JOSEPH A MIRVILLE JR. (NPI# 1043683311) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043683311 |
| Entity Type | Individual |
| Full Name | JOSEPH A MIRVILLE JR. |
| Credential | PA-C |
| Practice Address |
14000 Fivay Rd Hudson FL 34667-7103 |
| Practice Telephone | 7278192929 |
| Enumeration Date | 2015-11-09 |
| Last Update Date | 2015-11-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA9109111 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
14000 FIVAY RD |
| City | HUDSON |
| State | FL |
| Zip Code | 34667-7103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376512319 | Candace Koney-laryea | Anesthesiology | 14000 Fivay Rd, Hudson, FL 34667 | 2006-03-14 |
| 1265039820 | Carthia Joachim | Nurse Practitioner | 14000 Fivay Rd, Hudson, FL 34667-7103 | 2020-10-07 |
| 1245844604 | Margaret Rose Little | Anesthesiologist Assistant | 14000 Fivay Rd, Hudson, FL 34667-7103 | 2020-09-03 |
| 1679185003 | Neurepair Brain and Spine Wellness Centers | Clinic/Center | 14000 Fivay Rd, Hudson, FL 34667-7103 | 2020-08-18 |
| 1689283004 | Joseph Gerald Glanton | Anesthesiologist Assistant | 14000 Fivay Rd, Hudson, FL 34667-7103 | 2020-07-31 |
| 1528680956 | Jessica Jocelyn Chan | Pharmacist | 14000 Fivay Rd, Hudson, FL 34667-7103 | 2020-05-07 |
| 1972122877 | Aaron Pingel | Anesthesiologist Assistant | 14000 Fivay Rd, Hudson, FL 34667-7103 | 2020-04-10 |
| 1407485071 | Stamati Damalos | Student in an Organized Health Care Education/Training Program | 14000 Fivay Rd, Hudson, FL 34667-7103 | 2020-04-06 |
| 1265061717 | David Abergel | Student in an Organized Health Care Education/Training Program | 14000 Fivay Rd, Hudson, FL 34667-7103 | 2020-04-06 |
| 1780213207 | Aaron Benjamin Turk | Student in an Organized Health Care Education/Training Program | 14000 Fivay Rd, Hudson, FL 34667-7103 | 2020-04-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417571431 | Andrea E Steyer | Speech-Language Pathologist | 7927 Sr-52 W, Hudson, FL 34667 | 2020-06-05 |
| 1760956288 | Helen Edith Yaworski | Emergency Medicine | Bayonet Point Emergency Department, 14000 Fivay Rd, Hudson, FL 34667 | 2019-01-17 |
| 1104308329 | Mark Felix Roldan | Nurse Practitioner | 13944 Lakeshore Blvd Ste C, Hudson, FL 34667 | 2018-09-04 |
| 1285181867 | Dawnlee Basile-wood | Counselor | 9416 Dibot Court, Hudson, FL 34667 | 2016-09-01 |
| 1679951321 | Joseph Robbins | Internal Medicine | 14000 Fivay Road, Hudson, FL 34667 | 2015-05-14 |
| 1043602733 | Martiale Faustin | Registered Nurse | 12715 Clock Tower Pkwy, Hudson, FL 34667 | 2015-03-04 |
| 1720418015 | Olive Spoeth | Assisted Living Facility | 8711 Cutlass Dr., Hudson, FL 34667 | 2013-11-22 |
| 1891093365 | Saxon Rehab Management LLC. | Occupational Therapist | 12404 Cobblestone Dr, Hudson, FL 34667 | 2011-03-08 |
| 1174768055 | Anthony Charles Stover | Behavioral Analyst | 14610 Conner Drive, Hudson, FL 34667 | 2008-12-08 |
| 1356594451 | Jill Bona Garcia | Speech-Language Pathologist | 11820 Denton Ave, Hudson, FL 34667 | 2008-11-03 |
| Find all providers in zip 34667 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568814382 | Kristen Cipolla | Physician Assistant | 1049 Scarlet Oak Dr Apt D, Hudson, OH 44236-4542 | 2016-07-05 |
| 1578936092 | Kelly Francis | Physician Assistant | 7544 Jacque Rd, Hudson, FL 34667-7162 | 2015-11-05 |
| 1023446838 | The Center for Bone and Joint Disease | Physician Assistant | 7544 Jacque Rd, Hudson, FL 34667-7162 | 2013-10-15 |
| 1962718833 | Rachel E Rhymaun | Physician Assistant | 23 Fish and Game Rd, Hudson, NY 12534-3815 | 2010-08-30 |
| 1861677676 | Alana Lyn Denter | Physician Assistant | 71 Prospect Ave, Suite 190, Hudson, NY 12534 | 2007-12-31 |
| 1457478133 | Stephen Patrick Dziadik | Physician Assistant | 14000 Fivay Rd, Hudson, FL 34667-7103 | 2007-03-26 |
| 1972671535 | Jeff Corey Hart | Physician Assistant | 14000 Fivay Rd, Hudson, FL 34667-7103 | 2006-12-01 |
| 1215930482 | Judith A Baker | Physician Assistant | 23 Fish and Game Rd, Hudson, NY 12534-3815 | 2005-05-23 |
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|---|---|---|---|---|
| 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 |
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| 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.