MEDICARE: MRS. HEATHER PASTOR SCIMECA PA-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	PA19734	CA
2	363A00000X	Physician Assistant	0010-09266	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1568462869
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. HEATHER PASTOR SCIMECA PA-C

Provider Business Mailing Address
First Line	:	DUMC 3135
Second Line	:
City	:	DURHAM
State	:	NC
Zip	:	27710-0001
Country	:	US
Telephone Number	:	919-385-3376
Fax Number	:	919-684-6505

Provider Business Practice Location Address
First Line	:	40 DUKE MEDICINE CIR # 3K
Second Line	:
City	:	DURHAM
State	:	NC
Zip	:	27710-3416
Country	:	US
Telephone Number	:	919-385-3376
Fax Number	:	919-684-6505

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/28/2005
Last Update Date	:	11/06/2019

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