MRS. SUZANNE ELAINE VILLALOBOS (NPI# 1316021777) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316021777 |
| Entity Type | Individual |
| Full Name | MRS. SUZANNE ELAINE VILLALOBOS |
| Other Name | MRS. SUZANNE SUTTON |
| Credential | PA-C |
| Practice Address |
549 N Bert Fish Dr Deland FL 32724-3509 |
| Mailing Address |
1230 Sky Ln Deland FL 32720-2385 |
| Practice Telephone | 3868228150 |
| Practice Fax Number | 3868228152 |
| Mailing Telephone | 3869438463 |
| Mailing Fax Number | 3868228152 |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2012-09-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA 9102046 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 001638300 | 05 |
| Street Address |
549 N BERT FISH DR |
| City | DELAND |
| State | FL |
| Zip Code | 32724-3509 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528549490 | Ultra Health Providers of Florida | Internal Medicine | 105 Asterbrooke Dr, Deland, FL 32724 | 2018-08-28 |
| 1811473275 | April Gustafson | Nurse Practitioner | 557 Adenmore Ter, Deland, FL 32724 | 2018-07-18 |
| 1245720820 | Total Renal Laboratories Inc | Clinical Medical Laboratory | 3000 Davita Way, Deland, FL 32724 | 2018-05-18 |
| 1790294742 | Deland Manor Assisted Living Corp | Assisted Living Facility | 245 S. Amelia Ave, Deland, FL 32724 | 2017-09-21 |
| 1639617954 | Starting Point Mental Health, LLC | Counselor | 620 East New York Ave Ste B, Deland, FL 32724 | 2017-02-07 |
| 1255877221 | Emily Eunice | Specialist/Technologist | 2589 W Lake Dr., Deland, FL 32724 | 2017-01-13 |
| 1073960357 | Robert Solomon Jr. | Family Medicine | 1431 Orange Camp Rd Ste 118119, Deland, FL 32724 | 2016-05-17 |
| 1730535568 | Harold Alexander | Hearing Instrument Specialist | 124 S. Amelia Ave, Unit #b, Deland, FL 32724 | 2016-05-11 |
| 1720406747 | Angel Care Homes LLC | Assisted Living Facility | 1349 E. Wisconsin Avenue, Deland, FL 32724 | 2014-04-07 |
| 1508298860 | Lindenlea Assisted Living Inc. | Assisted Living Facility | 1180 Jackson Ranch Rd, Deland, FL 32724 | 2013-08-08 |
| Find all providers in zip 32724 | ||||
| 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 |
|---|---|---|---|---|
| 1194058172 | Peter Lindland | Physician Assistant | 526 Land O Lakes Ct, Deland, FL 32724-3700 | 2009-09-09 |
| 1386670420 | Stephanie Dawn Stovall | Physician Assistant | 999 W Plymouth Ave, Deland, FL 32720-3134 | 2006-06-23 |
| 1407858004 | Judy R Macnichols | Physician Assistant | 1070 N. Stone Street, Suite A, Deland, FL 32720 | 2005-08-12 |
| 1780683359 | Kurt T. Wood | Physician Assistant | 740 W Plymouth Ave, Deland, FL 32720-3282 | 2005-07-18 |
| 1003449117 | Brent Wilkins | Physician Assistant | 701 W Plymouth Ave, Deland, FL 32720-3236 | 2020-02-17 |
| 1083265086 | Ryan Bryce Adamcik | Physician Assistant | 740 W Plymouth Ave, Deland, FL 32720-3282 | 2019-09-23 |
| 1366953135 | Kelsey Hoblick | Physician Assistant | 844 W Plymouth Ave, Deland, FL 32720-3284 | 2017-10-19 |
| 1255850517 | William Tyler Sawyer | Physician Assistant | 740 W Plymouth Ave, Deland, FL 32720-3282 | 2017-09-18 |
| 1710438270 | Courtney Danielle Cobaugh | Physician Assistant | 600 W Plymouth Ave, Deland, FL 32720-3260 | 2016-10-19 |
| 1851844872 | Adam Michael Paulson | Physician Assistant | 701 W Plymouth Ave, Deland, FL 32720-3236 | 2016-07-26 |
| Find all providers in DELAND | ||||
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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.