LAURA ERIKA DERMENJIAN (NPI# 1255316907) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255316907 |
| Entity Type | Individual |
| Full Name | LAURA ERIKA DERMENJIAN |
| Credential | PA |
| Practice Address |
1950 Laurel Manor Dr Ste 224 The Villages FL 32162 |
| Mailing Address |
1950 Laurel Manor Dr Ste 224 The Villages FL 32162-5603 |
| Practice Telephone | 3527516565 |
| Practice Fax Number | 3522057777 |
| Mailing Telephone | 3527516565 |
| Mailing Fax Number | 3522057777 |
| Enumeration Date | 2005-12-14 |
| Last Update Date | 2020-08-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA9101262 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 290911100 | 05 |
| Street Address |
1950 LAUREL MANOR DR STE 224 |
| City | THE VILLAGES |
| State | FL |
| Zip Code | 32162 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144213109 | Connie L Hartley | Nurse Practitioner | 1950 Laurel Manor Dr, Ste 224, The Villages, FL 32162-5602 | 2005-08-25 |
| 1841660495 | Angela Marie Boyazis-rodger | Chiropractor | 1950 Laurel Manor Dr, Ste. 204, The Villages, FL 32162-5603 | 2015-09-25 |
| 1609244136 | Arbor Medical Group, Pllc | Anesthesiology | 1950 Laurel Manor Dr, Building 200, Suite 206, The Villages, FL 32162-5603 | 2015-09-15 |
| 1124368675 | Stroke and Brain Specialists Pa | Psychiatry & Neurology | 1950 Laurel Manor Dr, Bldg 200 Ste 206, The Villages, FL 32162-5603 | 2013-02-20 |
| 1790079606 | Larry L Miller | Massage Therapist | 1950 Laurel Manor Dr, Suite 204, The Villages, FL 32162-5603 | 2011-06-08 |
| 1225340037 | Patrick Alger | Anesthesiology | 1950 Laurel Manor Dr, Building 200, Suite 206, The Villages, FL 32162-5603 | 2010-07-08 |
| 1033430921 | John C Theeck Dc Pa | Chiropractor | 1950 Laurel Manor Dr, Suite 204, The Villages, FL 32162-5603 | 2010-06-15 |
| 1104144419 | Sumanth Padmanabh | Internal Medicine | 1950 Laurel Manor Dr, Building 200, Suite 206, The Villages, FL 32162-5603 | 2010-05-11 |
| 1427384494 | John C Theeck | Chiropractor | 1950 Laurel Manor Dr, Building 200, Suite 204, The Villages, FL 32162-5603 | 2009-10-27 |
| 1295902377 | Florida Heart & Vascular Multi Specialty Group, Pa | Family Medicine | 1950 Laurel Manor Dr, Suite 142, The Villages, FL 32162-5603 | 2008-05-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831700939 | Lana Nesheiwat | Pharmacist | 2235 Parr Drive, Lady Lake, FL 32162 | 2020-08-12 |
| 1619591393 | Advanced Periodontics & Implant Care, LLC | Dentist | 1950 Laurel Manor Drive #184, The Villages, FL 32162 | 2020-05-29 |
| 1639719081 | Retirement Five, LLC | Skilled Nursing Facility | 16605 Se 74th Souiliere Ave, The Villages, FL 32162 | 2020-01-14 |
| 1184263261 | Eric William Allen | Pharmacist | Win Dixie Pharmacy #2545, 2500 Burnsed Blvd, The Villages, FL 32162 | 2020-01-06 |
| 1740828391 | Tara Maria Jennings Irwin | Physical Therapy Assistant | 11962 Cr 101 #104, The Villages, FL 32162 | 2019-12-13 |
| 1851819254 | Bio-medical Applications of Florida, Inc. | Clinic/Center | 310 Longview Ave, Lady Lake, FL 32162 | 2017-09-06 |
| 1033642327 | Ben Miller | Specialist/Technologist | 251 Buffalo Trl, The Villages, FL 32162 | 2017-04-04 |
| 1932631173 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 620 Kristine Way, The Villages, FL 32162 | 2017-03-28 |
| 1639534522 | Pamela Marie Bureau | Registered Nurse | 1020 Lake Sumter Landing, The Villages, FL 32162 | 2015-12-21 |
| 1669847059 | Dawn Johnson | Dental Assistant | 8900 Mulberry Ln, The Villages, FL 32162 | 2015-12-10 |
| Find all providers in zip 32162 | ||||
| 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 |
|---|---|---|---|---|
| 1386949733 | Jennifer Anne West | Physician Assistant | 352 East Cr 466, The Villages, FL 32159-4205 | 2011-01-17 |
| 1790976330 | Jennifer Starr Davis | Physician Assistant | 340 Heald Way Ste 216, The Villages, FL 32163-6088 | 2007-08-08 |
| 1275636128 | Philomena Walker | Physician Assistant | 1950 Laurel Manor Dr Ste 224, The Villages, FL 32162-5602 | 2006-09-06 |
| 1255440475 | Scott Clark | Physician Assistant | 1503 Buenos Aires Blvd Ste 100, The Villages, FL 32159-6825 | 2006-08-30 |
| 1346891942 | Brian Paul Wisowaty | Physician Assistant | 1400 N Us Highway 441 Ste 810, The Villages, FL 32159-8987 | 2019-09-25 |
| 1639722887 | Troy Edward Black Pace | Physician Assistant | 2910 Brownwood Blvd, The Villages, FL 32163-2032 | 2019-07-17 |
| 1376195677 | Katherine Rodriguez | Physician Assistant | 1050 Old Camp Rd Ste 100, The Villages, FL 32162-1762 | 2019-07-16 |
| 1104485291 | Amanda Naumann | Physician Assistant | 1050 Old Camp Rd Ste 100, The Villages, FL 32162-1762 | 2019-06-11 |
| 1861951246 | Sarah Marie Ely | Physician Assistant | 1580 Santa Barbara Blvd, The Villages, FL 32159-6827 | 2019-03-15 |
| 1083183826 | Sierra C Heptner | Physician Assistant | 1575 Santa Barbara Blvd, The Villages, FL 32159-6820 | 2018-11-23 |
| Find all providers in THE VILLAGES | ||||
| City | THE VILLAGES |
| Zip Code | 32162 |
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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.