EDWIN VILLERT (NPI# 1467050120) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467050120 |
| Entity Type | Individual |
| Full Name | EDWIN VILLERT |
| Credential | PA |
| Practice Address |
1515 Sw Archer Rd Gainesville FL 32608-1134 |
| Mailing Address |
1600 Sw Archer Rd Box 100236 Gainesville FL 32610-0236 |
| Practice Telephone | 3522650111 |
| Mailing Telephone | 3522735550 |
| Mailing Fax Number | 3522735575 |
| Enumeration Date | 2020-10-15 |
| Last Update Date | 2020-10-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA9113585 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1515 SW ARCHER RD |
| City | GAINESVILLE |
| State | FL |
| Zip Code | 32608-1134 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871657221 | Arturo Gilberto Torres | Anesthesiology | 1515 Sw Archer Rd, Gainesville, FL 32608-1134 | 2006-12-20 |
| 1417556184 | Victoria Hilton | Registered Nurse | 1515 Sw Archer Rd, Gainesville, FL 32608-1134 | 2020-10-22 |
| 1093327942 | Morgan Landis | Anesthesiologist Assistant | 1515 Sw Archer Rd, Gainesville, FL 32608-1134 | 2020-08-21 |
| 1841802956 | Adam Eugene Chartrand | Anesthesiologist Assistant | 1515 Sw Archer Rd, Gainesville, FL 32608-1134 | 2020-08-19 |
| 1053923227 | Kristina Horstman | Dietitian, Registered | 1515 Sw Archer Rd, Gainesville, FL 32608-1134 | 2020-08-19 |
| 1609487883 | Jasmin Marcelle Tawfic | Pharmacist | 1515 Sw Archer Rd, Gainesville, FL 32608-1134 | 2020-08-12 |
| 1902420037 | Susan Huang | Physician Assistant | 1515 Sw Archer Rd, Gainesville, FL 32608-1134 | 2020-06-04 |
| 1801410212 | Tiffany Lynn Eisenbach | Student in an Organized Health Care Education/Training Program | 1515 Sw Archer Rd, Gainesville, FL 32608-1134 | 2020-06-01 |
| 1114548906 | Peter Michael Vonu | Student in an Organized Health Care Education/Training Program | 1515 Sw Archer Rd, Gainesville, FL 32608-1134 | 2020-05-03 |
| 1508487307 | Tomer Keidan | Student in an Organized Health Care Education/Training Program | 1515 Sw Archer Rd, Gainesville, FL 32608-1134 | 2020-05-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609426758 | Earlene Mae Anderson | Technician | 7770 Sw 47th Lane, Gainesville, FL 32608 | 2019-09-19 |
| 1588214720 | Jimmie Lee Crawford | Technician | 7427 Sw 63rd Terrace, Gainesville, FL 32608 | 2019-09-19 |
| 1306495346 | Lori Turbow | Technician | 2600 Sw Willingston Rd, Apt. 801, Gainesville, FL 32608 | 2019-09-11 |
| 1285281527 | Advance Best Care Medical Services LLC | In Home Supportive Care | 5745 Southwest 76th Street, Suite 250, Gainesville, FL 32608 | 2019-08-21 |
| 1669948097 | Eric Scott Traub | Genetic Counselor, MS | 1699 Sw 16th Avenue, Building A, Cms B2334, Gainesville, FL 32608 | 2018-10-24 |
| 1457834053 | Riverswarmingtouch LLC | Adult Companion | 2220 Sw 34th Street, Apt 125, Gainesville, FL 32608 | 2018-09-10 |
| 1811481252 | Anthony Farmer | Dentist | 3100 Sw 35th Pl Apt 18a, Gainesville, FL 32608 | 2018-06-19 |
| 1184112823 | Zoraida Vazquez | Early Intervention Provider Agency | 7117 Sw Archer Rd Lot 2121, Gainesville, FL 32608 | 2018-04-27 |
| 1942739214 | Brittany R Brown | Homemaker | 2908 Sw 38th Place, Gainesville, FL 32608 | 2017-06-08 |
| 1639605801 | Touch of Care,llc | Home Health | 6040 Sw 63rd Blvd, Gainesville, FL 32608 | 2017-05-10 |
| Find all providers in zip 32608 | ||||
| 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 |
|---|---|---|---|---|
| 1750989471 | Rylee Holland | Physician Assistant | 701 Sw 62nd Blvd Apt 118, Gainesville, FL 32607-2079 | 2020-10-14 |
| 1992329726 | Clinton Thomas Zopf | Physician Assistant | 4229 Nw 43rd St Apt E40, Gainesville, FL 32606-2508 | 2020-06-08 |
| 1689298721 | Michael Wood | Physician Assistant | 10360 Sw 51st Ln, Gainesville, FL 32608-4380 | 2020-06-04 |
| 1386268431 | Alexandra Christina Clayton | Physician Assistant | 1600 Sw Archer Rd Rm 6130, Gainesville, FL 32610-6922 | 2020-06-04 |
| 1437782851 | Madison Raye Huth | Physician Assistant | 743 Spring Street Se, Gainesville, GA 30501 | 2020-02-13 |
| 1003454786 | Erica Lynn Iketani | Physician Assistant | 1600 Sw Archer Rd Rm 10-504, Gainesville, FL 32610-3003 | 2019-12-13 |
| 1952967184 | Naomi Lux | Physician Assistant | 15418 N State Road 121, Gainesville, FL 32653-7513 | 2019-05-13 |
| 1700441441 | Alexandria Brown | Physician Assistant | 3538 Nw 25th Ter, Gainesville, FL 32605-2296 | 2019-05-08 |
| 1891250502 | Mark Burdette Mechak | Physician Assistant | 14535 John Marshall Hwy Ste 105, Gainesville, VA 20155-4024 | 2019-02-06 |
| 1427564848 | Ngan Lam | Physician Assistant | 200 Sw 62nd Blvd Ste C, Gainesville, FL 32607-2067 | 2017-12-20 |
| Find all providers in GAINESVILLE | ||||
| City | GAINESVILLE |
| Zip Code | 32608 |
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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.