200300897
Active
No
07/17/2003
03/14/2027
Active Supervisees
| Name | Type | Status | Approved | Inactive |
|
Bigelow, Leah Grace
| Physician Assistant |
Active
|
02/14/2022
|
|
|
Bollenbach, Kathie Ella
| Physician Assistant |
Active
|
03/23/2020
|
|
|
Conner, Jordan Alexandra
| Nurse Practitioner |
Active
|
07/22/2022
|
|
|
Cooper, Ashley Keene
| Nurse Practitioner |
Active
|
09/07/2023
|
|
|
Corcoran, Alexander James
| Physician Assistant |
Active
|
03/21/2022
|
|
|
Kolb, Sandra Gail
| Nurse Practitioner |
Active
|
06/24/2026
|
|
|
Konzem, David Anthony
| Physician Assistant |
Active
|
01/03/2018
|
|
|
Layden, Sandra Jordan
| Nurse Practitioner |
Active
|
12/07/2022
|
|
|
Paitsel, Lisa Koontz
| Physician Assistant |
Active
|
09/15/2014
|
|
|
Robin, Deanna Lyn
| Nurse Practitioner |
Active
|
01/26/2025
|
|
|
Russell, Douglas Blane
| Physician Assistant |
Active
|
01/29/2018
|
|
|
Shaver, Robin Michelle
| Physician Assistant |
Active
|
11/02/2022
|
|
|
Smallwood, Renita Deloatch
| Nurse Practitioner |
Active
|
03/01/2024
|
|
|
Stowe, Chrystie Lee
| Nurse Practitioner |
Active
|
01/20/2017
|
|
|
Wagner, Shawn Michael
| Physician Assistant |
Active
|
03/23/2022
|
|
|
Weber, Wendy Lee
| Physician Assistant |
Active
|
05/28/2024
|
|
North Carolina Hospital Admitting Privileges
| Location |
| The Outer Banks Hospital, Inc. |
| Vidant Roanoke-Chowan Hospital |
Out of State Active/Inactive Licenses
Out of Country Active/Inactive Licenses
Address
ECU Health - Roanoke Chowan Hospital
Dept of Emergency Medicine
500 S Academy St
Ahoskie, NC 27910
252-209-3385
Information
Medical School
| School | Graduation |
| East Carolina University | 2000 |
Post Graduate Training
"Last Year" does not necessarily mean that the licensee completed his/her training program. (In NC, a physician can be licensed without completing such a program.)
| Institution | Specialty | State, Country | Training Program | Last Year |
| pitt county memorial hospital | Emergency Medicine |
NC, US
| Residency | 2003 |
Current Board Certification and Year of Certification/Recertification
Physicians should not list non-ABMS or non-AOA specialty boards unless the board meets the criteria set forth in the NC Medical Board’s Advertising and Publicity Position Statement.
| Primary/Subspecialty | Year |
| Emergency Medicine | 2024 |
Area of Practice
| Area Of Practice | Primary |
| Emergency Medical Service | |
| Emergency Medicine | Yes |
Current Membership in Medical Professional Organizations
Honors & Awards
| Honor/Award | Given By | Date |
| None Reported |
Public Service
| Name of Clinic | Service Description | Date |
| None Reported |
Current Academic Appointments
| Title | Institution | City, State, Country |
| None Reported |
Publications
Section 1: Adverse Actions
North Carolina Medical Board Public Actions
| Date | Description | Link |
| None Reported |
Other Regulatory Board or Agency Public Actions
| Date | Name of Board/Agency | Action Taken | Link |
| None Reported |
Health Care Institution Suspensions and Revocations
| Date | Health Care Institution | Action Taken |
| None Reported |
Section 2: Administrative Actions
Actions listed in this section are considered non-disciplinary by the Board. In situations where
administrative actions are taken, the licensee may not have met certain statutory requirements or
may have failed to follow correct administrative procedures.
North Carolina Medical Board Reentry Agreement
| Date | Description | Link |
| None Reported |
North Carolina Special Purpose Licensing Agreement
| Date | Description | Link |
| None Reported |
Malpractice Information
The Board is currently reviewing the care that led to this payment.
| Incident Date | Payment Date | Area of Practice | City, State, Country | Response |
| None Reported |
Misdemeanor/DUI/DWI Conviction Information
| Conviction Date | Conviction | Jurisdiction | Sentence |
| None Reported |
Felony Conviction Information
| Conviction Date | Conviction | Jurisdiction | Sentence |
| None Reported |