JAMES FAIRCLOTH (NPI# 1487672457) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487672457 |
| Entity Type | Individual |
| Full Name | JAMES FAIRCLOTH |
| Credential | PA |
| Practice Address |
11375 Cortez Blvd Spring Hill FL 34613-5409 |
| Mailing Address |
13705 Pimberton Dr Hudson FL 34669-0809 |
| Practice Telephone | 3525973008 |
| Practice Fax Number | 3525973024 |
| Mailing Telephone | 7278190018 |
| Mailing Fax Number | 7275073618 |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA1836 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
11375 CORTEZ BLVD |
| City | SPRING HILL |
| State | FL |
| Zip Code | 34613-5409 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164443925 | Robert Falkowski | Emergency Medicine | 11375 Cortez Blvd, Spring Hill, FL 34613-5409 | 2006-07-21 |
| 1922029438 | Richard Eugene Ludwig | Physician Assistant | 11375 Cortez Blvd, Spring Hill, FL 34613-5409 | 2006-07-21 |
| 1528000494 | Daniel James Newhaller | Emergency Medicine | 11375 Cortez Blvd, Spring Hill, FL 34613-5409 | 2006-06-12 |
| 1972544039 | Danny Abbruzzese | Emergency Medicine | 11375 Cortez Blvd, Spring Hill, FL 34613-5409 | 2006-06-09 |
| 1275574865 | Alan Bruce Sherman | Emergency Medicine | 11375 Cortez Blvd, Spring Hill, FL 34613-5409 | 2006-06-08 |
| 1518916469 | Haven Emergency Physicians | Emergency Medicine | 11375 Cortez Blvd, Spring Hill, FL 34613-5409 | 2006-05-09 |
| 1841249752 | Florida Em-i Medical Services Pa | Emergency Medicine | 11375 Cortez Blvd, Spring Hill, FL 34613-5409 | 2006-05-08 |
| 1609864743 | Amy Kristen Ryan | Pediatrics | 11375 Cortez Blvd, Spring Hill, FL 34613-5409 | 2005-10-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679196836 | Izza Bazigh | Student in an Organized Health Care Education/Training Program | 11375 Cortez Boulevard, Sr 50, Office of Graduate Medic, Brooksville, FL 34613 | 2020-05-22 |
| 1003446824 | Spring Hill Pediatric Dentistry, LLC | Dentist | 7140 Sagheer St., Brooksville, FL 34613 | 2020-01-21 |
| 1407405822 | Medical Risk Solutions | Family Medicine | 12080 Cortez Blvd, Brooksville, FL 34613 | 2019-09-09 |
| 1528529245 | Edward Joseph Waseleski Jr. | Student in an Organized Health Care Education/Training Program | 11375 Cortez Blvd., State Road 50, Brooksville, FL 34613 | 2019-03-26 |
| 1366903213 | Paresh Rangani | Student in an Organized Health Care Education/Training Program | 11375 Cortez Blvd., State Road 50, Brooksville, FL 34613 | 2019-03-25 |
| 1225558034 | Whitney King | Student in an Organized Health Care Education/Training Program | 11375 Cortez Boulevard, State Road 50, Brooksville, FL 34613 | 2017-06-22 |
| 1922450022 | Visionworks, Inc | Eyewear Supplier (Equipment, not the service) | 13217 Cortez Rd, Brooksville, FL 34613 | 2016-07-13 |
| 1992157408 | Arushi Goel | Internal Medicine | 11375 Cortez Boulevard, Oak Hill Hospital, Brooksville, FL 34613 | 2016-07-08 |
| 1366823122 | Monicka Stella Felix | Internal Medicine | 11375 Cortez Boulevard, Sr 50, Oak Hill Hospital, Gme Attn: Melissa Tammaro, Brooksville, FL 34613 | 2015-06-17 |
| 1790171700 | April Greer | Hearing Instrument Specialist | 13013 Cortez Blvd., Brooksville, FL 34613 | 2015-04-07 |
| Find all providers in zip 34613 | ||||
| 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 |
|---|---|---|---|---|
| 1417555459 | Kaitlyn Jones | Physician Assistant | 1229 Reserve Blvd Ste 200, Spring Hill, TN 37174-3274 | 2020-10-12 |
| 1972691871 | John Nathan Garrett | Physician Assistant | 2173 Mariner Blvd, Spring Hill, FL 34609-3860 | 2006-10-10 |
| 1417051137 | Nancy Franklin | Physician Assistant | 5350 Springhill Dr, Spring Hill, FL 34606 | 2006-09-12 |
| 1447211925 | Suncoast Surgical Assisting Associates, Inc. | Physician Assistant | 8303 Blanton Street, Spring Hill, FL 34606 | 2006-04-01 |
| 1386632586 | Timothy Fred Benge | Physician Assistant | 2880 Commonwealth Dr Unit 418, Spring Hill, TN 37174-3177 | 2005-10-11 |
| 1114912938 | Leo Brazeau | Physician Assistant | 7056 Mariner Blvd, Spring Hill, FL 34609-1000 | 2005-09-19 |
| 1528681525 | Amna Mota | Physician Assistant | 120 Medical Blvd Ste 102, Spring Hill, FL 34609-0221 | 2020-05-26 |
| 1952950974 | Katrina Kryzaniak | Physician Assistant | 5350 Spring Hill Dr, Spring Hill, FL 34606-4562 | 2019-09-11 |
| 1104310267 | Enrique Xavier Vaca | Physician Assistant | 7064 Mariner Blvd, Spring Hill, FL 34609-1000 | 2018-06-21 |
| 1114435138 | Juliette Marie Pistorino | Physician Assistant | 120 Medical Blvd Ste 100, Spring Hill, FL 34609-0221 | 2018-01-11 |
| Find all providers in SPRING HILL | ||||
| City | SPRING HILL |
| Zip Code | 34613 |
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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.