GORDON NEAL WILLIFORD (NPI# 1235128380) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235128380 |
| Entity Type | Individual |
| Full Name | GORDON NEAL WILLIFORD |
| Credential | PA-C |
| Practice Address |
4200 Sun N Lake Blvd Emergency Department Sebring FL 33872-1986 |
| Mailing Address |
Po Box 8060 Sebring FL 33872-0118 |
| Practice Telephone | 8634023119 |
| Mailing Telephone | 8634023119 |
| Enumeration Date | 2005-10-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA9101137 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851322390 | Gordon Stokely Williford | Anesthesiology | 1350 Walton Way, Augusta, GA 30901-2612 | 2006-07-05 |
| Street Address |
4200 SUN N LAKE BLVD EMERGENCY DEPARTMENT |
| City | SEBRING |
| State | FL |
| Zip Code | 33872-1986 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033116991 | David J Rippe | Radiology | 4200 Sun N Lake Blvd, Sebring, FL 33872-1986 | 2005-07-06 |
| 1235763970 | Benjamin Auyang | Speech-Language Pathologist | 4200 Sun N Lake Blvd, Sebring, FL 33872-1986 | 2020-03-02 |
| 1386284404 | Ryan Charles Harvey | Nurse Anesthetist, Certified Registered | 4200 Sun N Lake Blvd, Sebring, FL 33872-1986 | 2020-01-07 |
| 1750924866 | Visleyca Esther Catedral Rodriguez | Nurse Anesthetist, Certified Registered | 4200 Sun N Lake Blvd, Sebring, FL 33872-1986 | 2019-10-21 |
| 1780227074 | Daniella Denyse Khemnarine | Registered Nurse | 4200 Sun N Lake Blvd, Sebring, FL 33872-1986 | 2019-10-20 |
| 1588206452 | Anai Cervera | Nurse Practitioner | 4200 Sun N Lake Blvd, Sebring, FL 33872-1986 | 2019-10-12 |
| 1801444807 | Christopher Chrosniak | Registered Nurse | 4200 Sun N Lake Blvd, Sebring, FL 33872-1986 | 2019-09-03 |
| 1386122117 | Munesh Pidana | Nurse Anesthetist, Certified Registered | 4200 Sun N Lake Blvd, Sebring, FL 33872-1986 | 2018-08-03 |
| 1821593047 | Mary Michelle Tamayo | Pharmacist | 4200 Sun N Lake Blvd, Sebring, FL 33872-1986 | 2018-03-28 |
| 1770087355 | Adventist Health System-sunbelt Inc | Pharmacy | 4200 Sun N Lake Blvd, Sebring, FL 33872-1986 | 2018-03-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609382738 | Georgiann Rice | Counselor | 4844 Sun N' Lake Blvd., Central Florida Neuropsychology, Sebring, FL 33872 | 2017-12-27 |
| 1124569751 | Zechariah Paolo Martinez Dominguez | Nurse Practitioner | 4421 Sun N Lake Blvd Ste C, Sebring, FL 33872 | 2017-03-15 |
| 1265752158 | Livia Machado Blanchette | Pharmacist | Adventhealth Florida Hospital Heartland, 4200 Sun N Lake Boulevard, Sebring, FL 33872 | 2010-06-02 |
| 1932421989 | Renuka Deonarinesingh | Physician Assistant | 4958 Sun 'n Lake Blvd, Sebring, FL 33872 | 2010-02-18 |
| 1568624427 | Deepti Bhandare | Internal Medicine | 4638 Sun'n Lake Blvd, Sebring, FL 33872 | 2008-07-01 |
| 1154527687 | Jennifer Marie Ushka | Speech-Language Pathologist | 4501 Darnell Dr, Sebring, FL 33872 | 2007-06-22 |
| 1922024850 | Roger Lee Wittum | Internal Medicine | 4240 Sun 'n Lake Boulevard, Suite 202, Sebring, FL 33872 | 2006-07-14 |
| 1902835176 | Shahnaz Punjani | Internal Medicine | 4240 Sun N Lake Blvd Ste 202, Sebring, FL 33872 | 2006-07-01 |
| 1467450171 | Ronald Andrew Chee-awai | Urology | 4325 Sun 'n Lake Blvd, Suite 105, Fhhmc Urology Specialists, Sebring, FL 33872 | 2005-07-07 |
| 1699315887 | Kir Advance Medical Transportation.inc | Private Vehicle | 4117 Cortez Blvd, Sebring, FL 33872 | 2020-01-15 |
| Find all providers in zip 33872 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932421989 | Renuka Deonarinesingh | Physician Assistant | 4958 Sun 'n Lake Blvd, Sebring, FL 33872 | 2010-02-18 |
| 1750374906 | Caruso Medical Center Inc | Physician Assistant | 3324 Commerce Center Ln, Sebring, FL 33870-5542 | 2005-08-23 |
| 1265810378 | Emily Anne Vincent | Physician Assistant | 3109 Medical Way, Sebring, FL 33870 | 2015-05-08 |
| 1427375013 | Highlands Emergency Group LLC | Physician Assistant | 3600 S Highlands Ave, Sebring, FL 33870-5416 | 2010-04-22 |
| 1174663090 | Steven G Wade | Physician Assistant | 4639 Sun N Lake Blvd, Sebring, FL 33872-2177 | 2007-02-08 |
| 1891848339 | Evan Richmond | Physician Assistant | 3600 S Highlands Ave, Hospitalist, Sebring, FL 33870-5416 | 2007-01-19 |
| 1902958739 | Nancy Cardona | Physician Assistant | 3581 S Highlands Ave, Sebring, FL 33870-5410 | 2007-01-18 |
| 1972609436 | Patrick Timothy Clark | Physician Assistant | 4020 Us Highway 27 N, Sebring, FL 33870-1333 | 2006-09-15 |
| 1487764940 | James Bernard Scalzo | Physician Assistant | 3750 Emergency Ln, Suite 1, Sebring, FL 33870-5500 | 2006-08-30 |
| 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 |
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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.