KAMERON DAVID MULLANEY (NPI# 1225656085) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225656085 |
| Entity Type | Individual |
| Full Name | KAMERON DAVID MULLANEY |
| Credential | PA-C |
| Practice Address |
6484 Fort Caroline Rd Jacksonville FL 32277-2042 |
| Mailing Address |
6520 Fort Caroline Rd Jacksonville FL 32277-2044 |
| Practice Telephone | 9047447300 |
| Practice Fax Number | 9047224271 |
| Mailing Telephone | 9047453618 |
| Mailing Fax Number | 9047224271 |
| Enumeration Date | 2020-07-08 |
| Last Update Date | 2020-11-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA9113642 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | FL | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4809 River Point Rd, Jacksonville, FL 322072117 | 9043142182 |
| Street Address |
6484 FORT CAROLINE RD |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32277-2042 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144222696 | Elaine G Holmes | Family Medicine | 6484 Fort Caroline Rd, Jacksonville, FL 32277-2042 | 2005-08-15 |
| 1356998280 | Chima Ekwueme | Nurse Practitioner | 6484 Fort Caroline Rd, Jacksonville, FL 32277-2042 | 2019-08-26 |
| 1033609789 | Anissa Brisbane-mcfadden | Nurse Practitioner | 6484 Fort Caroline Rd, Jacksonville, FL 32277-2042 | 2018-05-17 |
| 1669913448 | Lalita Kummeth | Nurse Practitioner | 6484 Fort Caroline Rd, Jacksonville, FL 32277 | 2017-03-14 |
| 1386017689 | Amanda Dupree | Nurse Practitioner | 6484 Fort Caroline Rd, Jacksonville, FL 32277-2042 | 2015-11-09 |
| 1750761094 | Andrew Jervey Hunt | Family Medicine | 6484 Fort Caroline Rd, Jacksonville, FL 32277 | 2015-06-02 |
| 1407259476 | Carolyn Mcclinton | Nurse Practitioner | 6484 Fort Caroline Rd, Jacksonville, FL 32277-2042 | 2014-10-03 |
| 1659773562 | James Beatty | Physician Assistant | 6484 Fort Caroline Rd, Jacksonville, FL 32277-2042 | 2014-09-23 |
| 1629310909 | Arun Joseph | Pediatrics | 6484 Fort Caroline Rd, Jacksonville, FL 32277 | 2013-03-25 |
| 1609125913 | Charles C Greene Md Phd Pa | Otolaryngology | 6484 Fort Caroline Rd, Jacksonville, FL 32277-2042 | 2012-08-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609408574 | Ortho 99 Plus 1 | Dentist | 7410 Merrill Road, Suite 2, Jacksonville, FL 32277 | 2020-02-10 |
| 1376042176 | Seginald Rashaad Chaney | Adult Companion | 5885 Edenfield Rd, Charter Landing Apartments Apt E-10, Jacksonville, FL 32277 | 2018-02-07 |
| 1578966875 | Erin Chretien | Behavioral Analyst | 3780 University Club Blvd Apt 3204, Jacksonville, FL 32277 | 2014-09-30 |
| 1518300128 | Michel Joseph Sabra | Surgery | 5053 Toproyal Ln, Jacksonville, FL 32277 | 2013-04-12 |
| 1982977443 | A1 Care Systems Inc | Assisted Living Facility | 7449 Sandhurst Rd S, Jacksonville, FL 32277 | 2012-02-14 |
| 1851453211 | Ajay Doddapaneni | Radiology | 7920 Merrill Rd Unit 708, Jacksonville, FL 32277 | 2006-12-14 |
| 1821184565 | Ramsey Bader Salem | Dentist | 6237 Merrill Road, Jacksonville, FL 32277 | 2006-10-04 |
| 1164697157 | Brianne Graves | Psychologist | 3517 Peeler Rd, Unit 11, Jacksonville, FL 32277-0616 | 2008-04-29 |
| 1407217391 | Kathleen Bashore | Occupational Therapy Assistant | 8057 Le Havre Dr N, Jacksonville, FL 32277-0902 | 2016-03-18 |
| 1518431394 | Daniel Corristan | Specialist/Technologist | 7721 Leesburg Dr S, Jacksonville, FL 32277-0925 | 2019-01-15 |
| Find all providers in zip 32277 | ||||
| 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 | 32277 |
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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.