MRS. JEAN FAIRCHILD BLYTHE


Address: 5979 Vineland Rd Ste 101, Orlando, FL 32819-7860
Phone: 4073553120

MRS. JEAN FAIRCHILD BLYTHE (NPI# 1003167933) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1003167933
Entity Type Individual
Full Name MRS. JEAN FAIRCHILD BLYTHE
Credential PA
Practice Address 5979 Vineland Rd Ste 101
Orlando
FL 32819-7860
Practice Telephone 4073553120
Practice Fax Number 4073553119
Mailing Telephone 4073553120
Mailing Fax Number 4073553119
Enumeration Date 2012-10-02
Last Update Date 2020-03-10
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant PAT 9106844 FL Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 5979 VINELAND RD STE 101
City ORLANDO
State FL
Zip Code 32819-7860

Providers in the same location

NPI Name Taxonomy Address Enumeration
1003103755 Nam Linh Dinh Orthopaedic Surgery 5979 Vineland Rd Ste 101, Orlando, FL 32819-7860 2011-07-01

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1093356842 Crew Community Health, Inc Internal Medicine 8601 Commodity Circle, Orlando, FL 32819 2019-10-03
1437704756 Byron Martin Randolph Physical Therapist 7932 Sand Lake Rd Ste 203, Orlando, FL 32819 2019-08-04
1225536303 Alliance Dme LLC Durable Medical Equipment & Medical Supplies 7031 Grand National Dr Ste 106b, Orlando, FL 32819 2018-01-24
1417465584 Marckenson Gerson Janvier Nurse Practitioner 9401 Turkey Lake Rd, Orlando, FL 32819 2018-01-11
1871003442 Sabeen Hasni Pharmacist 2354 Commerce Park Drive Ste 100, Orlando, FL 32819 2017-10-09
1902343775 Darleen Walker Occupational Therapist 7243 Della Dr., Orlando, FL 32819 2017-01-31
1215483565 Krista Richardson Physical Therapist 9102 Universal Blvd., Orlando, FL 32819 2016-08-28
1841646536 Kiara Serrano Social Worker 7509 Pinemount Dr, Orlando, FL 32819 2016-05-11
1659749752 Angels for Kids On-call Case Management 7550 Future Drive Suite 105, Orlando, FL 32819 2015-09-04
1932589462 Krista Jean Cain Counselor 7758 Wallace Rd Ste Vi, Orlando, FL 32819 2015-05-29
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Taxonomy Information

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

Taxonomy 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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1881295525 Asahel Romero Physician Assistant 13228 Canna Lily Dr, Orlando, FL 32824-5067 2020-11-07
1609473594 Arianna Piza Cueva Physician Assistant 1617 Lake Baldwin Ln, Orlando, FL 32814-6745 2020-10-05
1679189153 Lynnzie Marie Kipp Physician Assistant 6427 Westwood Blvd Unit 100, Orlando, FL 32821-8311 2020-09-20
1396368189 Katharine Mcmanus Physician Assistant 6137 Jibway Ct, Orlando, FL 32807-2909 2020-05-27
1124651328 Kayleigh E Hunt Physician Assistant 86 W Copeland Dr, Orlando, FL 32806-2002 2020-02-16
1326679093 Hae Jeung Physician Assistant 1713 Circe Lake Ct, Orlando, FL 32826-4645 2020-01-30
1902445844 Christina Pagan Physician Assistant 2014 S Orange Ave # 200b, Orlando, FL 32806-3069 2019-12-23
1154969335 Shahed Hmeidan Physician Assistant 2624 Clementon Park Ct, Orlando, FL 32835-6160 2019-12-18
1609414143 Amber Grimm Physician Assistant 2144 Bristol Grande Way, Orlando, FL 32820-2781 2019-12-16
1255976213 Katherine Mary Vanhove Physician Assistant 1310 E Esther St, Orlando, FL 32806-4128 2019-11-14
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Competitor

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City ORLANDO
Zip Code 32819

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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