MR. SHAWN WAUGH (NPI# 1124167457) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124167457 |
| Entity Type | Individual |
| Full Name | MR. SHAWN WAUGH |
| Credential | PA -L |
| Practice Address |
4355 Nw American Ln Lake City FL 32055-4828 |
| Practice Telephone | 3867586094 |
| Practice Fax Number | 3867586995 |
| Mailing Telephone | 3867586094 |
| Mailing Fax Number | 3867586995 |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA 9103422 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497282974 | Shawn Michelle Waugh | Nurse Practitioner | 211 Teaco Rd, Kennett, MO 63857-3236 | 2017-05-16 |
| Street Address |
4355 NW AMERICAN LN |
| City | LAKE CITY |
| State | FL |
| Zip Code | 32055-4828 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922082833 | Rizwana Thanawala | Internal Medicine | 4355 Nw American Ln, Lake City, FL 32055-4828 | 2005-12-05 |
| 1497207559 | Pathology Associates of North Florida | Clinical Medical Laboratory | 4355 Nw American Ln, Lake City, FL 32055-4828 | 2016-10-25 |
| 1710266895 | Lake City Institute of Neurology Pa | Psychiatry & Neurology | 4355 Nw American Ln, Lake City, FL 32055-4828 | 2011-08-08 |
| 1386835601 | Naga Lakshmana Prasad Nidadavolu | Psychiatry & Neurology | 4355 Nw American Ln, Lake City, FL 32055-4828 | 2007-08-05 |
| 1558345462 | Mitchell Duterte | Internal Medicine | 4355 Nw American Ln, Lake City, FL 32055-4828 | 2005-12-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114439510 | Melissa Fay Peters | Nurse Practitioner | 5085 West Us Highway 90, Lake City, FL 32055 | 2017-10-26 |
| 1851801765 | Stephanie Jo Nogle | Occupational Therapist | Brooks Americare: 4251 Nw American Ln, #103, Lake City, FL 32055 | 2017-10-05 |
| 1831617273 | Erica Mayo | Pharmacist | 4846 Nw Lake Jeffery Rd., Lake City, FL 32055 | 2017-09-06 |
| 1144759333 | Jerry Hamilton Cheesman | Dentist | 217 Ne Franklin Sreet, Lake City, FL 32055 | 2017-06-09 |
| 1487183745 | Joshua Allore | Dentist | 2970 W Us Highway 90., Lake City, FL 32055 | 2017-06-08 |
| 1497298418 | Careing Hands | Preferred Provider Organization | 1471nw Queen Rd, Lakecity, FL 32055 | 2016-11-22 |
| 1881148278 | Corniqueca Stewart-simmons | Nurse Practitioner | 340 Nw Commerce Drive, Lake City, FL 32055 | 2016-08-15 |
| 1164809141 | Latasha Harten-jones | Licensed Practical Nurse | 443 Ne Sims Dr, Lake City, FL 32055 | 2015-04-29 |
| 1154716447 | Lindsey Morton | Counselor | 219 Se Baya Avenue, Lake City, FL 32055 | 2015-04-02 |
| 1124439351 | Tynette Jordan | Counselor | 708 N.w Wilson St., Lake City, FL 32055 | 2014-05-09 |
| Find all providers in zip 32055 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982851317 | Shafara Dozier | Physician Assistant | 901 N Matthews Rd, Lake City, SC 29560-7024 | 2008-08-27 |
| 1790748382 | Linda Sheehan-foster | Physician Assistant | 619 S. Marion Str, 1, Lake City, FL 32025 | 2006-04-06 |
| 1326023441 | Patricia Weishaar | Physician Assistant | 1351 W Main St, Lake City, IA 51449-1585 | 2005-12-12 |
| 1235322181 | Mark Thomas Smith | Physician Assistant | 106 Creek St, Lake City, TN 37769 | 2007-08-23 |
| 1881887172 | Jenifer B. Stover | Physician Assistant | 368 Ne Franklin St, Lake City, FL 32055-3088 | 2007-08-21 |
| 1043350093 | Marianne Larsen | Physician Assistant | 4225 Nw American Ln, Lake City, FL 32055-4881 | 2007-02-07 |
| 1962487082 | Nancy Flink | Physician Assistant | 1351 W Main St, Lake City, IA 51449-1585 | 2005-12-12 |
| 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 | ||||
Please comment or provide details below to improve the information on MR. SHAWN WAUGH.
| 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.