Noah J Wichman · Physician Assistant

107 Weeks Dr, Roxboro, NC 27573-3933

Overview

Noah J Wichman is a Physician Assistant practicing in Roxboro, North Carolina. The National Provider Identifier (NPI) is #1629037858, which was assigned on March 17, 2006, and the registration record was last updated on June 9, 2025. The practitioner's main practice location is at 107 Weeks Dr, Roxboro, NC 27573-3933; the contact telephone number is 3365985480, and the fax number is 3365985482. The primary taxonomy of Noah J Wichman is Physician Assistant (363A00000X). Noah J Wichman is licensed to practice in the state of North Carolina (#103885).

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.

Provider Information

NPI 1629037858
Entity Type Individual
Provider Name NOAH J WICHMAN
Gender Male
Credential PA
Practice Address 107 Weeks Dr
Roxboro
NC 27573-3933
Practice Telephone 3365985480
Practice Fax Number 3365985482
Mailing Address 107 Weeks Dr
Roxboro
NC 27573-3933
Mailing Telephone 3365985480
Mailing Fax Number 3365985482
Certification Date 2025-06-09
Enumeration Date 2006-03-17
Last Update Date 2025-06-09
Is Sole Proprietor N

Doctor and Clinician Information

PAC ID 6406757384
Medicare Provider Enrollment and Chain/Ownership System (PECOS) Associate Control (PAC) ID
Full Name NOAH J WICHMAN
Primary Specialty PHYSICIAN ASSISTANT
Organization Legal Name RALEIGH DURHAM MEDICAL GROUP PA
Address 97 Cornerstone Dr
Cary
NC 27519-8403

Taxonomy and Licenses

PrimaryCodeClassificationSpecializationTaxonomy GroupLicense NumberLicense State
Y363A00000XPhysician Assistant103885NC

Other Provider Identifiers

Other IdentifierIssuing StateIssuerIdentifier Type
891005RNCMEDICAID

Secondary Practice Locations

AddressTelephoneFax
4020 N Roxboro St Ste 100, Durham, NC 2770421209192203333

Taxonomy Information

Primary Taxonomy

Code 363A00000X
Taxonomy Physician Assistant
Classification Physician Assistant
Grouping Physician Assistants & Advanced Practice Nursing Providers
Definition: 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.

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Christopher Andrew Mcdonald 1183 Briarvista Way Ne, Atlanta, GA 30329-3629Physician Assistant2025-11-07
Grace Kelly Mcnamara 279 Prescott Ave, Staten Island, NY 10306-3246Physician Assistant2025-11-08
Claburn Jacob Upchurch 1700 Tree Ln, Snellville, GA 30078-6782Physician Assistant2025-11-07
Amanda Glasenapp 1010 Stillwell Dr Unit 2204, Durham, NC 27707-6274Physician Assistant2025-11-08
Bridget Carey 84 Granite Ave Apt 3, Dorchester, MA 02124-5216Physician Assistant2025-11-07
Maxwell Aaron Jakubowicz 18 Cobra Cir, Fort Bragg, NC 28307-6153Physician Assistant2025-11-07
Rosalie Salisbury 5016 Fairwood Blvd Ne Apt 14, Tacoma, WA 98422-2171Physician Assistant2025-11-07
Hanna-Rose Isabella Hix · Hanna-Rose Lacy 101 Medical Pkwy Ste 220, Lakeway, TX 78738-5649Physician Assistant2025-11-07
Andrea Elizabeth Ramos 378 New Boston Rd, Fall River, MA 02720-5832Physician Assistant2025-11-08
Whitley Porter 13001 E 17th Pl, Aurora, CO 80045-2570Physician Assistant2025-11-07
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Location Information

Street Address 107 WEEKS DR
City ROXBORO
State NC
Zip Code 27573-3933
Country US

Providers in the same location

Provider NameAddressTaxonomyEnumeration Date
Sonalee Patel 107 Weeks Dr, Roxboro, NC 27573-3929Family Medicine Physician2025-07-22

Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Dva Renal Healthcare Inc 1005 Ridge Rd, Roxboro, NC 27573-4513End-Stage Renal Disease (ESRD) Treatment Clinic/Center2006-03-21
Pcgh, Inc 202 N. Main Street, Roxboro, NC 27573-0721Mental Illness Community Based Residential Treatment Facility2007-01-30
Pcgh, Inc 202 N. Main Street, Roxboro, NC 27573-0721Case Management Agency2007-01-30
Pcgh, Inc 202 N. Main Street, Roxboro, NC 27573-0721Mental Illness Community Based Residential Treatment Facility2007-01-30
Pcgh, Inc 202 N Main St., Roxboro, NC 27573-0721Supports Brokerage Agency2007-01-29
Pcgh, Inc 202 N. Main Street, Roxboro, NC 27573-0721Mental Illness Community Based Residential Treatment Facility2007-01-30
Pcgh, Inc 615 Professional Dr, Roxboro, NC 27573-4543Developmentally Disabled Services Day Training Agency2013-09-25
Pcgh, Inc 202 N. Main Street, Roxboro, NC 27573-0721Mental Illness Community Based Residential Treatment Facility2007-01-30
Latasha Bradford 28 Landon Pl, Roxboro, NC 27573-4291Registered Nurse2025-07-16
Pcgh, Inc 202 N. Main Street, Roxboro, NC 27573-0721Developmentally Disabled Services Day Training Agency2007-01-30
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Dataset Information

This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.

Subject Transparency and Disclosure
Jurisdiction Federal
Data Provider National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS)
Source download.cms.gov

Dataset Details

The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number).

All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid).

Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008.

This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information.