CAROLYN DEWALDEN (NPI# 1528198546) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528198546 |
| Entity Type | Individual |
| Full Name | CAROLYN DEWALDEN |
| Credential | P.A. |
| Practice Address |
10131 W Colonial Dr Suite 4 Ocoee FL 34761-4221 |
| Mailing Address |
605 Strihal Loop Oakland FL 34787-8958 |
| Practice Telephone | 4072984910 |
| Practice Fax Number | 4072962638 |
| Mailing Telephone | 4078770984 |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA 9102038 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
10131 W COLONIAL DR SUITE 4 |
| City | OCOEE |
| State | FL |
| Zip Code | 34761-4221 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306837562 | Catherine Wang | Ophthalmology | 10131 W Colonial Dr, Suite 201, Ocoee, FL 34761-4221 | 2005-11-04 |
| 1316240690 | Samantha Xavier | Ophthalmology | 10131 W Colonial Dr, Ocoee, FL 34761 | 2010-12-08 |
| 1801033154 | Audrea Huff | Massage Therapist | 10131 W Colonial Dr, Ocoee, FL 34761-4221 | 2009-01-08 |
| 1194942425 | Stephanie N Lyons | Physical Therapist | 10131 W Colonial Dr, Ste 20, Ocoee, FL 34761-4221 | 2007-04-19 |
| 1952449209 | Ob Gyn of Central Florida, Pa | Obstetrics & Gynecology | 10131 W Colonial Dr, Suite #4, Ocoee, FL 34761-4221 | 2007-02-01 |
| 1619993482 | John J. Orrego | Obstetrics & Gynecology | 10131 W Colonial Dr, Suite 4, Ocoee, FL 34761-4221 | 2006-07-14 |
| 1710969324 | Abc Prosthetics and Orthotics Dp Ocoee Inc | Prosthetic/Orthotic Supplier | 10131 W Colonial Dr, Unit 1, Ocoee, FL 34761-4221 | 2005-11-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033736186 | Alyson Foisy | Behavior Technician | 2930 Maguire Road, Suite 200, Ocoee, FL 34761 | 2020-07-05 |
| 1033732797 | Nephron Care & Dialysis LLC | Internal Medicine | Health Central Hospital, 10000 West Colonial Drive, Ocoee, FL 34761 | 2020-05-28 |
| 1255969259 | Medical Risk Solutions | Family Medicine | 175 N Bluford Ave, Ocoee, FL 34761 | 2020-03-27 |
| 1912533027 | Fm Dental, LLC | Clinic/Center | 1104 South Clarke Rd, Suite 10, Ocoee, FL 34761 | 2020-03-20 |
| 1518509330 | Noel Christine Montoya | Behavior Technician | 2930 Maguire Rd Suite 200, Ocoee, FL 34761 | 2019-10-14 |
| 1346895166 | Dentists of Ocoee, Pa | Dentist | 11050 West Colonial Drive, Suite 30, Ocoee, FL 34761 | 2019-08-08 |
| 1386209575 | Chantal Monde | Nurse Practitioner | 1000 W Colonial Drive, Ocoee, FL 34761 | 2019-05-03 |
| 1740844422 | Angela Renee's Home Care LLC | In Home Supportive Care | 2398 Cory Ct, Ocoee, FL 34761 | 2019-04-27 |
| 1346713492 | Orlando Health Central, Inc. | Skilled Nursing Facility | 1300 Hempel Avenue, Ocoee, FL 34761 | 2019-01-10 |
| 1609352970 | Agape's Way, Inc | Nursing Care | 1851 Sparkling Water Circle, Ocoee, FL 34761 | 2018-07-19 |
| Find all providers in zip 34761 | ||||
| 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 |
|---|---|---|---|---|
| 1003115296 | Shahana Ali | Physician Assistant | 10959 W Colonial Dr, Ocoee, FL 34761-2944 | 2011-03-28 |
| 1053948109 | Roshni Viren Patel | Physician Assistant | 1540 Citrus Medical Ct, Ocoee, FL 34761-4547 | 2020-03-26 |
| 1720568462 | Kaitlin Weeks | Physician Assistant | 119 White Water Dr, Ocoee, TN 37361-3645 | 2018-08-21 |
| 1700392172 | Maria Del Carmen Freire | Physician Assistant | 1510 Citrus Medical Ct, Ocoee, FL 34761-4547 | 2017-12-21 |
| 1275044968 | Amalia Rodriguez | Physician Assistant | 10000 W Colonial Dr Ste 187, Ocoee, FL 34761-3438 | 2017-10-20 |
| 1790294676 | Yolette Bazelais | Physician Assistant | 1530 Citrus Medical Ct, Ocoee, FL 34761-4548 | 2017-09-24 |
| 1255876827 | Paige Mackenzie | Physician Assistant | 10000 W Colonial Dr Ste 495, Ocoee, FL 34761 | 2017-01-05 |
| 1235681743 | Victoria Isabel Matamoros | Physician Assistant | 10000 W Colonial Dr, Ocoee, FL 34761-3400 | 2016-10-31 |
| 1942752944 | Ethan Yoder | Physician Assistant | 1540 Citrus Medical Ct, Ocoee, FL 34761-4547 | 2016-10-26 |
| 1760839856 | Michelle Heine | Physician Assistant | 10000 W Colonial Dr Ste 288, Ocoee, FL 34761-3432 | 2016-05-18 |
| Find all providers in OCOEE | ||||
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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.