NOSHABA KHALIQ


Address: 17549 Cherry Ridge Ln, Fort Myers, FL 33967-5138
Phone: 3475543490

NOSHABA KHALIQ (NPI# 1710510813) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1710510813
Entity Type Individual
Full Name NOSHABA KHALIQ
Credential PHYSICIAN ASSISTNAT
Practice Address 17549 Cherry Ridge Ln
Fort Myers
FL 33967-5138
Practice Telephone 3475543490
Mailing Telephone 3475543490
Enumeration Date 2020-02-17
Last Update Date 2020-02-17
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant 9112878 FL Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 17549 CHERRY RIDGE LN
City FORT MYERS
State FL
Zip Code 33967-5138

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1235614991 Michelle Lynn Gerken Nurse Practitioner 8141 Pennsylvania Blvd, Fort Myers, FL 33967 2018-09-28
1659892370 Mary Kathryn Mckeon Occupational Therapist 9025 King Rd W, Ft Myers, FL 33967 2017-07-03
1316321003 Wal-mart Stores East, Lp Technician/Technologist 19975 S Tamiami Trail, Fort Myers, FL 33967 2015-07-13
1104970409 Jennifer J. Paul Registered Nurse 17132 Alico Center Road, Suite 1, Fort Myers, FL 33967 2007-01-23
1194750935 William A. Greider Dentist 19004 Birch Rd. Se, Ft. Myers, FL 33967 2006-07-11
1548271869 Desiree Granados-fischel Obstetrics & Gynecology 19348 La Serena Dr, Fort Myers, FL 33967-0525 2006-08-11
1487644555 Henry Donn Venable Anesthesiology 19324 La Serena Dr, Estero, FL 33967-0525 2005-10-28
1407146434 Barrie Nicole Vilnius Occupational Therapist 8815 Largo Mar Dr, Fort Myers, FL 33967-0534 2011-04-11
1760805725 Hearing Health In Home Care, LLC Hearing Instrument Specialist 19760 Maddelena Cir, Fort Myers, FL 33967-0537 2014-01-28
1891110128 Derick Alexander Winn Hearing Instrument Specialist 19760 Maddelena Cir, Fort Myers, FL 33967-0537 2014-02-24
Find all providers in zip 33967

Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1629679360 Samantha Lee Zavada Physician Assistant 9459 Silver Pine Loop, Fort Myers, FL 33967-5152 2020-11-07
1811597198 Alexis Thraen Physician Assistant 4536 Winkler Ave Apt 204, Fort Myers, FL 33966-7013 2020-10-27
1265065247 Marathon Health LLC Physician Assistant 1660 Electric Ln, Fort Myers, FL 33917-3946 2020-02-18
1699307389 Colleen Mcgonagle Physician Assistant 12700 Creekside Ln Ste 101, Fort Myers, FL 33919-3356 2020-02-10
1922643238 Abigail Christine Reed Physician Assistant 16230 Summerlin Rd Ste 213-218, Fort Myers, FL 33908-5768 2019-11-11
1245899756 Aileen Fiallo Physician Assistant 4571 Colonial Blvd Ste 210, Fort Myers, FL 33966-1156 2019-06-08
1316422199 Angelia Lynette Sakyi-agyekum Physician Assistant 8291 Dani Dr Ste 101a, Fort Myers, FL 33966-8009 2018-09-27
1225547029 Irene Julian Physician Assistant 14090 Metropolis Ave Ste 102, Fort Myers, FL 33912-4451 2017-09-25
1134653827 Matthew Jeremy Blakemore Physician Assistant 6150 Diamond Centre Ct Ste 1300, Fort Myers, FL 33912-4367 2017-04-19
1598206633 Stina Rosanna Mckenna Physician Assistant 8381 Riverwalk Park Blvd Ste 201, Fort Myers, FL 33919-8760 2017-03-08
Find all providers in FORT MYERS

Competitor

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City FORT MYERS
Zip Code 33967

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Dataset Information

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.

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