TROY EDWARD BLACK PACE (NPI# 1639722887) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639722887 |
| Entity Type | Individual |
| Full Name | TROY EDWARD BLACK PACE |
| Credential | PA |
| Practice Address |
2910 Brownwood Blvd The Villages FL 32163-2032 |
| Mailing Address |
1020 Lake Sumter Lndg The Villages FL 32162-2699 |
| Practice Telephone | 3526741790 |
| Practice Fax Number | 3526748990 |
| Mailing Telephone | 3526748905 |
| Mailing Fax Number | 3526748919 |
| Enumeration Date | 2019-07-17 |
| Last Update Date | 2019-10-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA9112734 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4793 Walden Cir Apt J, Orlando, FL 328117151 | 6184772739 |
| Street Address |
2910 BROWNWOOD BLVD |
| City | THE VILLAGES |
| State | FL |
| Zip Code | 32163-2032 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043212780 | Greg J Jun | Internal Medicine | 2910 Brownwood Blvd, The Villages, FL 32163-2032 | 2005-08-12 |
| 1558996017 | Prudence J Artello | Dietitian, Registered | 2910 Brownwood Blvd, The Villages, FL 32163-2032 | 2020-03-05 |
| 1265999890 | Willie Lee Hudson | Nurse Practitioner | 2910 Brownwood Blvd, The Villages, FL 32163-2032 | 2019-03-01 |
| 1760977359 | Heather Shaw | Specialist/Technologist, Other | 2910 Brownwood Blvd, The Villages, FL 32163-2032 | 2018-06-26 |
| 1194265165 | Kim M Coffey | Nurse Practitioner | 2910 Brownwood Blvd, The Villages, FL 32163-2032 | 2017-02-24 |
| 1780051433 | Vjolka Zaka | Audiologist | 2910 Brownwood Blvd, The Villages, FL 32163-2032 | 2015-08-28 |
| 1821470477 | Kiran Babu Lachireddy | Physician Assistant | 2910 Brownwood Blvd, The Villages, FL 32163-2032 | 2015-06-19 |
| 1023496643 | Michael Casteel | Podiatrist | 2910 Brownwood Blvd, The Villages, FL 32163 | 2015-05-14 |
| 1104218437 | Lisa Morris | Nurse Practitioner | 2910 Brownwood Blvd, The Villages, FL 32163-2032 | 2015-02-24 |
| 1033344239 | Erin Marie Deegan | Psychiatry & Neurology | 2910 Brownwood Blvd, The Villages, FL 32163-2032 | 2009-05-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164958773 | Peepers Eyecare Inc | Technician/Technologist | 2478 Burnsed Blvd #466a, The Villages, FL 32163 | 2017-05-03 |
| 1710334800 | Publix Super Markets Inc | Durable Medical Equipment & Medical Supplies | 695 Kristine Way, The Villages, FL 32163 | 2016-05-18 |
| 1396168571 | Samson Merger Sub, LLC | Durable Medical Equipment & Medical Supplies | 2500 Burnsed Blvd, The Villages, FL 32163 | 2014-01-24 |
| 1023246527 | Charles F Knapp IIi | Dermatology | 2783 Brownwood Blvd, The Villages, FL 32163 | 2009-06-24 |
| 1508986035 | Robert Alan Harrison | Physical Therapist | 340 Heald Way Ste 100, The Villages, FL 32163 | 2007-03-29 |
| 1659318418 | Sue Allen Schueler | Nurse Practitioner | 2485 Pinellas Place, The Villages, FL 32163 | 2006-06-01 |
| 1740283761 | Thomas M Krizmanich | Orthopaedic Surgery | 2910 Brownwood Blvd., The Villages, FL 32163 | 2005-05-23 |
| 1891319422 | Dermatology Institute and Skin Cancer Center LLC | Dermatology | 2783 Brownwood Blvd, The Villages, FL 32163 | 2020-05-29 |
| 1336793561 | Tanya R Brown | Nurse Practitioner | 2485 Pinellas Pl, The Villages, FL 32163 | 2019-07-25 |
| 1033762588 | St Luke's At The Villages Brownwood Pa | Ophthalmology | 2955 Brownwood Blvd, The Villages, FL 32163 | 2019-07-23 |
| Find all providers in zip 32163 | ||||
| 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 |
|---|---|---|---|---|
| 1386949733 | Jennifer Anne West | Physician Assistant | 352 East Cr 466, The Villages, FL 32159-4205 | 2011-01-17 |
| 1790976330 | Jennifer Starr Davis | Physician Assistant | 340 Heald Way Ste 216, The Villages, FL 32163-6088 | 2007-08-08 |
| 1275636128 | Philomena Walker | Physician Assistant | 1950 Laurel Manor Dr Ste 224, The Villages, FL 32162-5602 | 2006-09-06 |
| 1255440475 | Scott Clark | Physician Assistant | 1503 Buenos Aires Blvd Ste 100, The Villages, FL 32159-6825 | 2006-08-30 |
| 1346891942 | Brian Paul Wisowaty | Physician Assistant | 1400 N Us Highway 441 Ste 810, The Villages, FL 32159-8987 | 2019-09-25 |
| 1376195677 | Katherine Rodriguez | Physician Assistant | 1050 Old Camp Rd Ste 100, The Villages, FL 32162-1762 | 2019-07-16 |
| 1104485291 | Amanda Naumann | Physician Assistant | 1050 Old Camp Rd Ste 100, The Villages, FL 32162-1762 | 2019-06-11 |
| 1861951246 | Sarah Marie Ely | Physician Assistant | 1580 Santa Barbara Blvd, The Villages, FL 32159-6827 | 2019-03-15 |
| 1083183826 | Sierra C Heptner | Physician Assistant | 1575 Santa Barbara Blvd, The Villages, FL 32159-6820 | 2018-11-23 |
| 1528541166 | Sara Michele Rojek | Physician Assistant | 1503 Buenos Aires Blvd, The Villages, FL 32159-6821 | 2018-09-10 |
| Find all providers in THE VILLAGES | ||||
| City | THE VILLAGES |
| Zip Code | 32163 |
Please comment or provide details below to improve the information on TROY EDWARD BLACK PACE.
| 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.