MR. MATTHEW BERWAGER (NPI# 1275178691) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275178691 |
| Entity Type | Individual |
| Full Name | MR. MATTHEW BERWAGER |
| Practice Address |
1500 Tracy Dee Way Longwood FL 32779-4716 |
| Practice Telephone | 4076829541 |
| Enumeration Date | 2019-11-08 |
| Last Update Date | 2019-11-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1500 TRACY DEE WAY |
| City | LONGWOOD |
| State | FL |
| Zip Code | 32779-4716 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285268854 | Erin Nicole Marsh | Speech-Language Pathologist | 2957 W State Rd. 434 Suite 100, Longwood, FL 32779 | 2020-02-23 |
| 1902443294 | Melanie Lynn Milner | Chiropractor | 2160 West S.r. 434, Unit 108, Longwood, FL 32779 | 2019-12-05 |
| 1538723440 | Darby Anne Santora | Speech-Language Pathologist | 2957 W 434 State Road, #100, Longwood, FL 32779 | 2019-04-25 |
| 1508336645 | Lashawnda L Richmond | Counselor | 207 Briar Cliff Dr, Longwood, FL 32779 | 2018-12-02 |
| 1992275598 | The Center of Life Counseling, LLC | Clinic/Center | 300 N. Ronald Reagan Blvd. #302, Longwood, FL 32779 | 2018-11-27 |
| 1770052508 | Megan Elizabeth Runyan | Speech-Language Pathologist | 1511 Suzanne Way, Longwood, FL 32779 | 2018-11-22 |
| 1003398447 | Neha Patel | Physical Therapist | 500 Village Place, Longwood, FL 32779 | 2018-09-01 |
| 1487146122 | Wai Acupuncture & Integrative Chinese Medicine LLC | Acupuncturist | 2901 West S.r. 434, Suite 141, Longwood, FL 32779 | 2018-05-30 |
| 1396130217 | Alison Marie Nasuti | Occupational Therapy Assistant | 2989 Wsr 434, Suite 200, Longwood, FL 32779 | 2015-03-30 |
| 1346646288 | Abby Louise Hertel | Speech-Language Pathologist | 2917 W State Road 434, Longwood, FL 32779 | 2014-11-04 |
| Find all providers in zip 32779 | ||||
| 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 |
|---|---|---|---|---|
| 1942717285 | Forrest Saunders | Physician Assistant | 451 S Milwee St Ste 1010, Longwood, FL 32750-4137 | 2018-01-09 |
| 1518402767 | Jacquelyn O'donnell | Physician Assistant | 120 Sweetbriar Br, Longwood, FL 32750-2715 | 2016-12-26 |
| 1659676435 | Jennifer Leigh Strong | Physician Assistant | 1451 Dunbrooke Loop, Longwood, FL 32779 | 2011-01-25 |
| 1659599447 | Nancy Rose Zuker | Physician Assistant | 1400 W State Road 434 Ste 1010, Longwood, FL 32750 | 2007-04-24 |
| 1427271907 | Melody Marie Johnson | Physician Assistant | 357 Wekiva Springs Rd, Longwood, FL 32779-3607 | 2007-04-11 |
| 1215415633 | Connor J Mcvey | Physician Assistant | 455 W Warren Ave, Longwood, FL 32750-4038 | 2018-07-30 |
| 1568851699 | Sallyann Marchi | Physician Assistant | 521 West State Road 434, Suite 101, Longwood, FL 32750-4952 | 2015-01-13 |
| 1346589884 | Amjad A Shaikh | Physician Assistant | 450 W Sr 434 Ste 3010, Longwood, FL 32750-5196 | 2013-02-04 |
| 1477839033 | Julianne Purdy | Physician Assistant | 555 W State Road 434, Longwood, FL 32750-5119 | 2011-10-27 |
| 1144528522 | Michael Lee Sampson | Physician Assistant | 515 W State Road 434, Ste 203, Longwood, FL 32750-5162 | 2011-03-08 |
| Find all providers in LONGWOOD | ||||
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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.