ERIN ANN BOSTICK (NPI# 1255704342) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255704342 |
| Entity Type | Individual |
| Full Name | ERIN ANN BOSTICK |
| Practice Address |
3466 Pine Ridge Rd Ste A Naples FL 34109-3883 |
| Mailing Address |
3466 Pine Ridge Rd Ste A Naples FL 34109-3883 |
| Practice Telephone | 2392612663 |
| Practice Fax Number | 2396265633 |
| Mailing Telephone | 2392612663 |
| Mailing Fax Number | 2392625633 |
| Enumeration Date | 2015-11-11 |
| Last Update Date | 2019-08-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | PA9109309 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA9109309 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 061834800 | 05 | |
| FL | BCBS | C697F | 01 |
| FL | MEDICARE | IM891Z | 01 |
| Street Address |
3466 PINE RIDGE RD STE A |
| City | NAPLES |
| State | FL |
| Zip Code | 34109-3883 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790948388 | Daniel John Harmon | Orthopaedic Surgery | 3466 Pine Ridge Rd Ste A, Naples, FL 34109-3883 | 2008-07-03 |
| 1346862356 | Daniel Esperon | Physical Therapist | 3466 Pine Ridge Rd Ste A, Naples, FL 34109-3883 | 2020-05-13 |
| 1205088341 | Joint Replacement Institute LLC | Orthopaedic Surgery | 3466 Pine Ridge Rd Ste A, Naples, FL 34109-3883 | 2008-10-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407325467 | Dah Therapies LLC | Clinic/Center | 4750 Aston Gardens Way, Therapy Room, Second Floor, Naples, FL 34109 | 2018-11-20 |
| 1003302712 | Ocuflow Doppler LLC | Radiology | 1855 Veterans Park Drive, Naples, FL 34109 | 2018-07-05 |
| 1114417508 | Vascular Center of Naples Inc. | Surgery | 5490 Bryson Dr Ste 201, Naples, FL 34109 | 2018-05-11 |
| 1497257968 | Neuro-tech Inc | Behavioral Analyst | 5687 Naples Blvd Suite A, Naples, FL 34109 | 2018-03-01 |
| 1407302177 | Kendria Brown | Behavioral Analyst | 10641 Airport Pulling Road, Naples, FL 34109 | 2016-08-31 |
| 1255789368 | Ideal Image | Specialist | 1485 Pine Ridge Road Unit #1, Naples, FL 34109 | 2016-05-31 |
| 1790153062 | Lee Memorial Health System | Pharmacy | 3361 Pine Ridge Rd, Suite 100, Naples, FL 34109 | 2015-09-03 |
| 1922400340 | North Naples Pediatric Center | Pediatrics | 9160 Galleria Court, Naples, FL 34109 | 2014-09-17 |
| 1720326978 | Evan Michael Asay | Occupational Therapist | 1865 Veterans Park Drive, Suite 101, Naples, FL 34109 | 2013-01-23 |
| 1942599436 | Anchors Away Medical Corp. | Internal Medicine | 1495 Pine Ridge Rd., Suite 4, Naples, FL 34109 | 2011-04-05 |
| Find all providers in zip 34109 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811598691 | Monica Nancy Ginocchio | Physician Assistant | 1020 Crosspointe Dr Ste 110, Naples, FL 34110-0918 | 2020-11-06 |
| 1578971826 | Maria Rienzi | Physician Assistant | Physicians Regional Medical Group, 6101 Pine Ridge Rd, Naples, FL 34119 | 2014-07-31 |
| 1669591673 | Tansy Walker | Physician Assistant | 6101 Pine Ridge Rd # Pfs4, Naples, FL 34119-3900 | 2007-03-29 |
| 1730222662 | Myles Rubin Samotin Md Pa | Physician Assistant | 870 111th Ave N Ste 4, Naples, FL 34108-1869 | 2007-02-14 |
| 1366412405 | Kevin J Gallen | Physician Assistant | 1350 Tamiami Trl N, #202, Naples, FL 34102-5203 | 2006-01-23 |
| 1417598970 | Ryan Thomas Hebda | Physician Assistant | 1250 Pine Ridge Rd Ste 201, Naples, FL 34108-8913 | 2019-10-04 |
| 1144796004 | Aleem Uddin | Physician Assistant | 311 9th St N Ste 100, Naples, FL 34102-5886 | 2018-10-18 |
| 1063922110 | David T Albritton | Physician Assistant | 1250 Pine Ridge Rd Ste 203, Naples, FL 34108-8913 | 2017-10-03 |
| 1750827416 | Kile Skrobacki | Physician Assistant | 350 7th St N, Naples, FL 34102-5754 | 2017-01-18 |
| 1093250763 | Dana Zeitler | Physician Assistant | 1250 Pine Ridge Rd, Naples, FL 34108-8913 | 2017-01-04 |
| Find all providers in NAPLES | ||||
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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.