MR. JOE MCKINLEY BRADEN (NPI# 1619960804) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619960804 |
| Entity Type | Individual |
| Full Name | MR. JOE MCKINLEY BRADEN |
| Credential | PA-C |
| Practice Address |
282 Apollo Beach Blvd Apollo Beach FL 33572-2261 |
| Practice Telephone | 8136454068 |
| Practice Fax Number | 8136450312 |
| Mailing Telephone | 8136454068 |
| Mailing Fax Number | 8136450312 |
| Enumeration Date | 2005-08-24 |
| Last Update Date | 2019-10-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA9101501 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
282 APOLLO BEACH BLVD |
| City | APOLLO BEACH |
| State | FL |
| Zip Code | 33572-2261 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346643772 | Kurt Bertschinger | Psychiatry & Neurology | 282 Apollo Beach Blvd, Apollo Beach, FL 33572-2261 | 2014-09-30 |
| 1356654198 | Matthew David Bowser | Family Medicine | 282 Apollo Beach Blvd, Apollo Beach, FL 33572-2261 | 2010-07-21 |
| 1497767917 | Kristine M. Rednour | Physician Assistant | 282 Apollo Beach Blvd, Apollo Beach, FL 33572-2261 | 2006-08-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295367001 | Carolyne P Cole | Marriage & Family Therapist | Revolutionary Change Counseling, 300 Frandorson Circle #200, Apollo Beach, FL 33572 | 2020-02-10 |
| 1295380111 | Florida Home Care Associates LLC | In Home Supportive Care | 5948 Frond Way, Apollo Beach, FL 33572 | 2019-08-07 |
| 1386156297 | Orthopros Pllc | Dentist | 423 Apollo Beach Blvd, Apollo Beach, FL 33572 | 2017-11-01 |
| 1588907521 | Raymond Eric Major | Family Medicine | 917 Symphony Isles Bl, Apollo Beach, FL 33572 | 2013-03-28 |
| 1760780399 | Sharon Ann Collier | Dentist | 101 Flamingo Dr., Ste. D Apollo Beach Family Dentistry, Apollo Beach, FL 33572 | 2011-03-07 |
| 1003091380 | John R Hayden | Chiropractor | 100 Frandson Ct., Suite 101, Apollo Beach, FL 33572 | 2008-01-04 |
| 1275541195 | William H Smith | Massage Therapist | 100 Frandorson Circle, Suite 201, Apollo Beach, FL 33572 | 2006-08-04 |
| 1922023639 | Theresa Marie Thiele | Physician Assistant | 201 Flamingo Dr, Apollo Beach, FL 33572 | 2006-07-13 |
| 1912940073 | Suzzette Marie Svercek | Massage Therapist | 813 Chipaway Drive, Apollo Beach, FL 33572 | 2006-06-14 |
| 1457320194 | Accupath Plus LLC | Clinical Medical Laboratory | 5938 Frond Way, Apollo Beach, FL 33572 | 2006-03-15 |
| Find all providers in zip 33572 | ||||
| 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 |
|---|---|---|---|---|
| 1568797108 | Lauren Shirley | Physician Assistant | 6015 Rex Hall Lane, Apollo Beach, FL 33572-4647 | 2009-10-15 |
| 1922023639 | Theresa Marie Thiele | Physician Assistant | 201 Flamingo Dr, Apollo Beach, FL 33572 | 2006-07-13 |
| 1497767917 | Kristine M. Rednour | Physician Assistant | 282 Apollo Beach Blvd, Apollo Beach, FL 33572-2261 | 2006-08-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881295525 | Asahel Romero | Physician Assistant | 13228 Canna Lily Dr, Orlando, FL 32824-5067 | 2020-11-07 |
| 1629679360 | Samantha Lee Zavada | Physician Assistant | 9459 Silver Pine Loop, Fort Myers, FL 33967-5152 | 2020-11-07 |
| 1235730177 | Emily Figueroa Vega | Physician Assistant | 1920 Nw 97th Ave, Coral Springs, FL 33071-5950 | 2020-11-06 |
| 1922609114 | Jeannine Castaneda Calderon | Physician Assistant | 816 Arbor Pointe Ave, Minneola, FL 34715-6052 | 2020-11-04 |
| 1962003178 | Mohammed Bilal Sheikh | Physician Assistant | 2920 Ne 207th St Ste 901, Miami, FL 33180-1444 | 2020-11-04 |
| 1891396131 | Whiplashmd, LLC | Physician Assistant | 940 Centre Cir Ste 1018, Altamonte Springs, FL 32714-7242 | 2020-11-03 |
| 1831799527 | Emily Vander Zee | Physician Assistant | 6680 Bennett Creek Dr Apt 213, Jacksonville, FL 32216-0018 | 2020-10-30 |
| 1245830314 | Jonathan V Korah | Physician Assistant | 6650 Corporate Center Pkwy Apt 1108, Jacksonville, FL 32216-8725 | 2020-10-28 |
| 1255931473 | Rachel Gavrielle Stahly | Physician Assistant | 11438 Emuness Rd, Jacksonville, FL 32218-4050 | 2020-10-27 |
| 1356941504 | Kelsey Alexandra Leon | Physician Assistant | 5033 W Laurel St, Tampa, FL 33607-3855 | 2020-10-27 |
| Find all providers with the same taxonomy | ||||
| City | APOLLO BEACH |
| Zip Code | 33572 |
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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.