1619037041 | Peggy Jo Robinson | Physician Assistant | 1728 Fordham Blvd, 151 Ram's Plaza, Chapel Hill, NC 27514-2397 | 2006-12-08 |
| 1750441184 | Betty Jo Haswell | Physician Assistant | 1728 Fordham Blvd, 151 Ram's Plaza, Chapel Hill, NC 27514-2397 | 2006-12-08 |
| 1073539912 | Glenn Ashley Withrow | Family Medicine | 1728 Fordham Blvd, 151 Rams Plaza, Chapel Hill, NC 27514-2397 | 2006-07-14 |
| 1881623023 | North Carolina Family Doctor, P.a. | Clinic/Center | 1728 Fordham Blvd, 151 Rams Plaza, Chapel Hill, NC 27514-2397 | 2006-07-01 |
| 1972530459 | Jean Woods | Dentist | 1728 Fordham Blvd, Suite 125, Chapel Hill, NC 27514-2397 | 2006-06-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639790900 | Ellen Cowherd | Student in an Organized Health Care Education/Training Program | Unc Children's Primary Care, 1512 East Franklin Street, Suite 100, Chapel Hill, NC 27514 | 2020-04-28 |
| 1033739586 | Elizabeth Marie O'neil | Student in an Organized Health Care Education/Training Program | Unc Children's Primary Care Clinic, 1512 E. Franklin Street, Suite 100, Chapel Hill, NC 27514 | 2020-04-24 |
| 1235759986 | Stephanie Crawford Gehle | Student in an Organized Health Care Education/Training Program | 1512 E. Franklin Street, Suite 100, Chapel Hill, NC 27514 | 2020-04-23 |
| 1710507462 | Mustafa Al-hassan Abid | Student in an Organized Health Care Education/Training Program | Unc Hospitals -- Office of Graduate Medical Education, 101 Manning Drive, Cb#7600, Chapel Hill, Nc, 27514, Chapel Hill, NC 27514 | 2020-04-23 |
| 1114547775 | Xavier Joseph Williams | Student in an Organized Health Care Education/Training Program | Unc Children's Primary Care Clinic 1512 E. Franklin St., Suite 100, Chapel Hill, NC 27514 | 2020-04-23 |
| 1043871312 | Katelyn R Sclafani | Social Worker | 250 S Estes Dr Apt 70, Chapel Hill, NC 27514 | 2019-06-26 |
| 1730746504 | Jacob Hall | Student in an Organized Health Care Education/Training Program | Suite 295, Radonc Admin, Nc Cancer Hospital, 101 Manning Drive, Chapel Hill, NC 27514 | 2019-05-28 |
| 1548721046 | Aman Kumar | Surgery | Unc Hospitals Department of Surgery, 101 Manning Drive, Chapel Hill, NC 27514 | 2019-03-27 |
| 1922568773 | Christina Mcswain Burke | Social Worker | Unc Center for Women's Mood Disorders, 77 Vilcom Center Dr.; Dawson Hall; Suite 300, Chapel, NC 27514 | 2019-03-20 |
| 1881160158 | Ryan Hall | Pharmacist | 2110 Estes Drive, Chapel Hill, NC 27514 | 2018-10-15 |
| Find all providers in zip 27514 | ||||
| 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 |
|---|---|---|---|---|
| 1043819741 | Brad Russell Tolan | Physician Assistant | 211 Pinegate Cir Apt 12, Chapel Hill, NC 27514-2221 | 2020-10-22 |
| 1669079034 | Christine Meyer | Physician Assistant | 2523 Creek Ridge Ln, Chapel Hill, NC 27514-7454 | 2020-10-07 |
| 1104433382 | Aditi Bhattacharjee Sundaresan | Physician Assistant | 131 Mallard Ct, Chapel Hill, NC 27517-9104 | 2020-09-30 |
| 1164031720 | Morgan Taylor Locklear | Physician Assistant | 360 Plaza Dr Apt B, Chapel Hill, NC 27517-7761 | 2020-07-29 |
| 1255893046 | Alan E Stuart | Physician Assistant | 900 Martin Luther King Jr Blvd Ste B, Chapel Hill, NC 27514-2601 | 2019-04-02 |
| 1093253452 | Jessica Martissa | Physician Assistant | Unc Dept of Radiology 2000 Old Clinic Bldg, Campus Box #7510, Chapel Hill, NC 27599-7510 | 2017-02-06 |
| 1316484702 | Eric Edward Conologue | Physician Assistant | 101 Cosgrove Ave Ste 110, Chapel Hill, NC 27514 | 2017-01-24 |
| 1083161384 | Rachel Kubin | Physician Assistant | 6610 Maynard Farm Rd, Chapel Hill, NC 27516-4100 | 2016-09-02 |
| 1871952812 | Cassiopeia Anne Cutchis Frank | Physician Assistant | N Carolina Cancer Hospital Unc, 170 Manning Dr, 3rd Floor, Chapel Hill, NC 27599-0001 | 2016-02-18 |
| 1801264049 | Todd Mcveigh | Physician Assistant | 304 Tripp Farm Rd, Chapel Hill, NC 27516-7716 | 2015-09-04 |
| Find all providers in CHAPEL HILL | ||||
| City | CHAPEL HILL |
| Zip Code | 27514 |
Please comment or provide details below to improve the information on ANNE THERESA VAILLANCOURT.
| 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.