MRS. BEVERLY DORSON ELMORE (NPI# 1063840569) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063840569 |
| Entity Type | Individual |
| Full Name | MRS. BEVERLY DORSON ELMORE |
| Credential | PA-C |
| Practice Address |
280 Farner Pl The Villages FL 32163-6066 |
| Mailing Address |
1020 Lake Sumter Landing The Villages FL 32162-6066 |
| Practice Telephone | 3526741710 |
| Practice Fax Number | 3526748910 |
| Mailing Telephone | 3526748820 |
| Mailing Fax Number | 3526748919 |
| Enumeration Date | 2013-10-18 |
| Last Update Date | 2015-11-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA9107359 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
280 FARNER PL |
| City | THE VILLAGES |
| State | FL |
| Zip Code | 32163-6066 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124021712 | Denise C. Ollivierre | Internal Medicine | 280 Farner Pl, The Villages, FL 32163-6066 | 2005-05-27 |
| 1659838837 | Nakia Monet Hunter | Nurse Practitioner | 280 Farner Pl, The Villages, FL 32163-6066 | 2019-02-25 |
| 1922507532 | Melissa Ellen Bachoura | Nurse Practitioner | 280 Farner Pl, The Villages, FL 32163 | 2018-02-09 |
| 1548773336 | Tiffany Marie Guice | Nurse Practitioner | 280 Farner Pl, The Villages, FL 32163-6066 | 2017-11-15 |
| 1407214836 | Amy Ester | Nurse Practitioner | 280 Farner Pl, The Villages, FL 32163-6066 | 2016-01-30 |
| 1588021497 | Ann Lundy | Nurse Practitioner | 280 Farner Pl, The Villages, FL 32163-6066 | 2016-01-22 |
| 1437552452 | Susan Hill | Family Medicine | 280 Farner Pl, The Villages, FL 32163 | 2014-10-04 |
| 1699012922 | The Villages Health System LLC | General Practice | 280 Farner Pl, The Villages, FL 32163-6066 | 2013-01-07 |
| 1497008072 | Darlene Patricia Strossi | Nurse Practitioner | 280 Farner Pl, The Villages, FL 32163-6066 | 2012-10-19 |
| 1124339023 | Nina Ahmad | Family Medicine | 280 Farner Pl, The Villages, FL 32163-6066 | 2010-06-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164958773 | Peepers Eyecare Inc | Technician/Technologist | 2478 Burnsed Blvd #466a, The Villages, FL 32163 | 2017-05-03 |
| 1710334800 | Publix Super Markets Inc | Durable Medical Equipment & Medical Supplies | 695 Kristine Way, The Villages, FL 32163 | 2016-05-18 |
| 1396168571 | Samson Merger Sub, LLC | Durable Medical Equipment & Medical Supplies | 2500 Burnsed Blvd, The Villages, FL 32163 | 2014-01-24 |
| 1023246527 | Charles F Knapp IIi | Dermatology | 2783 Brownwood Blvd, The Villages, FL 32163 | 2009-06-24 |
| 1508986035 | Robert Alan Harrison | Physical Therapist | 340 Heald Way Ste 100, The Villages, FL 32163 | 2007-03-29 |
| 1659318418 | Sue Allen Schueler | Nurse Practitioner | 2485 Pinellas Place, The Villages, FL 32163 | 2006-06-01 |
| 1740283761 | Thomas M Krizmanich | Orthopaedic Surgery | 2910 Brownwood Blvd., The Villages, FL 32163 | 2005-05-23 |
| 1891319422 | Dermatology Institute and Skin Cancer Center LLC | Dermatology | 2783 Brownwood Blvd, The Villages, FL 32163 | 2020-05-29 |
| 1336793561 | Tanya R Brown | Nurse Practitioner | 2485 Pinellas Pl, The Villages, FL 32163 | 2019-07-25 |
| 1033762588 | St Luke's At The Villages Brownwood Pa | Ophthalmology | 2955 Brownwood Blvd, The Villages, FL 32163 | 2019-07-23 |
| Find all providers in zip 32163 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578563599 | Bryan Patrick Carter | Physician Assistant | 1149 Main St, The Villages, FL 32159-7721 | 2005-08-01 |
| 1780611285 | David Fischer | Physician Assistant | 280 Farner Pl, The Villages, FL 32163-6066 | 2006-06-28 |
| 1477598886 | Scott W. Wojciechowski | Physician Assistant | 1050 Old Camp Rd, Ste 270, The Villages, FL 32162-1762 | 2006-06-19 |
| 1427025741 | Paul Anthony Mcfee | Physician Assistant | 1451 El Camino Real, The Villages, FL 32159-0041 | 2006-03-06 |
| 1598737793 | Dorothy Peters Hite | Physician Assistant | 1503 Buenos Aires Blvd, The Villages, FL 32159-6821 | 2006-02-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255931325 | Jonathan Thomas Nusbaum | Physician Assistant | 26160 Angelica Rd, Punta Gorda, FL 33955-1419 | 2020-10-28 |
| 1235738659 | Kevin Marcus Luks | Physician Assistant | 10701 Santa Fe Dr, Hollywood, FL 33026-4955 | 2020-10-19 |
| 1245839521 | Stephanie Clay | Physician Assistant | 3455 Rose Mallow Loop, Oviedo, FL 32766-6648 | 2020-10-19 |
| 1104423755 | Lou Joseph Schneggenburger | Physician Assistant | 10115 Forest Hill Blvd Ste 100, Wellington, FL 33414-6178 | 2020-10-07 |
| 1235744582 | Stephanie Graham | Physician Assistant | 1053 Bernice Rd, Rockledge, FL 32955-2201 | 2020-09-14 |
| 1790399483 | Shyla Imani Kissoon | Physician Assistant | 4830 Nw 7th St, Plantation, FL 33317-1410 | 2020-09-01 |
| 1770193500 | My Physician Online | Physician Assistant | 9540 Nw 23rd St, Coral Springs, FL 33065-4974 | 2020-08-06 |
| 1225647977 | Robert Drew Singleton | Physician Assistant | 17501 Biscayne Blvd Ste 460, Aventura, FL 33160-4806 | 2020-07-29 |
| 1750990974 | Andrea K Webber | Physician Assistant | 8119 Sw State Rd 200, Ocala, FL 34481-3448 | 2020-07-23 |
| 1851919526 | Kyra Panni | Physician Assistant | 3857 Hartwood Ln, Jacksonville, FL 32216-1486 | 2020-07-09 |
| Find all providers with the same taxonomy | ||||
| City | THE VILLAGES |
| Zip Code | 32163 |
Please comment or provide details below to improve the information on MRS. BEVERLY DORSON ELMORE.
| 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.