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“Physician Assistant” (Camp Lejeune, NC)

Location: Camp Lejeune, NC
Taxonomy: Physician Assistant.

A provider can have more than one taxonomy code. It is critical to register all applicable taxonomy codes with NPPES and to use the correct taxonomy code to represent the specific specialty when filing claims. This will assist in more accurate and timely processing of claims.
1043367170 — TIMOTHY MARSHALL HACKLER
Practice Location Address:
100 BREWSTER BLVD
CAMP LEJEUNE NC
28547-2538
Practice Phone: 910-450-3905
1043811201 — JASON ROBERT HANNIBAL PA-C
Practice Location Address:
100 BREWSTER BLVD
CAMP LEJEUNE NC
28547-2575
Practice Phone: 910-450-4357
1063861763 — ANDREW JOSEPH HOLEMAN PA-C
Practice Location Address:
100 BREWSTER BLVD
CAMP LEJEUNE NC
28547-2575
Practice Phone: 808-754-3140
1073273157 — ALLISON DOWDEY
Practice Location Address:
100 BREWSTER BLVD
CAMP LEJEUNE NC
28547-2575
Practice Phone: 910-450-4300
1073582797 — MR. KEVIN SCOTT KOCH SR. PA-C
Practice Location Address:
100 BREWSTER BLVD
CAMP LEJEUNE NC
28547-2538
Practice Phone: 910-450-4520
1083147060 — MR. DEREK EDWARD WEISS PA-C
Practice Location Address:
NAVAL MEDICAL CENTER 100 BREWSTER BLVD
CAMP LEJEUNE NC
28547
Practice Phone: 910-450-4740
1093089872 — MICHAEL ANTHONY FEROLI PA-C
Practice Location Address:
100 BREWSTER BLVD
CAMP LEJEUNE NC
28547-2575
Practice Phone: 910-450-4357
1093800658 — KEVIN J. KING PA-C
Practice Location Address:
100 BREWSTER BLVD NAVAL HOSPITAL
CAMP LEJEUNE NC
28547-2538
Practice Phone: 910-450-4136
1124410444 — WILLIAM GRELLO PA-C
Practice Location Address:
100 BREWSTER BLVD
CAMP LEJEUNE NC
28547-2575
Practice Phone: 910-450-4357
1134937808 — MICHAEL BROKATE PA-C
Practice Location Address:
100 BREWSTER BLVD
CAMP LEJEUNE NC
28547-2575
Practice Phone: 910-450-4357
1164767653 — ABBY CHRISTINE ROBERTS PA-C
Practice Location Address:
100 BREWSTER BLVD NAVAL HOSPITAL
CAMP LEJEUNE NC
28547-2538
Practice Phone: 910-450-4159
1184135006 — MICHAEL RYAN SANCHEZ PA-C
Practice Location Address:
100 BREWSTER BLVD
CAMP LEJEUNE NC
28547-2575
Practice Phone: 910-450-3426
1194111831 — JAMIE KYLE SCHIEFER PA-C
Practice Location Address:
100 BREWSTER BLVD
CAMP LEJEUNE NC
28547-2575
Practice Phone: 910-450-4357
1245962992 — KEVIN THOMAS STEARNS PA-S
Practice Location Address:
100 BREWSTER BLVD
CAMP LEJEUNE NC
28547-2575
Practice Phone: 910-450-4300
1255881785 — MRS. KAITLIN ROSE WALTER PA-C
Practice Location Address:
100 BREWSTER BLVD
CAMP LEJEUNE NC
28547-2575
Practice Phone: 910-450-4357
1265402739 — MICKEY JAMES DEAVERS DMSC, MPAS, PA-C
Practice Location Address:
100 BREWSTER BLVD
CAMP LEJEUNE NC
