CLERMONT SURGICAL ASSOCIATES (NPI# 1144491630) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144491630 |
| Entity Type | Organization |
| Organization Name | CLERMONT SURGICAL ASSOCIATES |
| Practice Address |
1120 Citrus Tower Blvd Suite 127 Clermont FL 34711-1909 |
| Practice Telephone | 3525362351 |
| Practice Fax Number | 3525362913 |
| Mailing Telephone | 3525362351 |
| Mailing Fax Number | 3525362913 |
| Enumeration Date | 2008-03-12 |
| Last Update Date | 2008-03-20 |
| Authorized Official Name | DR. JASON A BOARDMAN (OWNER) |
| Authorized Official Telephone | 3525362351 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | ME 92559 | FL | Other Service Providers |
| Street Address |
1120 CITRUS TOWER BLVD SUITE 127 |
| City | CLERMONT |
| State | FL |
| Zip Code | 34711-1909 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609877976 | South Lake Hospital, Inc. | Home Health | 1120 Citrus Tower Blvd, Ste 110, Clermont, FL 34711-1909 | 2005-08-09 |
| 1205062163 | Outcome Based Delivery Systems Acquisition Company, LLC | Family Medicine | 1120 Citrus Tower Blvd, Suite # 300, Clermont, FL 34711-1909 | 2009-06-05 |
| 1477722254 | Jane E Meyer | Nurse Practitioner | 1120 Citrus Tower Blvd, Suite 325, Clermont, FL 34711-1909 | 2008-02-26 |
| 1912192444 | Erika Lynn Petronaci | Nurse Practitioner | 1120 Citrus Tower Blvd, Suite 330, Clermont, FL 34711-1909 | 2007-09-07 |
| 1942323555 | Vascular Specialists of Central Florida | Surgery | 1120 Citrus Tower Blvd, Suite 120, Clermont, FL 34711-1909 | 2007-04-09 |
| 1497806715 | Regal Family Care, Inc. | Family Medicine | 1120 Citrus Tower Blvd, Suite 300, Clermont, FL 34711-1909 | 2007-01-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316546344 | Latricia Richards-smith | Nurse Practitioner | 3301 Hancock Rd, Clermont, FL 34711 | 2020-10-21 |
| 1073130399 | Marissa Johnston | Behavioral Analyst | 355 Citrus Tower Blvd Ste 112, Clermont, FL 34711 | 2020-07-02 |
| 1649839432 | New Foundations Aba Therapy, LLC | Community/Behavioral Health | 4327 S Hwy 27 #176 Clermont, Clermont, FL 34711 | 2019-06-06 |
| 1275006504 | Innovative Medical Management Solutions LLC | Skilled Nursing Facility | 1775 Hooks Street, Clermont, FL 34711 | 2019-01-09 |
| 1851867766 | Chantal P Baptiste | Nurse Practitioner | 2040 Oakley Seaver Dr Ste 300, Clermont, FL 34711 | 2018-10-17 |
| 1346739539 | Jennifer Brennan | Behavior Technician | 365 Citrus Tower Blvd Bldg Ste 106, Clermont, FL 34711 | 2018-05-03 |
| 1689163966 | Chelsea Strickland | Physical Therapy Assistant | 10037 Stockbridge St, Clermont, FL 34711 | 2018-05-02 |
| 1316448921 | Dana Renee Ottalagano | Counselor | 1635 E Highway 50 Ste 204, Clermont, FL 34711 | 2018-02-28 |
| 1306353842 | Center of Change Inc. | General Practice | 235 Citrus Tower Blvd Ste 104, Clermont, FL 34711 | 2018-01-05 |
| 1003328642 | Clermont Radiology LLC | Clinic/Center | 3725 South Highway 27, Suite 104, Clermont, FL 34711 | 2017-11-03 |
| Find all providers in zip 34711 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689038689 | Associates of Pulmonary & Critical Care, LLC | Specialist | 1920 Don Wickham Dr Ste 125, Clermont, FL 34711-1978 | 2016-04-06 |
| 1861706541 | Crystal D Rollins | Specialist | 6438 County Road 561, Clermont, FL 34714-9171 | 2010-08-04 |
| 1457486011 | Karen Suzanne Wiegandt | Specialist | 1200 Oakley Seaver Dr., Suite 204, Clermont, FL 34711 | 2007-02-23 |
| 1154382489 | Breath of Life of Central Fl. | Specialist | 838 W Desoto St Ste E, Clermont, FL 34711-2110 | 2006-03-28 |
| 1023083896 | Rajab Khalil Abukhadrah | Specialist | 2040 Oakley Seaver Dr, Suite 300, Clermont, FL 34711-2789 | 2006-02-22 |
| 1326044496 | Jeffrey W Kanski | Specialist | 1920 Don Wickham Dr, Suite 130, Clermont, FL 34711-1918 | 2005-06-23 |
| 1770587735 | David L Allyn | Specialist | 210 North Highway 27, Suite 1, Clermont, FL 34711 | 2005-06-08 |
| 1396117289 | Cruz Medical Services LLC | Specialist | 1725 E Highway 50, Suite A, Clermont, FL 34711-5188 | 2015-10-30 |
| 1407170061 | Stacie L Griffin | Specialist | 255 W Highway 50, Clermont, FL 34711-3027 | 2010-03-25 |
| 1467647685 | South Lake Gastroenterology Inc | Specialist | 2040 Oakley Seaver Dr, Clermont, FL 34711-1962 | 2007-09-11 |
| Find all providers in CLERMONT | ||||
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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.