MR. DAVID WAYNE RUNYON (NPI# 1518964238) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518964238 |
| Entity Type | Individual |
| Full Name | MR. DAVID WAYNE RUNYON |
| Credential | PA-C |
| Practice Address |
2750 Se 17th St Ocala FL 34471-5519 |
| Practice Telephone | 3527327779 |
| Practice Fax Number | 3527322664 |
| Mailing Telephone | 3527327779 |
| Mailing Fax Number | 3527322664 |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2018-04-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207N00000X | Dermatology | PA9109546 | FL | Allopathic & Osteopathic Physicians |
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
838 | WV | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | MEDICARE | IQ891Z | 01 |
| FL | 022138600 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1521 Buenos Aires Blvd, The Villages, FL 321598974 | 3527506946 | |
| 8750 Sw Highway 200 Ste 102, Ocala, FL 344817810 | 3527323501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720098809 | David E Runyon | Family Medicine | 1412 Elba Hwy, Troy, AL 36079-6020 | 2006-08-09 |
| Street Address |
2750 SE 17TH ST |
| City | OCALA |
| State | FL |
| Zip Code | 34471-5519 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679092738 | Elizabeth Mei Lan Beadles | Dermatology | 2750 Se 17th St, Ocala, FL 34471-5519 | 2017-09-10 |
| 1801083589 | Michael J Freeman Md Pa | Dermatology | 2750 Se 17th St, Ocala, FL 34471-5519 | 2007-09-26 |
| 1639112261 | Michael J. Freeman | Dermatology | 2750 Se 17th St, Ocala, FL 34471-5519 | 2006-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790385383 | Samer Faragalla | Pharmacist | 2600 Sw 19th Ave Rd, Ocala, FL 34471 | 2020-10-31 |
| 1336789684 | Anthony Smith | Behavior Technician | 2102 Sw 20th Place Ste 302, Ocala, FL 34471 | 2020-01-14 |
| 1871136788 | Toni Trask | Counselor | 300 Se Sanchez Ave, Ocala, FL 34471 | 2019-10-23 |
| 1538701354 | Sdx Home Care Operations, LLC | In Home Supportive Care | 1315 Se 25th Loop #102, Ocala, FL 34471 | 2019-10-14 |
| 1730666355 | Next Pt Group Florida, LLC | Occupational Therapist | 1661 Se 31st St Unit 3, Ocala, FL 34471 | 2018-07-26 |
| 1902397680 | Aidan Thurian Charles | Student in an Organized Health Care Education/Training Program | 1431 Sw First Avenue, Ocalu, FL 34471 | 2018-05-29 |
| 1871084426 | Infectious Diseases Specialty Associates Pllc | Internal Medicine | 150 Se 17th St Ste 801, Ocala, FL 34471 | 2018-05-18 |
| 1528560950 | Guillot Enterprises, LLC | Hearing Instrument Specialist | 2400 Sw College Rd., Suite 202, Ocala, FL 34471 | 2018-03-01 |
| 1518469071 | Jordan Griffis | Nurse Practitioner | 1630 Se 18th Street Building 600 Suite 602, Ocala, FL 34471 | 2018-03-01 |
| 1780192112 | Pmc Knee Pain & Restoration LLC | Preventive Medicine | 200 Sw 8th St Ste A, Ocala, FL 34471 | 2018-01-19 |
| Find all providers in zip 34471 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124486584 | Suzanne Dilley | Physician Assistant | 4769 Nw 46th Ave, Ocala, FL 34482-7845 | 2016-02-01 |
| 1730257981 | Michael Alan Green | Physician Assistant | 1500 Se Magnolia Ext Ste 203, Ocala, FL 34471-4461 | 2006-12-04 |
| 1245288620 | Leticia Cortez | Physician Assistant | 1901 Se 18th Ave Ste 300, Ocala, FL 34471-8214 | 2006-05-05 |
| 1477517647 | Edward Robert Todd | Physician Assistant | 1490 Se Magnolia Ave. Ext., Ocala, FL 34471 | 2006-04-14 |
| 1629050984 | Steven G Chapman | Physician Assistant | 70 Golf View Dr, Ocala, FL 34472-5001 | 2005-11-14 |
| 1063871705 | Smd Surgical Assisting, LLC | Physician Assistant | 4769 Nw 46th Ave, Ocala, FL 34482-7845 | 2016-02-22 |
| 1104178805 | Steven M Head | Physician Assistant | 1920 Sw 20th Pl, #100, Ocala, FL 34471-7881 | 2012-10-05 |
| 1013057801 | Laura Elizabeth Green | Physician Assistant | 1511 Sw 1st Ave, Ocala, FL 34471-6505 | 2007-02-08 |
| 1558431403 | William W Smith | Physician Assistant | 3201 Sw 34th Street, Ocala, FL 34474-7439 | 2006-11-08 |
| 1558459347 | Steve Coates | Physician Assistant | 1901 Se 18th Ave, Suite 101, Ocala, FL 34471-8215 | 2006-10-10 |
| Find all providers in OCALA | ||||
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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.