28547-2538
Practice Phone: 910-450-4831
1295917011 — STEPHEN EUGENE ROGERS PA-C
Practice Location Address:
100 BREWSTER BLVD
CAMP LEJEUNE NC
28547-2538
Practice Phone: 910-450-3095
1306852165 — EDWARD BANGOR PA
Practice Location Address:
180 HOSPITAL CORPS BLVD NAVAL HOSPITAL
CAMP LEJEUNE NC
28547-2538
Practice Phone: 610-449-1100
1316911183 — MR. ROBERT GLINCOSKY MPAS PA-C
Practice Location Address:
100 BREWSTER BLVD
CAMP LEJEUNE NC
28547-2538
Practice Phone: 910-451-1053
1326277930 — MS. REBECCA CARSON RAUSA PA-C
Practice Location Address:
100 BREWSTER BLVD
CAMP LEJEUNE NC
28547-2575
Practice Phone: 910-450-4357
1336667195 — JORDAN SHANKLE
Practice Location Address:
100 BREWSTER BLVD
CAMP LEJEUNE NC
28547-2575
Practice Phone: 704-244-6000
1336688779 — KYLE BLOOD PA-C
Practice Location Address:
100 BREWSTER BLVD
CAMP LEJEUNE NC
28547-2575
Practice Phone: 910-450-4840
1356684898 — DR. AIMEE KATHERINE GRANDE DSC, MSPA, PA-C
Practice Location Address:
NAVAL MEDICAL CENTER CAMP LEJEUNE 100 BREWSTER BLVD
CAMP LEJEUNE NC
28547-2575
Practice Phone: 910-449-2527
1396389334 — COLLIN JOHANSEN
Practice Location Address:
100 BREWSTER BLVD
CAMP LEJEUNE NC
28547-2575
Practice Phone: 910-450-4357
1396455655 — MRS. KRISTYN MARIE RAY RHODE PA-C
Practice Location Address:
100 BREWSTER BLVD
CAMP LEJEUNE NC
28547-2575
Practice Phone: 805-575-5481
1417608423 — MRS. LUCERO ANAHI ZAMORA PA
Practice Location Address:
FC309B MEDICAL TRAILER HM SMITH BLVD
CAMP LEJEUNE NC
28547-2575
Practice Phone: 910-451-5125
1447135280 — MICHAEL HESTER
Practice Location Address:
100 BREWSTER BLVD
CAMP LEJEUNE NC
28547-2575
Practice Phone: 508-887-6008
1457854705 — JOSHUA JESUS VEGA PA-C
Practice Location Address:
100 BREWSTER BLVD
CAMP LEJEUNE NC
28547-2575
Practice Phone: 772-359-4373
1487894176 — ANGELA MARIE RAYMER PA-C
Practice Location Address:
100 BREWSTER BLVD
CAMP LEJEUNE NC
28547-2575
Practice Phone: 910-451-7048
1497526552 — ZACHARY WEST PA-S
Practice Location Address:
100 BREWSTER BLVD
CAMP LEJEUNE NC
28547-2575
Practice Phone: 910-450-3381
1508224445 — ANDREW CARL ELLIS PA
Practice Location Address:
NAVAL MEDICAL CENTER 100 BREWSTER BLVD
CAMP LEJEUNE NC
28547-2538
Practice Phone: 910-449-2731
1508527409 — CARLA MARIA FOSTER PA
Practice Location Address:
100 BREWSTER BLVD
CAMP LEJEUNE NC
28547-2538
Practice Phone: 910-450-4357
1538979364 — MR. TERRY LEE HANCOCK JR. PA-C
Practice Location Address:
100 BREWSTER BLVD
CAMP LEJEUNE NC
28547-2575
Practice Phone: 910-450-4357
1548805633 — HALEY JACKSON BRIDGETT MPAS, PA-C
Practice Location Address:
HM SMITH BLVD BLDG FC-308
CAMP LEJEUNE NC
28547
Practice Phone: 910-451-5125
1558210955 — DAVID MARTIN GOMEZ PA-S
