MARY L MOLLOY (NPI# 1205130739) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205130739 |
| Entity Type | Individual |
| Full Name | MARY L MOLLOY |
| Credential | PA |
| Practice Address |
8931 Colonial Center Dr Suite 300 Fort Myers FL 33905-7809 |
| Mailing Address |
4371 Veronica S Shoemaker Blvd Fort Myers FL 33916-2216 |
| Practice Telephone | 2399380800 |
| Practice Fax Number | 2399380890 |
| Mailing Telephone | 2392748200 |
| Mailing Fax Number | 2392783350 |
| Enumeration Date | 2010-12-23 |
| Last Update Date | 2010-12-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA9105263 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457999716 | Mary Katherine Molloy | Speech-Language Pathologist | 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 | 2019-12-18 |
| 1114407699 | Mary Katherine Molloy | Social Worker | 8424 Naab Rd Ste 1l, Indianapolis, IN 46260-1954 | 2018-08-15 |
| 1780662932 | Mary Galaxie Molloy | Nurse Practitioner | 211 E 79th St, New York, NY 10021-0819 | 2006-01-07 |
| Street Address |
8931 COLONIAL CENTER DR SUITE 300 |
| City | FORT MYERS |
| State | FL |
| Zip Code | 33905-7809 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306843370 | James W. Orr Jr. | Obstetrics & Gynecology | 8931 Colonial Center Dr, Suite 400, Fort Myers, FL 33905-7816 | 2005-07-05 |
| 1457833196 | Jessica Isaacs | Genetic Counselor, MS | 8931 Colonial Center Dr, Fort Myers, FL 33905-7809 | 2018-08-29 |
| 1902291263 | Keisha Miller | Nurse Practitioner | 8931 Colonial Center Dr, Suite100, Fort Myers, FL 33905-7809 | 2015-04-03 |
| 1053703454 | 21st Century Oncology LLC | Urology | 8931 Colonial Center Dr, Suite 100, Fort Myers, FL 33905-7809 | 2015-02-23 |
| 1396134961 | Christina Clark | Physician Assistant | 8931 Colonial Center Dr, Suite 301, Fort Myers, FL 33905-7809 | 2015-01-20 |
| 1912303389 | Gabriella Brock | Pharmacist | 8931 Colonial Center Dr, Suite 200, Fort Myers, FL 33905-7809 | 2014-11-13 |
| 1447650270 | Kristen Marlene Kirdahy | Pharmacist | 8931 Colonial Center Dr, Suite 200 - Pharmacy, Fort Myers, FL 33905-7809 | 2014-08-29 |
| 1144632217 | Sousan Yazdi Black | Nurse Practitioner | 8931 Colonial Center Dr, Suite 300, Fort Myers, FL 33905-7809 | 2014-05-23 |
| 1841614237 | Ma Antonietta Orlang | Registered Nurse | 8931 Colonial Center Dr, Suite 302, Fort Myers, FL 33905-7809 | 2014-02-06 |
| 1073864526 | Michael David Cook | Physician Assistant | 8931 Colonial Center Dr, Suite 100, Fort Myers, FL 33905-7809 | 2012-09-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811476211 | Lisa Nicole Campbell | Nurse Practitioner | 2850 Via Campania St, Fort Myers, FL 33905 | 2018-08-07 |
| 1538670260 | Doctorguarin LLC | Clinic/Center | 3143 Antica St, Fort Myers, FL 33905 | 2017-10-20 |
| 1366828931 | Dawn Bradley Arnp Pllc | Nurse Practitioner | 3056 Champion Ring Rd, Ft Myers, FL 33905 | 2015-08-06 |
| 1720480551 | Yohana Pierre Villarroel | Licensed Practical Nurse | 2789 Ortiz Ave., Fort Myers, FL 33905 | 2014-09-24 |
| 1639592090 | Hamprenate Service | Case Manager/Care Coordinator | 2789 Oritz Avenue, Fort Myere, FL 33905 | 2014-01-21 |
| 1255688743 | Ronak B Patel | Pharmacist | 9365 Via Murano Ct, Fort Myers, FL 33905 | 2012-08-14 |
| 1477824852 | Joseph Francis Kusiak | Plastic Surgery | 3320 Shady Bend, Fort Myers, FL 33905 | 2012-01-18 |
| 1336447838 | Vicky Brooks | Nurse Practitioner | 8960 Colonial Center Dr Ste 300, Fort Myers, FL 33905 | 2011-03-08 |
| 1790898666 | Access Medical South, Lc | Durable Medical Equipment & Medical Supplies | 5701 Country Lakes Dr., Suite 20, Ft. Myers, FL 33905 | 2006-08-16 |
| 1780691600 | Arthur Lee Strauss | Social Worker | 6000 South Dixie Hwy, Suite B, West Palm Beach, FL 33905 | 2006-08-02 |
| Find all providers in zip 33905 | ||||
| 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 |
|---|---|---|---|---|
| 1629679360 | Samantha Lee Zavada | Physician Assistant | 9459 Silver Pine Loop, Fort Myers, FL 33967-5152 | 2020-11-07 |
| 1811597198 | Alexis Thraen | Physician Assistant | 4536 Winkler Ave Apt 204, Fort Myers, FL 33966-7013 | 2020-10-27 |
| 1265065247 | Marathon Health LLC | Physician Assistant | 1660 Electric Ln, Fort Myers, FL 33917-3946 | 2020-02-18 |
| 1710510813 | Noshaba Khaliq | Physician Assistant | 17549 Cherry Ridge Ln, Fort Myers, FL 33967-5138 | 2020-02-17 |
| 1699307389 | Colleen Mcgonagle | Physician Assistant | 12700 Creekside Ln Ste 101, Fort Myers, FL 33919-3356 | 2020-02-10 |
| 1922643238 | Abigail Christine Reed | Physician Assistant | 16230 Summerlin Rd Ste 213-218, Fort Myers, FL 33908-5768 | 2019-11-11 |
| 1245899756 | Aileen Fiallo | Physician Assistant | 4571 Colonial Blvd Ste 210, Fort Myers, FL 33966-1156 | 2019-06-08 |
| 1316422199 | Angelia Lynette Sakyi-agyekum | Physician Assistant | 8291 Dani Dr Ste 101a, Fort Myers, FL 33966-8009 | 2018-09-27 |
| 1225547029 | Irene Julian | Physician Assistant | 14090 Metropolis Ave Ste 102, Fort Myers, FL 33912-4451 | 2017-09-25 |
| 1134653827 | Matthew Jeremy Blakemore | Physician Assistant | 6150 Diamond Centre Ct Ste 1300, Fort Myers, FL 33912-4367 | 2017-04-19 |
| Find all providers in FORT MYERS | ||||
| City | FORT MYERS |
| Zip Code | 33905 |
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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.