MR. GARY JAMES (NPI# 1619926169) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619926169 |
| Entity Type | Individual |
| Full Name | MR. GARY JAMES |
| Credential | RPA |
| Practice Address |
1350 Hickory St Ste 101 Melbourne FL 32901-3224 |
| Mailing Address |
3300 S Fiske Blvd Rockledge FL 32955-4306 |
| Practice Telephone | 3214341401 |
| Practice Fax Number | 3214341667 |
| Mailing Telephone | 3214341981 |
| Mailing Fax Number | 3219517408 |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2018-01-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA9110289 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 022838200 | 05 | |
| FL | MEDICARE | JE476Y | 01 |
| FL | MEDICARE | JE476Z | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164809919 | Gary James | Rehabilitation Practitioner | 1490 E. Beltline Se, Grand Rapids, MI 49506 | 2015-04-30 |
| 1255317178 | Gary A James | Family Medicine | 5312 Lapeer Rd, Kimball, MI 48074-1424 | 2005-12-22 |
| 1396204020 | Gary James | Chore Provider | 2110 E Flamingo Rd Ste 110, Las Vegas, NV 89119-5191 | 2019-03-12 |
| 1457771263 | Gary Dean James I | Case Management | 6333 E Skelly Dr, Tulsa, OK 74135-6106 | 2014-04-18 |
| 1235154311 | Gary James | Psychiatry & Neurology | 2020 Peachtree Rd Nw, Atlanta, GA 30309-1426 | 2006-07-12 |
| 1083616619 | Gary V James | Family Medicine | 518 West Gum Street, Marion, KY 42064-1516 | 2005-08-12 |
| Street Address |
1350 HICKORY ST STE 101 |
| City | MELBOURNE |
| State | FL |
| Zip Code | 32901-3224 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407822042 | Daniel N Segina | Orthopaedic Surgery | 1350 Hickory St Ste 101, Melbourne, FL 32901-3224 | 2006-02-24 |
| 1316287345 | Scott Zenoni | Surgery | 1350 Hickory St Ste 101, Melbourne, FL 32901 | 2013-02-28 |
| 1205112471 | Stacey Elizabeth Mercer | Physician Assistant | 1350 Hickory St Ste 101, Melbourne, FL 32901 | 2011-11-01 |
| 1396917522 | Kimberly Ann Vonderlieth | Physician Assistant | 1350 Hickory St Ste 101, Melbourne, FL 32901 | 2008-03-27 |
| 1245452606 | Steven A Khalil | Surgery | 1350 Hickory St Ste 101, Melbourne, FL 32901 | 2007-05-03 |
| 1861448318 | Lee G Theophelis | Surgery | 1350 Hickory St Ste 101, Melbourne, FL 32901-3224 | 2006-05-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467062943 | George Pappas | Anesthesiologist Assistant | 1775 W. Hibiscus Blvd., Ste 215, Melbourne, FL 32901 | 2020-08-09 |
| 1124676820 | Abbi Dell Lee | Behavioral Analyst | 3251 Engineering St, Melbourne, FL 32901 | 2019-08-27 |
| 1750856878 | Jeffrey Michael Cavanagh | Behavior Technician | 3251 Engineering Street, Melbourne, FL 32901 | 2018-10-04 |
| 1740766021 | Amanda Miller | Behavior Technician | 1885 W Hibiscus Blvd, Melbourne, FL 32901 | 2018-07-19 |
| 1396244406 | Dragen II LLC | Urology | 129 W Hibiscus Blvd Ste D, Melbourne, FL 32901 | 2018-02-03 |
| 1225550692 | Cabrit Psychotherapy Services LLC | Marriage & Family Therapist | 100 Rialto Place, Suite 700, Melbourne, FL 32901 | 2017-07-07 |
| 1487188058 | Project Response, Inc. | Clinic/Center | 747 S. Apollo Boulevard, Melbourne, FL 32901 | 2017-04-20 |
| 1184174575 | Paulette Swanson | Physical Therapist | 611 East Sheridan Rd, Melbourne, FL 32901 | 2016-10-10 |
| 1841747839 | Nicholas Wilson | Social Worker | 3661 S. Babcock St., Melbourne, FL 32901 | 2016-09-07 |
| 1467804278 | Nickolas Hetherington | Occupational Therapist | 1900 S Harbor City Blvd Ste 108, Melbourne, FL 32901 | 2016-07-05 |
| Find all providers in zip 32901 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760888283 | Michael Dancy | Physician Assistant | 749 Mcdermott Ave, Melbourne, FL 32935-3038 | 2014-11-11 |
| 1164833240 | Stephen Schmoll | Physician Assistant | 205 E Nasa Blvd Fl 1, Melbourne, FL 32901-1950 | 2014-05-12 |
| 1174945521 | Dale P Greyslak Pa Pllc | Physician Assistant | 700 Jordan Blass Dr, Melbourne, FL 32940-1817 | 2014-01-19 |
| 1114163144 | Melissa L Hoppe | Physician Assistant | 3021 W Eau Gallie Blvd Ste 103, Suite 440, Melbourne, FL 32934-7005 | 2008-12-22 |
| 1144376088 | Carrie M Chapman | Physician Assistant | 1223 Gateway Dr Ste 2a, Melbourne, FL 32901-2607 | 2007-01-25 |
| 1972673184 | Physician Assistant Services of Florida LLC | Physician Assistant | 301 E Hibiscus Blvd, Melbourne, FL 32901-3105 | 2006-11-08 |
| 1013097567 | Miami First Assist, LLC | Physician Assistant | 1600 Sarno Road, Suite 15, Melbourne, FL 32935 | 2006-10-17 |
| 1336151067 | Bradley A Kramer | Physician Assistant | 8725 N Wickham Rd Ste 301, Melbourne, FL 32940-2240 | 2006-08-12 |
| 1649206517 | Eduardo Batista | Physician Assistant | 1600 Sarno Rd Ste 15, Melbourne, FL 32935-4990 | 2006-06-23 |
| 1548745037 | Kristin M. Kampenga | Physician Assistant | 1251 Hickory St, Melbourne, FL 32901-3221 | 2018-10-01 |
| Find all providers in MELBOURNE | ||||
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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.