NOSHABA KHALIQ (NPI# 1710510813) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| 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 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 9112878 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
17549 CHERRY RIDGE LN |
| City | FORT MYERS |
| State | FL |
| Zip Code | 33967-5138 |
| 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 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 |
|---|---|---|---|---|
| 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 | ||||
| City | FORT MYERS |
| Zip Code | 33967 |
Please comment or provide details below to improve the information on NOSHABA KHALIQ.
| 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.