Practice Location Address:
100 BREWSTER BLVD
CAMP LEJEUNE NC
28547-2575
Practice Phone: 210-598-8077
1558886242 — BRANDON SMITH PA-S
Practice Location Address:
E STREET BLDG G770
CAMP LEJEUNE NC
28540
Practice Phone: 910-451-3847
1558906032 — ABIGAIL DEEMER PA-C, MPAS
Practice Location Address:
L STREET BLDG HP-416
CAMP LEJEUNE NC
28547
Practice Phone: 910-449-8845
1588180913 — JON FRENCH PA-C
Practice Location Address:
CHARLES LUKE MILAM CLINIC BLDG RR 440
CAMP LEJEUNE NC
28542
Practice Phone: 910-440-0219
1588900930 — ANDREW HAROLD PAGE PA-C
Practice Location Address:
100 BREWSTER BLVD
CAMP LEJEUNE NC
28547-2575
Practice Phone: 910-450-4357
1598301632 — DANIEL EDWARD BLOOM PHYSICIAN ASSISTANT
Practice Location Address:
100 BREWSTER BLVD
CAMP LEJEUNE NC
28547-2575
Practice Phone: 910-450-4357
1609718568 — JILL ANGELLOFERRARO
Practice Location Address:
100 BREWSTER BLVD
CAMP LEJEUNE NC
28547-2575
Practice Phone: 619-550-8260
1649796244 — JOSHUA I WHITE
Practice Location Address:
100 BREWSTER BLVD
CAMP LEJEUNE NC
28547-2575
Practice Phone: 910-450-4357
1689072845 — RACHEL AMES PA-C
Practice Location Address:
100 BREWSTER BLVD 100 BREWSTER BLVD
CAMP LEJEUNE NC
28547-2538
Practice Phone: 910-449-2681
1689966012 — STEPHEN C CARR PA
Practice Location Address:
100 BREWSTER BLVD
CAMP LEJEUNE NC
28547-2538
Practice Phone: 910-450-3218
1730348145 — BRENT JOSEPH RYSEWYK IDC
Practice Location Address:
100 BREWSTER BLVD
CAMP LEJEUNE NC
28547-2538
Practice Phone: 910-450-1323
1730876608 — ANTHONY MICHEAL REDDICK
Practice Location Address:
212 WALLACE CREEK ROAD
CAMP LEJEUNE NC
28547
Practice Phone: 910-449-8879
1790224079 — IFEYINWA AJUMOBI PA
Practice Location Address:
100 BREWSTER BLVD
CAMP LEJEUNE NC
28547-2575
Practice Phone: 910-450-4840
1801504071 — JOSHUA BOHAC PA-C
Practice Location Address:
100 BREWSTER BLVD
CAMP LEJEUNE NC
28547-2575
Practice Phone: 847-848-7546
1821398363 — ARI DOUCETTE PA-C
Practice Location Address:
NAVAL MEDICAL CENTER 100 BREWSTER BLVD.
CAMP LEJEUNE NC
28547-2538
Practice Phone: 910-450-4860
1831554336 — BRANDON ELROD PA-S
Practice Location Address:
100 BREWSTER BLVD
CAMP LEJEUNE NC
28547-2575
Practice Phone: 405-892-7008
1841269909 — TERRY LEE STUART PA-C
Practice Location Address:
100 BREWSTER BLVD NAVAL HOSPITAL
CAMP LEJEUNE NC
28546
Practice Phone: 910-451-4831
1871047639 — ANDREW JEREMIAH DAVIDSON STUDENT
Practice Location Address:
100 BREWSTER BLVD
CAMP LEJEUNE NC
28547-2575
Practice Phone: 214-668-9607
1932094042 — LISA BRANDT PA
Practice Location Address:
100 BREWSTER BLVD
CAMP LEJEUNE NC
28547-2575
Practice Phone: 910-450-4357

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