MR. STEPHEN E MCNALLY SR. (NPI# 1518160779) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518160779 |
| Entity Type | Individual |
| Full Name | MR. STEPHEN E MCNALLY SR. |
| Credential | CST CFA |
| Practice Address |
4215 Edgewater Dr Orlando FL 32804-2206 |
| Mailing Address |
909 Se 5th Ave Suite 201 Delray Beach FL 33483-5172 |
| Practice Telephone | 4075392000 |
| Practice Fax Number | 4073980050 |
| Mailing Telephone | 5619002498 |
| Mailing Fax Number | 8889724762 |
| Enumeration Date | 2007-06-06 |
| Last Update Date | 2014-10-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | Other Service Providers | ||
| Y | 246ZC0007X |
Specialist/Technologist, Other Specialization: Surgical Assistant |
Technologists, Technicians & Other Technical Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | NBSTSA CERT CST/CFA | F01487 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972527604 | Stephen Michael Mcnally | Psychologist | 400 Veterans Ave, (116b), Biloxi, MS 39531-2410 | 2006-07-26 |
| Street Address |
4215 EDGEWATER DR |
| City | ORLANDO |
| State | FL |
| Zip Code | 32804-2206 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225022239 | John Leslie Steele | Physician Assistant | 4215 Edgewater Dr, Orlando, FL 32804-2206 | 2005-09-06 |
| 1518369578 | Brett Young | Specialist/Technologist, Other | 4215 Edgewater Dr, Orlando, FL 32804-2206 | 2014-09-22 |
| 1740521137 | Qss-southeast Clinical Services LLC | Surgery | 4215 Edgewater Dr, Orlando, FL 32804-2206 | 2013-03-08 |
| 1972844660 | Nicole Moskal | Physician Assistant | 4215 Edgewater Dr, Orlando, FL 32804-2206 | 2013-03-06 |
| 1083968820 | Denise Livingston | Nurse Practitioner | 4215 Edgewater Dr, Orlando, FL 32804-2206 | 2012-11-01 |
| 1932456985 | William Lee Earp IIi | Specialist/Technologist, Other | 4215 Edgewater Dr, Orlando, FL 32804-2206 | 2012-08-09 |
| 1689964462 | Katrina J Smith | Physician Assistant | 4215 Edgewater Dr, Orlando, FL 32804-2206 | 2011-04-13 |
| 1497901029 | Anthony Allen Moore | Physician Assistant | 4215 Edgewater Dr, Orlando, FL 32804-2206 | 2008-08-14 |
| 1295876969 | Gueorgui T Maltchev | Physician Assistant | 4215 Edgewater Dr, Orlando, FL 32804-2206 | 2007-02-08 |
| 1972653160 | Diana K Marl | Physician Assistant | 4215 Edgewater Dr, Orlando, FL 32804-2206 | 2007-01-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881252716 | Alyssa Bass | Counselor | 3130 Edgewater Dr, Orlando, FL 32804 | 2019-06-05 |
| 1841856366 | Debora Cheryl Ramirez | Technician/Technologist | 1231 North Orange Ave, Orlando, FL 32804 | 2019-05-10 |
| 1679074009 | Jessica Dobbs | Counselor | 3801 Grant Blvd, Orlando, FL 32804 | 2018-02-21 |
| 1881109031 | Pedro Mendez Jr. | Counselor | 1800 W. Colonial Drive, Orlando, FL 32804 | 2017-12-11 |
| 1902259310 | Michael Lo | Nurse Practitioner | 2400 N Orange Ave Ste 302, Orlando, FL 32804 | 2016-07-20 |
| 1083093595 | Michael Gregg | Student in an Organized Health Care Education/Training Program | 2415 North Orange Avenue, Suite 400, Orlando, FL 32804 | 2015-05-29 |
| 1922485473 | Lindsay Rae Piet | Physician Assistant | 1910 N. Orange Ave., Orlando, FL 32804 | 2015-05-05 |
| 1093106189 | College Park Community Acupuncture & Herbal Medicine | Acupuncturist | 710 W. Princeton Street., Suite A, Orlando, FL 32804 | 2015-02-10 |
| 1164822359 | Orlando Sleep Solutions, LLC | Durable Medical Equipment & Medical Supplies | 2921 N. Orange Ave, Orlando, FL 32804 | 2014-08-26 |
| 1780926741 | Joseph Arturo Reza | Student in an Organized Health Care Education/Training Program | 2415 N Orange Ave #400, Orlando, FL 32804 | 2013-03-17 |
| Find all providers in zip 32804 | ||||
| Taxonomy Code | 246ZC0007X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| Specialization | Surgical Assistant |
| A surgical assistant is a skilled practitioner who has undergone formalized education and training as a surgical assistant. The surgical assistant performs surgical functions that include, but are not limited to: retracting, manipulating, suturing, clamping, cauterizing, litigating, and tying tissue; suctioning, irrigating and sponging; positioning the patient; closure of body planes and skin; and participating in hemostasis and volume replacement. Surgical assistants are certified and registered or licensed by the state, or, in states without licensure, certified as surgical assistants by completing appropriate education and training. |
| Notes: Source: Association of Surgical Assistants, 2014. [7/1/2014: title modified, definition modified] http://www.surgicalassistant.org/index.php/surgical-assisting Additional Resources: National Surgical Assistant Association, www.nsaa.net. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275157877 | Ricardo Zamy | Specialist/Technologist, Other | 1009 S Kirkman Rd, Orlando, FL 32811-3205 | 2020-05-31 |
| 1760002125 | Jenny Korina Perozo Quiroz | Specialist/Technologist, Other | 1921 S Kirkman Rd Apt 222, Orlando, FL 32811-2318 | 2020-04-25 |
| 1750917464 | Stephanor Coriolan | Specialist/Technologist, Other | 729 Sherwood Terrace Dr Apt 105, Orlando, FL 32818-7404 | 2020-03-14 |
| 1447800164 | Paul Gagarin Colmenares Rodriguez | Specialist/Technologist, Other | 4303 Summit Creek Blvd Apt 4109, Orlando, FL 32837-5591 | 2019-09-14 |
| 1619525714 | Joel Josue Vallenilla Tolosa | Specialist/Technologist, Other | 14047 Walcott Ave, Orlando, FL 32827-7471 | 2019-09-01 |
| 1952956963 | Alberto Segundo Medina | Specialist/Technologist, Other | 2532 Conway Rd Apt 119, Orlando, FL 32812-4394 | 2019-08-06 |
| 1972072445 | Victor S Djuro Perez | Specialist/Technologist, Other | 100 N Dean Rd Ste 102, Orlando, FL 32825-3710 | 2018-11-14 |
| 1891285508 | Ender Alfonso Urdaneta Torres | Specialist/Technologist, Other | 13840 Timberbrooke Dr Apt 101, Orlando, FL 32824-6359 | 2018-05-17 |
| 1811425168 | Dennis Alonso Perez Leal | Specialist/Technologist, Other | 11819 Hatcher Cir, Orlando, FL 32824-8788 | 2017-05-31 |
| 1851822332 | Jorge Luis Santos Alba | Specialist/Technologist, Other | 532 Trellis Ct, Orlando, FL 32809-4031 | 2017-03-25 |
| Find all providers in ORLANDO | ||||
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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.