MR. JACKSON RAY HANDLEY JR. (NPI# 1104481886) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104481886 |
| Entity Type | Individual |
| Full Name | MR. JACKSON RAY HANDLEY JR. |
| Practice Address |
650 Old Dirt Rd Tallahassee FL 32317-8575 |
| Practice Telephone | 8504435120 |
| Enumeration Date | 2019-05-07 |
| Last Update Date | 2019-05-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
650 OLD DIRT RD |
| City | TALLAHASSEE |
| State | FL |
| Zip Code | 32317-8575 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851786800 | Rosa Irigoyen | Dentist | Ave. De Las Americas #540 Nte., Juarez, CHIHUAHUA 32317 | 2015-04-06 |
| 1326433640 | Daniel Parada | Dentist | Ave. De Las Americas #526 Nte, Suite 2, Juarez, CHIHUAHUA 32317 | 2015-04-02 |
| 1477897676 | Alejandra Preciado | Dentist | Ave. Americas 960-a, Juarez, CHIHUAHUA 32317 | 2012-11-12 |
| 1982977823 | David Holguin | Dentist | Pedro S. Varela 3007, Cd Juarez, CHIHUAHUA 32317 | 2012-02-22 |
| 1124357181 | Pro Dent Rio Bravo S. De R.l De C.v. | Dentist | Av. Abraham Lincoln 201, La Playa, Cd. Juarez, CHIH 32317 | 2009-12-21 |
| 1437327707 | Costco Wholesale Corporation | Pharmacy | 4067 Lagniappe Way, Tallahassee, FL 32317 | 2008-02-20 |
| 1174709521 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 4021 Langniappe Way, Tallahassee, FL 32317 | 2008-01-16 |
| 1154944767 | Bertha Erives Dds | Dentist | Pedro S. Varela 3007, 16, Cd Juarez, CHIHUAHUA 32317 | 2020-05-19 |
| 1013387232 | Oscar Ortiz | Dentist | Ave. De Las Americas #540 Nte., Suite 1, Juarez, CHIHUAHUA 32317 | 2015-09-30 |
| 1467810879 | Lindsay Morrell | Nurse Practitioner | 6186 Observation Cir, Tallahassee, FL 32317-0507 | 2016-02-01 |
| Find all providers in zip 32317 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225547243 | William Michael Kunkle | Physician Assistant | 4004 Norton Ln, Suite 101, Tallahassee, FL 32308 | 2017-09-21 |
| 1417360074 | Kartik Gopal | Physician Assistant | 1401 Centerville Rd Unit 710, Tallahassee, FL 32308-4641 | 2014-06-11 |
| 1538496955 | Dawn K Jones | Physician Assistant | 2040 Fleischmann Road, Tallahassee, FL 32308 | 2009-11-05 |
| 1306179734 | Rebekah G Simmons-todd | Physician Assistant | 2420 E Plaza Dr, Tallahassee, FL 32308-5353 | 2009-09-17 |
| 1851624985 | Beverly Carol Walker | Physician Assistant | 1632 Riggins Road, Tallahassee, FL 32308-5316 | 2009-09-08 |
| 1346467578 | Carrie Lynn Snider | Physician Assistant | 1707 Riggins Road, Tallahassee, FL 32308-5317 | 2007-04-19 |
| 1992777973 | Julia M Mitchell | Physician Assistant | 2452 Mahan Dr Ste 101, Tallahassee, FL 32308-5377 | 2006-02-03 |
| 1841261336 | Gregory Sydnor Laffitte | Physician Assistant | 1300 Miccosukee Rd, Hospitalists Group, Tallahassee, FL 32308-5054 | 2006-02-01 |
| 1134107352 | Shellie Cornelius | Physician Assistant | 1541 Medical Dr, Tallahassee, FL 32308-4615 | 2006-01-06 |
| 1407474836 | Erica Calil | Physician Assistant | 1707 Riggins Rd, Tallahassee, FL 32308-5317 | 2020-07-13 |
| Find all providers in TALLAHASSEE | ||||
| City | TALLAHASSEE |
| Zip Code | 32317 |
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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.