KIMEKA MCKAIN- JOSEPH (NPI# 1003385519) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1003385519 |
Entity Type | Individual |
Full Name | KIMEKA MCKAIN- JOSEPH |
Other Name | KIM MCKAIN |
Credential | PA-C |
Practice Address |
4900 W Oakland Park Blvd Ste 101 Lauderdale Lakes FL 33313-1555 |
Mailing Address |
4900 W Oakland Park Blvd Bldg Suite101 Lauderdale Lakes FL 33313-7500 |
Practice Telephone | 9543703420 |
Practice Fax Number | 9544721322 |
Mailing Telephone | 9544721322 |
Enumeration Date | 2018-11-14 |
Last Update Date | 2018-11-24 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 363A00000X | Physician Assistant | PA9111618 | FL | Physician Assistants & Advanced Practice Nursing Providers |
N | 363AM0700X |
Physician Assistant Specialization: Medical |
PA9111618 | FL | Physician Assistants & Advanced Practice Nursing Providers |
Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA9111618 | FL | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
4900 W OAKLAND PARK BLVD STE 101 |
City | LAUDERDALE LAKES |
State | FL |
Zip Code | 33313-1555 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891783080 | Fernando E Bayron | Surgery | 4900 W Oakland Park Blvd Ste 101, Lauderdale Lakes, FL 33313-1555 | 2005-10-11 |
1437492089 | Cristina Vanessa Vila | Surgery | 4900 W Oakland Park Blvd Ste 101, Lauderdale Lakes, FL 33313-1555 | 2013-04-02 |
1366750739 | Arlene N Barrett | Nurse Practitioner | 4900 W Oakland Park Blvd Ste 101, Lauderdale Lakes, FL 33313-1555 | 2010-09-20 |
1366608713 | Wilson Cesar Cueva | Psychiatry & Neurology | 4900 W Oakland Park Blvd Ste 101, Lauderdale Lakes, FL 33313-1555 | 2008-08-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306469234 | Deidra D Mcclover | Doula | 4430 Nw 13th Court, Lauderhill, FL 33313 | 2020-05-27 |
1043831738 | Mh Cares, LLC | Social Worker | 1165 Nw 45terr., Lauderhill, FL 33313 | 2020-05-04 |
1629537139 | International Medical Supply, Inc | Durable Medical Equipment & Medical Supplies | 6921 Sunset Strip, Sunrise, FL 33313 | 2019-03-14 |
1598232225 | South Shore Opticians Lauderhill Inc. | Technician/Technologist | 1375 I North State Road 7, Lauderhill, FL 33313 | 2018-10-31 |
1437630399 | Guy Desanctis | Physical Therapy Assistant | 6530 W. Sunrise Blvd, Plantation, FL 33313 | 2018-08-28 |
1710467360 | Radiant Private Care, LLC | In Home Supportive Care | 1480 Nw 52nd Ave, Lauderhill, FL 33313 | 2018-08-14 |
1851877435 | Jb and Jb Healthcare LLC | Obstetrics & Gynecology | 3001 Nw 49th Ave Ste 300, Lauderdale Lakes, FL 33313 | 2018-07-17 |
1447746441 | Walfrido Roque Pinero | Nurse Practitioner | 6738 W Sunrise Blvd Ste 102, Plantation, FL 33313 | 2018-07-03 |
1215421813 | Erika Jorgensen | Counselor | 6299 W Sunrise Blvd # 108, Sunrise, FL 33313 | 2018-06-18 |
1750884003 | Mgb Behavioral Health Services | Case Management | 4780 N W 24 Court, C215, Lauderhill, FL 33313 | 2018-03-13 |
Find all providers in zip 33313 |
Taxonomy Code | 363AS0400X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Surgical Technologist |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811598691 | Monica Nancy Ginocchio | Physician Assistant | 1020 Crosspointe Dr Ste 110, Naples, FL 34110-0918 | 2020-11-06 |
1427657055 | Alyson Ryall | Physician Assistant | 480 Ventura Pl, Vero Beach, FL 32963-4262 | 2020-10-24 |
1104436476 | Forrest Joseph Steslow | Physician Assistant | 1971 Brandywine Rd Apt 305, West Palm Beach, FL 33409-6800 | 2020-08-03 |
1063039576 | Joshua Bras Prewitt | Physician Assistant | 4800 Linton Blvd Ste 201, Delray Beach, FL 33445-6584 | 2020-06-30 |
1003443904 | Sheila Rhinehart | Physician Assistant | 981 Tarpon Ave, Sebastian, FL 32958-5147 | 2020-03-23 |
1952932493 | Lisel Spieler | Physician Assistant | 1173 Fins Up Ct, Daytona Beach, FL 32124-3719 | 2020-02-03 |
1326685991 | Nikolai X Lincavage | Physician Assistant | 29277 Us Highway 19 N # 29277, Clearwater, FL 33761-2102 | 2019-12-03 |
1356984686 | Zane K Jude | Physician Assistant | 1775 Linton Lake Dr, Delray Beach, FL 33445-6927 | 2019-10-18 |
1720635998 | Jose R Munoz | Physician Assistant | 4801 Esedra Ct Apt 203, Lake Worth, FL 33467-5019 | 2019-08-22 |
1811559578 | Sydney Gillen | Physician Assistant | 1222 S Orange Ave Fl 2, Orlando, FL 32806-1215 | 2019-07-02 |
Find all providers with the same taxonomy |
City | LAUDERDALE LAKES |
Zip Code | 33313 |
Please comment or provide details below to improve the information on KIMEKA MCKAIN- JOSEPH.
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.