SAKEENA BACCAS (NPI# 1114199700) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1114199700 |
Entity Type | Individual |
Full Name | SAKEENA BACCAS |
Credential | PA-C |
Practice Address |
2683 Wyndsor Oaks Way Winter Haven FL 33884-3080 |
Practice Telephone | 6175495119 |
Mailing Telephone | 6175495119 |
Enumeration Date | 2008-03-24 |
Last Update Date | 2020-03-19 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA9104942 | FL | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
2683 WYNDSOR OAKS WAY |
City | WINTER HAVEN |
State | FL |
Zip Code | 33884-3080 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154956480 | Kristin Helen Kiddy | Occupational Therapy Assistant | 101 Overlook Drive, Suite 103, Winter Haven, FL 33884 | 2020-03-06 |
1871990143 | William Santo | Specialist/Technologist | 9269 Kliber Dr., Winter Haven, FL 33884 | 2014-12-02 |
1346656345 | Integrative Physical Medicine of Winter Haven LLC | Specialist | 7494 Cypress Gardens Blvd, Winter Haven, FL 33884 | 2014-07-10 |
1568808921 | Donald Lurton Arey Jr. | Surgery | 800 Island Way, Winter Haven, FL 33884 | 2013-05-13 |
1407195324 | Shena R. Ranon | Nurse Practitioner | 1820 Woodpointe Dr, Winter Haven, FL 33884 | 2013-02-13 |
1952654543 | Mpn Medical Center of Dundee | Family Medicine | 1023 Dundee Road, Winter Haven, FL 33884 | 2012-10-19 |
1588941736 | Cody Gernatt | Occupational Therapist | 1120 Cypress Gardens Blvd., Winter Haven, FL 33884 | 2011-11-15 |
1851611677 | Paulene T Jasurek | Pharmacist | 4454 Cypress Gardens Rd, Winter Haven, FL 33884 | 2010-06-03 |
1306169867 | John David Butters | Speech-Language Pathologist | 208 Escambia Dr., Winter Haven, FL 33884 | 2010-03-11 |
1710162813 | Humphrey Chiropractic Center, P.a. | Chiropractor | 605 Overlook Drive, Suite 1, Winter Haven, FL 33884 | 2008-01-08 |
Find all providers in zip 33884 |
Taxonomy Code | 363AS0400X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Surgical Technologist |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578952974 | Katie Lynn Purdy | Physician Assistant | 250 3rd St Nw, Ste 201, Winter Haven, FL 33881-4605 | 2015-01-22 |
1891004529 | Dave Reid | Physician Assistant | 200 Avenue F Ne Ste 9118, Winter Haven, FL 33881-4131 | 2010-09-29 |
1548213093 | Upendra Paul Harinarine | Physician Assistant | 50 2nd St Se, Winter Haven, FL 33880-6300 | 2006-05-18 |
1700839453 | Neurology& Neurosurgery Associates | Physician Assistant | 50 2nd St Se, Winter Haven, FL 33880-6300 | 2006-05-17 |
1821066309 | Jason Joseph Donay | Physician Assistant | 200 Avenue F Ne Ste 9118, Winter Haven, FL 33881-4131 | 2006-03-09 |
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 | WINTER HAVEN |
Zip Code | 33884 |
Please comment or provide details below to improve the information on SAKEENA BACCAS.
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.