MR. MARCIO CORREA (NPI# 1144523739) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144523739 |
| Entity Type | Individual |
| Full Name | MR. MARCIO CORREA |
| Credential | PA-C |
| Practice Address |
1255 Lila St Ufjax - Family Medicine @ Lem Turner Jacksonville FL 32208-3550 |
| Mailing Address |
Po Box 44008 Ufjp - Provider Enrollment Jacksonville FL 32231-4008 |
| Practice Telephone | 9043831001 |
| Practice Fax Number | 9043831991 |
| Mailing Telephone | 9042443199 |
| Mailing Fax Number | 9042443425 |
| Enumeration Date | 2010-12-21 |
| Last Update Date | 2014-03-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA 9105630 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 0041840-00 | 05 |
| Street Address |
1255 LILA ST UFJAX - FAMILY MEDICINE @ LEM TURNER |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32208-3550 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104824325 | Donald Howard Auerbach | Family Medicine | 1255 Lila St, Jacksonville, FL 32208-3550 | 2005-07-12 |
| 1922652874 | Charlotte Bedsole | Nurse Practitioner | 1255 Lila St, Jacksonville, FL 32208-3550 | 2019-07-30 |
| 1306222419 | Lavern Webster-dowell | Nurse Practitioner | 1255 Lila St, Jacksonville, FL 32208-3550 | 2015-07-31 |
| 1700223195 | Heather Vogel Williams | Family Medicine | 1255 Lila St, Jacksonville, FL 32208-3550 | 2013-05-27 |
| 1316191745 | Cornelia M. Mccullough | Nurse Practitioner | 1255 Lila St, Ufjax - Lem Turner Family Medicine, Jacksonville, FL 32208-3550 | 2008-11-12 |
| 1487814752 | University of Florida Jacksonville Physicians Inc | Family Medicine | 1255 Lila St, Ufjp Lem Turner Family Practice Center, Jacksonville, FL 32208-3550 | 2008-06-11 |
| 1992864953 | Coreen Morehouse Rogerson | Social Worker | 1255 Lila St, Ch Family Medicine Center/ufjhi, Jacksonville, FL 32208-3550 | 2006-12-06 |
| 1780646463 | Delores M Proctor | Nutritionist | 1255 Lila St, Ufjp Family Medicine, Jacksonville, FL 32208-3550 | 2006-04-06 |
| 1134189772 | Leonard Jay Herring | Physician Assistant | 1255 Lila St, Ufjp Lem Turner Family Practice Center, Jacksonville, FL 32208-3550 | 2006-03-27 |
| 1356301097 | John Anthony Grisnik | Family Medicine | 1255 Lila St, Ufjp Lem Turner Family Practice Center, Jacksonville, FL 32208-3550 | 2006-03-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245845379 | Lameka Williams | Adult Companion | 6854 Cartier Cir, Jacksonville, FL 32208 | 2020-09-15 |
| 1386173722 | Danielle Mathews | Home Health | 6824 Barberie St., Jacksonville, FL 32208 | 2017-06-08 |
| 1063957520 | Crystal Tramaine Simmons | Licensed Practical Nurse | 3190 Sedona Trl, Jacksonville, FL 32208 | 2016-12-19 |
| 1508316084 | Melissa Angel | Emergency Medical Technician, Basic | 3701 Winton Drive, Jacksonville, FL 32208 | 2016-10-10 |
| 1093176828 | Stephanie Fears | Chore Provider | 5910 Droad St, Jacksonville, FL 32208 | 2016-03-07 |
| 1841676558 | Elizabeth Ann Miller | Social Worker | 1255 Lila Ave, Jacksonville, FL 32208 | 2015-08-04 |
| 1861877698 | Sara Castro | Counselor | 1110 Edgewood Ave West, Jacksonville, FL 32208 | 2015-07-22 |
| 1215352703 | Luther Quarles Iv | Family Medicine | 1760 Edgewood Ave W Ste A&b, Jacksonville, FL 32208 | 2014-02-20 |
| 1356776348 | Top of The Line Mobile Service | Durable Medical Equipment & Medical Supplies | 2252 4th Avenue, Jacksonville, FL 32208 | 2013-09-09 |
| 1437419124 | Carmelita Patrice Rowell | Specialist | 2255 Soutel Dr, Jacksonville, FL 32208 | 2012-05-29 |
| Find all providers in zip 32208 | ||||
| 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 |
|---|---|---|---|---|
| 1831799527 | Emily Vander Zee | Physician Assistant | 6680 Bennett Creek Dr Apt 213, Jacksonville, FL 32216-0018 | 2020-10-30 |
| 1245830314 | Jonathan V Korah | Physician Assistant | 6650 Corporate Center Pkwy Apt 1108, Jacksonville, FL 32216-8725 | 2020-10-28 |
| 1255931473 | Rachel Gavrielle Stahly | Physician Assistant | 11438 Emuness Rd, Jacksonville, FL 32218-4050 | 2020-10-27 |
| 1760099071 | Laura Alexandra Ramos-heckman | Physician Assistant | 2014 Capistrano Dr, Jacksonville, FL 32224-3091 | 2020-09-30 |
| 1184230583 | Julian Clouse | Physician Assistant | 9803 Creekfront Rd Apt 307, Jacksonville, FL 32256-8449 | 2020-09-21 |
| 1962016717 | Stephanie Benton Gentry | Physician Assistant | 3179 Shadow Creek Rd, Jacksonville, FL 32226-2386 | 2020-08-31 |
| 1629689435 | Monarch Mental Health Association | Physician Assistant | 5393 Roosevelt Blvd Ste 8, Jacksonville, FL 32210-8424 | 2020-08-14 |
| 1235749425 | Nicole Lhommedieu | Physician Assistant | 3850 Marnie Pl, Jacksonville, FL 32223-3541 | 2020-08-03 |
| 1861002123 | Naw-am Acio Daniels | Physician Assistant | 7467 Volley Dr N, Jacksonville, FL 32277-9368 | 2020-08-03 |
| 1750906640 | Veronica Adriana Dediego | Physician Assistant | 915 W Monroe St Ste 300, Jacksonville, FL 32204-1177 | 2020-06-16 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32208 |
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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.