WILLIAM S LAX (NPI# 1497880348) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1497880348 |
Entity Type | Individual |
Full Name | WILLIAM S LAX |
Credential | PA |
Practice Address |
810 Lane Ave S Jacksonville FL 32205-4785 |
Mailing Address |
Po Box 80883 Athens GA 30608-0883 |
Practice Telephone | 9047839680 |
Practice Fax Number | 9047839680 |
Mailing Telephone | 7065498114 |
Mailing Fax Number | 7065497558 |
Enumeration Date | 2007-02-22 |
Last Update Date | 2016-07-26 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363A00000X | Physician Assistant | PA3350 | FL | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | BPC GROUP PTAN | K1951A | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548247570 | William David Lax | Psychologist | 167 Main St, Suite 401, Brattleboro, VT 05301-7128 | 2005-12-30 |
Street Address |
810 LANE AVE S |
City | JACKSONVILLE |
State | FL |
Zip Code | 32205-4785 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376530998 | James W Clower IIi | Family Medicine | 810 Lane Ave S, Credentialing Department, Jacksonville, FL 32205-4785 | 2005-09-29 |
1184287245 | Vanessa Lynne Shaw | Nurse Practitioner | 810 Lane Ave S, Jacksonville, FL 32205-4785 | 2019-04-15 |
1801243985 | Holly Redlinger | Social Worker | 810 Lane Ave S, Jacksonville, FL 32205-4785 | 2016-05-19 |
1417180886 | Matthew Todd Braddock | Family Medicine | 810 Lane Ave S, Jacksonville, FL 32205-4785 | 2009-09-01 |
1962686733 | Emmanuel T. Miel Jr. | Family Medicine | 810 Lane Ave S, Credentialing Department, Jacksonville, FL 32205-4785 | 2007-12-28 |
1568643443 | Baptist Primary Care Inc | Family Medicine | 810 Lane Ave S, Jacksonville, FL 32205-4785 | 2007-11-19 |
1871786665 | Judy Maynor Comeaux | Nurse Practitioner | 810 Lane Ave S, Jacksonville, FL 32205-4785 | 2007-08-24 |
1912116872 | Joanne Dufton | Physical Therapist | 810 Lane Ave S, Jacksonville, FL 32205-4785 | 2007-05-21 |
1538245030 | Dawn M Johnson | Pharmacist | 810 Lane Ave S, Jacksonville, FL 32205-4785 | 2006-10-27 |
1124055587 | Lisa Ragland | Pharmacist | 810 Lane Ave S, Jacksonville, FL 32205-4785 | 2006-06-28 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003466830 | Brandon Neil Hillard | Registered Nurse | 1260 Mcduff Ave. South, Suite 4, Jacksonville, FL 32205 | 2019-09-13 |
1720436363 | Ericka Sampson | Massage Therapist | 6859 Lenox Ave., Suite 6, Jacksonville, FL 32205 | 2016-05-24 |
1578921631 | Northstar Counseling | Counselor | 1672 Pershing Rd, Jacksonville, FL 32205 | 2016-02-04 |
1649645144 | Magaly Perez-cruz | Speech-Language Pathologist | 4101-1 College Street, Jacksonville, FL 32205 | 2015-12-09 |
1639448723 | First Choice Adult Daycare and Home Health Ca | Specialist | 5336 Quan Drive, Jacksonville, FL 32205 | 2011-12-20 |
1437434222 | Christopher Styer | Pharmacist | 654 Casset Ave, Jacksonville, FL 32205 | 2011-10-12 |
1871827279 | April Marie Felton | Nurse Practitioner | 500 E. Adams Street, Bay Street Health Center, Jacksonville, FL 32205 | 2009-10-01 |
1922244821 | Danielle Marie Sergent | Physical Therapist | 5222 Lenox Ave., Jacksonville, FL 32205 | 2008-12-23 |
1427181775 | Lapp & Associates Behavioral Counselind Ctr | Counselor | 931 Cassat Avenue, Jacksonville, FL 32205 | 2007-03-14 |
1629143326 | Elias Moussa Sargi | Dentist | 2700 Riverside Avenue, Ste 10, Jacksonville, FL 32205 | 2006-11-21 |
Find all providers in zip 32205 |
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 |
---|---|---|---|---|
1831799527 | Emily Vander Zee | Physician Assistant | 6680 Bennett Creek Dr Apt 213, Jacksonville, FL 32216-0018 | 2020-10-30 |
1245830314 | Jonathan V Korah | Physician Assistant | 6650 Corporate Center Pkwy Apt 1108, Jacksonville, FL 32216-8725 | 2020-10-28 |
1255931473 | Rachel Gavrielle Stahly | Physician Assistant | 11438 Emuness Rd, Jacksonville, FL 32218-4050 | 2020-10-27 |
1760099071 | Laura Alexandra Ramos-heckman | Physician Assistant | 2014 Capistrano Dr, Jacksonville, FL 32224-3091 | 2020-09-30 |
1184230583 | Julian Clouse | Physician Assistant | 9803 Creekfront Rd Apt 307, Jacksonville, FL 32256-8449 | 2020-09-21 |
1962016717 | Stephanie Benton Gentry | Physician Assistant | 3179 Shadow Creek Rd, Jacksonville, FL 32226-2386 | 2020-08-31 |
1629689435 | Monarch Mental Health Association | Physician Assistant | 5393 Roosevelt Blvd Ste 8, Jacksonville, FL 32210-8424 | 2020-08-14 |
1235749425 | Nicole Lhommedieu | Physician Assistant | 3850 Marnie Pl, Jacksonville, FL 32223-3541 | 2020-08-03 |
1861002123 | Naw-am Acio Daniels | Physician Assistant | 7467 Volley Dr N, Jacksonville, FL 32277-9368 | 2020-08-03 |
1750906640 | Veronica Adriana Dediego | Physician Assistant | 915 W Monroe St Ste 300, Jacksonville, FL 32204-1177 | 2020-06-16 |
Find all providers in JACKSONVILLE |
City | JACKSONVILLE |
Zip Code | 32205 |
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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.