GAINESVILLE VAMC (NPI# 1538211545) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538211545 |
| Entity Type | Organization |
| Organization Name | GAINESVILLE VAMC |
| Other Organization Name | LECANTO VA CBOC |
| Practice Address |
2804 W Marc Knighton Ct Suite A Lecanto FL 34461-6300 |
| Mailing Address |
Po Box 140794 Orlando FL 32814-0794 |
| Practice Telephone | 8882631889 |
| Mailing Telephone | 8882631889 |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2017-03-07 |
| Authorized Official Name | ERIN POTTER (NPI TEAM MEMBER) |
| Authorized Official Telephone | 2023822579 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QV0200X |
Clinic/Center Specialization: VA |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Lecanto VA CBOC | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528683257 | Gainesville Vamc | General Acute Care Hospital | 2080 Child St Bldg 200h, Jacksonville, FL 32214-5005 | 2020-06-09 |
| 1528681723 | Gainesville Vamc | Clinic/Center | 400 College Dr Ste 200, Middleburg, FL 32068-8525 | 2020-05-21 |
| 1194123430 | Gainesville Vamc | Clinic/Center | 620 Northwest 16th Street, Gainesville, FL 32601-4034 | 2014-12-19 |
| 1003214347 | Gainesville Vamc | Clinic/Center | 3401 Northwest 98th Street, Gainesville, FL 32606-5207 | 2014-12-19 |
| 1306886791 | Gainesville Vamc | Clinic/Center | 348 Enterprise Dr Ste B, Valdosta, GA 31601-5169 | 2006-06-07 |
| 1295772747 | Gainesville Vamc | Clinic/Center | 1515 E Silver Springs Blvd Ste 226, Ocala, FL 34470-6856 | 2006-06-01 |
| 1720036296 | Gainesville Vamc | Department of Veterans Affairs (VA) Pharmacy | 2181 Orange Ave E, Tallahassee, FL 32311-6144 | 2006-05-05 |
| 1437627015 | Gainesville Vamc | Clinic/Center | 484 Sw Commerce Dr, Lake City, FL 32025-1507 | 2018-11-13 |
| 1174983480 | Gainesville Vamc | Psychiatric Residential Treatment Facility | 1601 S.w. Archer Road, Gainesville, FL 32608-1197 | 2016-02-29 |
| 1376910968 | Gainesville Vamc | Clinic/Center | 1224 N Peacock Ave, Perry, FL 32347-2117 | 2015-08-31 |
| Street Address |
2804 W MARC KNIGHTON CT SUITE A |
| City | LECANTO |
| State | FL |
| Zip Code | 34461-6300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245230044 | Lee Elma Howell Jr. | Family Medicine | 2804 W Marc Knighton Ct, Lecanto, FL 34461-6300 | 2005-07-22 |
| 1679963938 | Louis L. Orr Iv | Psychologist | 2804 W Marc Knighton Ct, Suite A, Lecanto, FL 34461-8334 | 2015-01-26 |
| 1225282924 | Board of County Commissioners Citrus County | Community/Behavioral Health | 2804 W Marc Knighton Ct, Suite B, Lecanto, FL 34461-6300 | 2008-11-07 |
| 1225289598 | Michelle Antonia Graham | Dentist | 2804 W Marc Knighton Ct, Lecanto, FL 34461-6300 | 2008-10-06 |
| 1396992558 | Ellen Baxley | Dietitian, Registered | 2804 W Marc Knighton Ct, Lecanto, FL 34461-6300 | 2008-08-19 |
| 1821287954 | Walton L Vanhoose | Dentist | 2804 W Marc Knighton Ct, Lecanto, FL 34461-6300 | 2007-10-15 |
| 1750578019 | Michael Bernard Mueller | Family Medicine | 2804 W Marc Knighton Ct, Lecanto, FL 34461-6300 | 2007-10-01 |
| 1740474568 | Krisha Charlene Fulcher | Psychologist | 2804 W Marc Knighton Ct, Suite A, Lecanto, FL 34461-6300 | 2007-09-05 |
