GAINESVILLE VAMC (NPI# 1346397379) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1346397379 |
Entity Type | Organization |
Organization Name | GAINESVILLE VAMC |
Other Organization Name | VILLAGES VA CBOC |
Practice Address |
8900 Se 165th Mulberry Lane The Villages FL 32162-5603 |
Mailing Address |
Po Box 140794 Orlando FL 32814-0794 |
Practice Telephone | 8882631889 |
Mailing Telephone | 8882631889 |
Enumeration Date | 2007-01-04 |
Last Update Date | 2017-03-07 |
Authorized Official Name | ERIN POTTER (NPI TEAM MEMBER) |
Authorized Official Telephone | 2023822579 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QV0200X |
Clinic/Center Specialization: VA |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Villages VA CBOC | Other Name - Individual/Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528683257 | Gainesville Vamc | General Acute Care Hospital | 2080 Child St Bldg 200h, Jacksonville, FL 32214-5005 | 2020-06-09 |
1528681723 | Gainesville Vamc | Clinic/Center | 400 College Dr Ste 200, Middleburg, FL 32068-8525 | 2020-05-21 |
1194123430 | Gainesville Vamc | Clinic/Center | 620 Northwest 16th Street, Gainesville, FL 32601-4034 | 2014-12-19 |
1003214347 | Gainesville Vamc | Clinic/Center | 3401 Northwest 98th Street, Gainesville, FL 32606-5207 | 2014-12-19 |
1306886791 | Gainesville Vamc | Clinic/Center | 348 Enterprise Dr Ste B, Valdosta, GA 31601-5169 | 2006-06-07 |
1295772747 | Gainesville Vamc | Clinic/Center | 1515 E Silver Springs Blvd Ste 226, Ocala, FL 34470-6856 | 2006-06-01 |
1720036296 | Gainesville Vamc | Department of Veterans Affairs (VA) Pharmacy | 2181 Orange Ave E, Tallahassee, FL 32311-6144 | 2006-05-05 |
1437627015 | Gainesville Vamc | Clinic/Center | 484 Sw Commerce Dr, Lake City, FL 32025-1507 | 2018-11-13 |
1174983480 | Gainesville Vamc | Psychiatric Residential Treatment Facility | 1601 S.w. Archer Road, Gainesville, FL 32608-1197 | 2016-02-29 |
1376910968 | Gainesville Vamc | Clinic/Center | 1224 N Peacock Ave, Perry, FL 32347-2117 | 2015-08-31 |
Street Address |
8900 SE 165TH MULBERRY LANE |
City | THE VILLAGES |
State | FL |
Zip Code | 32162-5603 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356328462 | Stanley Joe Mcneme | Dentist | 8900 Se 165th Mulberry Lane, The Villages Va Outpatient Clinic, The Villages, FL 32162-5884 | 2005-12-29 |
1548600604 | Lawrence Allen Yates | Nurse Practitioner | 8900 Se 165th Mulberry Lane, Va Medical Clinic - Primary Care, The Villages, FL 32162 | 2013-07-03 |
1770746034 | Hamsa Patricia Jayaraj | Internal Medicine | 8900 Se 165th Mulberry Lane, Veterans Health System Clinic, The Villages, FL 32162 | 2008-07-08 |
1528130036 | John A Giglio | Family Medicine | 8900 Se 165th Mulberry Lane, The Villages, FL 32162-5884 | 2006-11-14 |
1801909940 | Amy Michelle Simons | Physician Assistant | 8900 Se 165th Mulberry Lane, The Villages, FL 32162 | 2006-08-15 |
1861457392 | Matthew Gene Cordes | Optometrist | 8900 Se 165th Mulberry Lane, Eye Clinic, The Villages, FL 32162 | 2006-04-18 |
1023088085 | Laurie Ann Housworth | Dentist | 8900 Se 165th Mulberry Lane, The Villages Va Outpatient Clinic, The Villages, FL 32162 | 2006-01-24 |
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 | 261QV0200X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | VA |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528681723 | Gainesville Vamc | Clinic/Center | 400 College Dr Ste 200, Middleburg, FL 32068-8525 | 2020-05-21 |
1831719715 | Orlando Vamc | Clinic/Center | 5200 Babcock St Ne Ste 101, Palm Bay, FL 32905-4639 | 2020-04-21 |
1851955405 | Tampa Vamc | Clinic/Center | 12920 Summerfield Crossing Blvd., Riverview, FL 33579-7210 | 2019-04-30 |
1316331952 | James A.haley Va Hospital | Clinic/Center | 6465 142nd Ave N Apt X205, Clearwater, FL 33760-2785 | 2015-03-20 |
1326436601 | Biloxi Vamc | Clinic/Center | 140 Richard Jackson Blvd, Suite 100, Panama City Beach, FL 32407-2512 | 2015-01-08 |
1255729505 | Tampa Vamc | Clinic/Center | 110210 Us Highway 19 North, Suite 102, New Port Richey, FL 34668-9998 | 2015-01-08 |
1609264738 | Orlando Vamc | Clinic/Center | 3731 S Clyde Morris Blvd, Port Orange, FL 32129-2319 | 2014-12-23 |
1902204167 | Tampa Vamc | Clinic/Center | 7701 Little Rd, New Port Richey, FL 34654-5403 | 2014-12-19 |
1386042620 | West Palm Beach Vamc | Clinic/Center | 126 Sw Chamber Ct, Port Saint Lucie, FL 34986-3496 | 2014-12-19 |
1629476965 | Tampa Vamc | Clinic/Center | 14014 North 46th Street, Tampa, FL 33613-9998 | 2014-12-19 |
Find all providers with the same taxonomy |
City | THE VILLAGES |
Zip Code | 32162 |
Please comment or provide details below to improve the information on GAINESVILLE VAMC.
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.