PEDIATRIC AND INTERNAL MEDICINE SPECIALISTS, PA (NPI# 1437575693) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437575693 |
| Entity Type | Organization |
| Organization Name | PEDIATRIC AND INTERNAL MEDICINE SPECIALISTS, PA |
| Practice Address |
1990 N Prospect Ave Lecanto FL 34461-9792 |
| Practice Telephone | 3525276888 |
| Practice Fax Number | 3525278818 |
| Mailing Telephone | 3525276888 |
| Mailing Fax Number | 3525278818 |
| Enumeration Date | 2014-03-12 |
| Last Update Date | 2014-03-12 |
| Authorized Official Name | MS. KAREN MARCIA FENTON (OFFICE MANAGER) |
| Authorized Official Telephone | 3525276888 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
1396805115 | FL | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922306109 | Pediatric and Internal Medicine Specialists, Pa | Clinic/Center | 1980 North Prospect Avenue, Lecanto, FL 34461 | 2011-03-11 |
| Street Address |
1990 N PROSPECT AVE |
| City | LECANTO |
| State | FL |
| Zip Code | 34461-9792 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255397501 | Angela White Kelley | Physician Assistant | 1990 N Prospect Ave, Lecanto, FL 34461-9792 | 2006-04-25 |
| 1487273256 | Brittany Alce | Physician Assistant | 1990 N Prospect Ave, Lecanto, FL 34461-9792 | 2020-04-13 |
| 1174156855 | Ann Marie O'shall | Nurse Practitioner | 1990 N Prospect Ave, Lecanto, FL 34461-9792 | 2020-02-20 |
| 1518516590 | Hollie Taina Marie Saylor | Physician Assistant | 1990 N Prospect Ave, Lecanto, FL 34461-9792 | 2019-09-11 |
| 1689159709 | Sarah Elizabeth Richter | Internal Medicine | 1990 N Prospect Ave, Lecanto, FL 34461-9792 | 2018-09-25 |
| 1871073122 | Sicknwell LLC | Clinic/Center | 1990 N Prospect Ave, Lecanto, FL 34461-9792 | 2018-08-16 |
| 1023500535 | My Home Sleep Testing LLC | Family Medicine | 1990 N Prospect Ave, Lecanto, FL 34461-9792 | 2018-05-31 |
| 1346744729 | Allison Lavon Ledsome | Nurse Practitioner | 1990 N Prospect Ave, Lecanto, FL 34461-9792 | 2018-03-21 |
| 1174033435 | Charles F. Brinegar Jr. | Nurse Practitioner | 1990 N Prospect Ave, Lecanto, FL 34461-9792 | 2017-10-01 |
| 1679098305 | Alexis Bushman | Physician Assistant | 1990 N Prospect Ave, Lecanto, FL 34461-9792 | 2017-08-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891261160 | Shekinah Barfield | Physician Assistant | Pediatric and Internal Medicine Specialist Inc, 1990 N Prospect Ave, Lecanto, FL 34461 | 2018-10-15 |
| 1699240887 | Medical Risk Solutions | Family Medicine | 2804 W. Marc Knighton Court Key #10, Lecanto, FL 34461 | 2018-10-04 |
| 1851848097 | Pedim Outreach and Specialty Clinic LLC | Family Medicine | 1982 N Prospect Ave, Lecanto, FL 34461 | 2016-09-06 |
| 1265776579 | Wal-mart Stores East Lp | Technician/Technologist | 1936 N. Lecanto Hwy, Lecanto, FL 34461 | 2012-11-27 |
| 1922306109 | Pediatric and Internal Medicine Specialists, Pa | Clinic/Center | 1980 North Prospect Avenue, Lecanto, FL 34461 | 2011-03-11 |
| 1942459078 | Crq Enterprises LLC | Home Health | 4214 W Gulf To Lake Hwy, Lecanto, FL 34461 | 2008-09-12 |
| 1548418064 | Thomas Tybeck | Counselor | 324 S Kensington Ave Ste 328, Lecanto, FL 34461 | 2008-09-09 |
| 1356533566 | Amanda Nicole Coppedge | Optometrist | 240 N. Lecanto Hwy., Lecanto, FL 34461 | 2007-08-11 |
| 1679779185 | Brashears Vital Care Corp | Pharmacy | 471 N Dacie Pt, Lecanto, FL 34461 | 2007-06-22 |
| 1285751099 | Interim Healthcare Private Services, Inc. | Home Health | 581 E. Gulf To Lake Highway, Village West Plaza, Lecanto, FL 34461 | 2007-03-25 |
| Find all providers in zip 34461 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629556527 | West Florida Medical Associates, Pa | Clinic/Center | 2671 W Norvell Bryant Hwy, Lecanto, FL 34461-9440 | 2018-08-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952917015 | Bonifay Rural Health Cinic | Clinic/Center | 2910 Hospital Dr Ste A, Bonifay, FL 32425-4268 | 2020-09-23 |
| 1013540947 | Clark Clinic Inc | Clinic/Center | 12620 Curley St, San Antonio, FL 33576-8136 | 2020-02-19 |
| 1023506532 | Sacred Heart Hospital On The Gulf | Clinic/Center | 805 Highway 22, Wewahitchka, FL 32465-3237 | 2018-04-30 |
| 1639693492 | Clark Clinic Inc | Clinic/Center | 910 W Myers Blvd, Mascotte, FL 34753-9748 | 2017-08-02 |
| 1194173419 | Holmes County Hospital Corporation | Clinic/Center | 5556 Brown St, Graceville, FL 32440-1007 | 2016-05-26 |
| 1568826873 | Healthvine Medical Group Inc | Clinic/Center | 725 Benton Ave, Brooksville, FL 34601-3213 | 2016-04-12 |
| 1164808465 | Family and After Hours Care, LLC | Clinic/Center | 1413 Nw 23rd Ave, Chiefland, FL 32626 | 2015-08-10 |
| 1891171914 | High Springs Pediatrics LLC. | Clinic/Center | 14900 Nw 140th St, Alachua, FL 32615-6276 | 2015-07-31 |
| 1982963344 | Sacred Heart Hospital On The Gulf | Clinic/Center | 55 Avenue 'e', Apalachicola, FL 32320-1763 | 2012-05-04 |
| 1760776900 | Sonnis Pediatrics, Inc. | Clinic/Center | 1125 S 6th Ave, Wauchula, FL 33873-3350 | 2011-06-06 |
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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.