JANICE GALLIMORE (NPI# 1336415256) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336415256 |
| Entity Type | Individual |
| Full Name | JANICE GALLIMORE |
| Credential | PA-C |
| Practice Address |
805 County Road 466 Lady Lake FL 32746 |
| Mailing Address |
1207 Glencrest Dr Lake Mary FL 32746-4304 |
| Practice Telephone | 3526749218 |
| Mailing Telephone | 8285516999 |
| Enumeration Date | 2012-03-25 |
| Last Update Date | 2016-07-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA 9106585 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | 0010-03437 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
805 COUNTY ROAD 466 |
| City | LADY LAKE |
| State | FL |
| Zip Code | 32746 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184286221 | Kelsie Thomas | Physician Assistant | 805 County Road 466, Lady Lake, FL 32159 | 2019-06-28 |
| 1548742604 | Kelli Ann Egli | Physician Assistant | 805 County Road 466, Lady Lake, FL 32159 | 2018-09-05 |
| 1548773435 | Chelsie Leigh Connery | Physician Assistant | 805 County Road 466, Lady Lake, FL 32159 | 2017-11-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588286397 | James Maggert | Physical Therapist | Sst Rehab, 635 Century Pt - Suite 111, Lake Mary, FL 32746 | 2020-05-14 |
| 1225663743 | Jamie Pecot | Behavior Technician | 300 International Parkway, 200, Lake Mary, FL 32746 | 2020-03-04 |
| 1619509585 | Dental Associates of Heathrow, LLC | Dentist | Dental Associates of Heathrow, LLC, 120 International Parkway Suite 26, Heathrow, FL 32746 | 2020-02-10 |
| 1376185876 | Rinehart Road Surgery Center, LLC | Clinic/Center | 392 Rinehart Road, Suite 1100, Lake Mary, FL 32746 | 2019-10-16 |
| 1871140988 | Central Florida Wellness LLC | General Practice | 1061 S Sun Drove, Suite 1041, Lake. Mary, FL 32746 | 2019-08-22 |
| 1326609942 | Antoine Slade I | Behavior Technician | 4876 Rhinehart Road, Lake Mary, FL 32746 | 2019-06-25 |
| 1245891209 | Ohri, LLC | Clinic/Center | 392 Rinehart Rd., Suite 1300, Lake Mary, FL 32746 | 2019-06-21 |
| 1336610856 | Olivia Laurel Stolz | Physician Assistant | 3300 West Lake Mary Blvd, 220, Lake Mary, FL 32746 | 2018-12-10 |
| 1881171072 | Elite-star Medical Transport LLC. | Non-emergency Medical Transport (VAN) | 2910 W Lake Mary Blvd Ste 101, Lake Mary, FL 32746 | 2018-07-20 |
| 1508351537 | Ariagny Elena Fereira | Speech-Language Pathologist | 145 Middle Street Suite 1101, Lake Mary, FL 32746 | 2018-06-22 |
| Find all providers in zip 32746 | ||||
| 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 |
|---|---|---|---|---|
| 1306451216 | Lindsey Porubcan | Physician Assistant | 990 South Us Highway 441/27, Lady Lake, FL 32159 | 2020-09-09 |
| 1346736907 | Caroline Butler | Physician Assistant | 805 E. Cr 466, Lady Lake, FL 32159 | 2018-07-06 |
| 1164526737 | Michael Andrew Humphrey | Physician Assistant | 805 E County Road 466, Lady Lake, FL 32159 | 2006-09-12 |
| 1366414724 | Glenn R Mckeon | Physician Assistant | 607 Highway 466, Lady Lake, FL 32159-6338 | 2006-02-01 |
| 1689225005 | Nirali M Patel | Physician Assistant | 749 Highway 466, Lady Lake, FL 32159-6340 | 2019-09-26 |
| 1235784752 | Hussain Zhian | Physician Assistant | 805 E Cr 466, Lady Lake, FL 32159 | 2019-08-02 |
| 1184286221 | Kelsie Thomas | Physician Assistant | 805 County Road 466, Lady Lake, FL 32159 | 2019-06-28 |
| 1548742604 | Kelli Ann Egli | Physician Assistant | 805 County Road 466, Lady Lake, FL 32159 | 2018-09-05 |
| 1548773435 | Chelsie Leigh Connery | Physician Assistant | 805 County Road 466, Lady Lake, FL 32159 | 2017-11-14 |
| 1689100802 | Mauricio Mejia | Physician Assistant | 805 E Cr 466, Lady Lake, FL 32159 | 2017-05-08 |
| Find all providers in LADY LAKE | ||||
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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.