| 1548462393 | Terri Lynette Smith | Family Medicine | 2804 W Marc Knighton Ct, Suite A, Lecanto, FL 34461-6300 | 2007-06-04 |
| 1083711089 | Mark Joseph Knapp | Internal Medicine | 2804 W Marc Knighton Ct, Lecanto, FL 34461-6300 | 2006-09-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891261160 | Shekinah Barfield | Physician Assistant | Pediatric and Internal Medicine Specialist Inc, 1990 N Prospect Ave, Lecanto, FL 34461 | 2018-10-15 |
| 1699240887 | Medical Risk Solutions | Family Medicine | 2804 W. Marc Knighton Court Key #10, Lecanto, FL 34461 | 2018-10-04 |
| 1851848097 | Pedim Outreach and Specialty Clinic LLC | Family Medicine | 1982 N Prospect Ave, Lecanto, FL 34461 | 2016-09-06 |
| 1265776579 | Wal-mart Stores East Lp | Technician/Technologist | 1936 N. Lecanto Hwy, Lecanto, FL 34461 | 2012-11-27 |
| 1922306109 | Pediatric and Internal Medicine Specialists, Pa | Clinic/Center | 1980 North Prospect Avenue, Lecanto, FL 34461 | 2011-03-11 |
| 1942459078 | Crq Enterprises LLC | Home Health | 4214 W Gulf To Lake Hwy, Lecanto, FL 34461 | 2008-09-12 |
| 1548418064 | Thomas Tybeck | Counselor | 324 S Kensington Ave Ste 328, Lecanto, FL 34461 | 2008-09-09 |
| 1356533566 | Amanda Nicole Coppedge | Optometrist | 240 N. Lecanto Hwy., Lecanto, FL 34461 | 2007-08-11 |
| 1679779185 | Brashears Vital Care Corp | Pharmacy | 471 N Dacie Pt, Lecanto, FL 34461 | 2007-06-22 |
| 1285751099 | Interim Healthcare Private Services, Inc. | Home Health | 581 E. Gulf To Lake Highway, Village West Plaza, Lecanto, FL 34461 | 2007-03-25 |
| Find all providers in zip 34461 | ||||
| Taxonomy Code | 261QV0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | VA |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669031126 | Tampa Vamc | Clinic/Center | 2804 W Marc Knighton Ct Ste A, Lecanto, FL 34461-6301 | 2019-06-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528681723 | Gainesville Vamc | Clinic/Center | 400 College Dr Ste 200, Middleburg, FL 32068-8525 | 2020-05-21 |
| 1831719715 | Orlando Vamc | Clinic/Center | 5200 Babcock St Ne Ste 101, Palm Bay, FL 32905-4639 | 2020-04-21 |
| 1851955405 | Tampa Vamc | Clinic/Center | 12920 Summerfield Crossing Blvd., Riverview, FL 33579-7210 | 2019-04-30 |
| 1316331952 | James A.haley Va Hospital | Clinic/Center | 6465 142nd Ave N Apt X205, Clearwater, FL 33760-2785 | 2015-03-20 |
| 1326436601 | Biloxi Vamc | Clinic/Center | 140 Richard Jackson Blvd, Suite 100, Panama City Beach, FL 32407-2512 | 2015-01-08 |
| 1255729505 | Tampa Vamc | Clinic/Center | 110210 Us Highway 19 North, Suite 102, New Port Richey, FL 34668-9998 | 2015-01-08 |
| 1609264738 | Orlando Vamc | Clinic/Center | 3731 S Clyde Morris Blvd, Port Orange, FL 32129-2319 | 2014-12-23 |
| 1902204167 | Tampa Vamc | Clinic/Center | 7701 Little Rd, New Port Richey, FL 34654-5403 | 2014-12-19 |
| 1386042620 | West Palm Beach Vamc | Clinic/Center | 126 Sw Chamber Ct, Port Saint Lucie, FL 34986-3496 | 2014-12-19 |
| 1629476965 | Tampa Vamc | Clinic/Center | 14014 North 46th Street, Tampa, FL 33613-9998 | 2014-12-19 |
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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.