TAYLA MAE KAVANAUGH (NPI# 1013292424) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013292424 |
| Entity Type | Individual |
| Full Name | TAYLA MAE KAVANAUGH |
| Credential | PA-C |
| Practice Address |
601 Main St Dunedin FL 34698-5848 |
| Mailing Address |
430 3rd Ave S Apartment #137 St Petersburg FL 33701-4144 |
| Practice Telephone | 7277331111 |
| Mailing Telephone | 7163386949 |
| Enumeration Date | 2011-10-17 |
| Last Update Date | 2016-02-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA9106206 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
601 MAIN ST |
| City | DUNEDIN |
| State | FL |
| Zip Code | 34698-5848 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972501252 | Baycare Home Care, Inc. | Home Health | 601 Main St, 8th Floor, Dunedin, FL 34698-5848 | 2005-07-12 |
| 1760048201 | Sannita Etienne | Nurse Practitioner | 601 Main St, Dunedin, FL 34698-5848 | 2019-05-09 |
| 1932590544 | Patrice Moreno Md | Internal Medicine | 601 Main St, Dunedin, FL 34698-5848 | 2015-02-18 |
| 1669805958 | Whitney Brea Eberhardt | Physician Assistant | 601 Main St, Dunedin, FL 34698-5848 | 2013-08-09 |
| 1356637953 | Mark C Chappell | Emergency Medicine | 601 Main St, Dunedin, FL 34698-5848 | 2011-06-22 |
| 1861791097 | Victor Charles Volle | Emergency Medicine | 601 Main St, Dunedin, FL 34698-5848 | 2011-03-28 |
| 1174716955 | Baycare Alliant Hospital Inc | Long Term Care Hospital | 601 Main St, Mailstop 402, Dunedin, FL 34698-5848 | 2007-08-24 |
| 1992998009 | Svetlana Zoueva | Psychiatry & Neurology | 601 Main St, Dunedin, FL 34698-5848 | 2007-08-22 |
| 1306050505 | Diane M Kirk | Dietitian, Registered | 601 Main St, Dunedin, FL 34698-5848 | 2007-05-09 |
| 1649315797 | Catherine J Kapros-danis | Dietitian, Registered | 601 Main St, Dunedin, FL 34698-5848 | 2007-02-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245711803 | Surgcenter Clearwater, LLC | Clinic/Center | 980 Milwaukee Avenue, Dunedin, FL 34698 | 2018-08-22 |
| 1700379112 | Richard A Richert | Counselor | Alternatives In Behavioral Health, 1301 Seminole Blvd, Ste 169, Largo, FL 34698 | 2018-06-11 |
| 1487168506 | Dunedin Chiropractic Inc | Chiropractor | 1059 Broadway Suite C, Dunedin, FL 34698 | 2017-11-28 |
| 1578072039 | Changesu | Clinic/Center | 998 Emerson Drive, Dunedin, FL 34698 | 2017-09-27 |
| 1144680042 | Diane Chonacki | Social Worker | 1835 Santa Barbara Dr, Dunedin, FL 34698 | 2016-03-04 |
| 1801201157 | Beverly Sorrells | Acupuncturist | 595 Main Street, Suite 201, Dunedin, FL 34698 | 2014-06-25 |
| 1215275623 | Izabela Kowal | Internal Medicine | 1460 Beltrees St Ste 1, Dunedin, FL 34698 | 2013-01-18 |
| 1588923346 | Kim T Rohr, Dc Pa | Chiropractor | 1000 Bass Blvd, Dunedin, FL 34698 | 2012-05-14 |
| 1235437500 | Caryn Daley Mcclintock | Registered Nurse | 1930 Dunloe Circle, Dunedin, FL 34698 | 2011-03-10 |
| 1295043073 | Chmiel Corp | Assisted Living Facility | 3240 Cr #1, Dunedin, FL 34698 | 2010-09-15 |
| Find all providers in zip 34698 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396104915 | Orthopaedic Services, LLC | Physician Assistant | 616 Wilkie St, Dunedin, FL 34698-7129 | 2016-02-11 |
| 1285888461 | Gulfcoast Surgical Assisting Inc | Physician Assistant | 2024 Jefferson Ave, Dunedin, FL 34698-2613 | 2008-11-14 |
| 1003851619 | Jed P Weber, M.d.,llc | Physician Assistant | 646 Virginia St, Suite 701, Dunedin, FL 34698-6612 | 2006-06-18 |
| 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 | ||||
Please comment or provide details below to improve the information on TAYLA MAE KAVANAUGH.
| 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.