Active NPI
Jose F Mahiquez, PA
- Physician Assistant
- Dunn, NC
National Provider Identifier
1528045234
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 102070
- Practice address
- 605 W Cumberland St
Dunn, NC 28334-4823 - Phone
- (910) 891-1391
- NPI assigned
- Dec 23, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 102070 | NC | Primary |
Addresses
Primary practice location
605 W Cumberland St
Dunn, NC 28334-4823
Mailing address
P O Box 960226
Oklahoma City, OK 73196-0001
Phone (877) 485-4474
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- University of Texas Medical Branch at Galveston, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
388 Venture Dr
Suite 1
Smithfield, NC 27577-4775
Phone (919) 938-0811
609 Richlands Hwy 6
Jacksonville, NC 28540-3606
Phone (910) 455-7888
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bestpractices of North Carolina PC | Past | Accepting new patients | |
| Med Fast, P. C. | Physician Assistant | Past | Accepting new patients |
| Shoreview Medical Associates, PLLC | Past | Accepting new patients | |
| Sterling Emergency Services of the Southeast, Inc | Physician Assistant | Past | Accepting new patients |
| Good Hope Hospital, Inc. | Past | Accepting new patients |
Interoperability endpoints
- jose.mahiquez.1@1905.direct.athenahealth.com
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Jacksonville, NC
- NPI 1053503763
-
- Emergency Medicine Physician
- Smithfield, NC
- NPI 1770560591
-
- Psychiatric Hospital
- Erwin, NC
- NPI 1477812519
-
- Physician Assistant
- Dunn, NC
- NPI 1285722215
-
- Specialist
- Carolina Beach, NC
- NPI 1003879842
-
- Emergency Medicine Physician
- Salisbury, NC
- NPI 1770541245
Physician Assistant
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135296000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1528045234",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P O BOX 960226",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731960001",
"telephone_number": "877-485-4474"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "605 W CUMBERLAND ST",
"city": "DUNN",
"state": "NC",
"postal_code": "283344823",
"telephone_number": "910-891-1391"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAHIQUEZ",
"first_name": "JOSE",
"middle_name": "F",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NC",
"license": "102070",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dunn, NC
- Rylee Lowrance, PA-C
- Ashley Lowry
- Victoria Lowry
- James A Luchansky, OT
- Magnolia Living Center, LLC
- Alberta Maloof, PTA
- David C Mapile, CRNA
- Maple LTC Group, LLC (Cornerstone Nursing and Rehabilitation Center)
- Maple LTC Group, LLC (Cornerstone Nursing and Rehabilitation Center)
- Maria Medical Center, PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.