THOMAS MARK LUNDY (NPI# 1720113533) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720113533 |
| Entity Type | Individual |
| Full Name | THOMAS MARK LUNDY |
| Credential | PA |
| Practice Address |
9090 Regency Square Blvd Credentialing Department Jacksonville FL 32211-8119 |
| Mailing Address |
Po Box 40767 Credentialing Department Jacksonville FL 32203-0767 |
| Practice Telephone | 9047245576 |
| Practice Fax Number | 9047240721 |
| Mailing Telephone | 9043763707 |
| Mailing Fax Number | 9043915807 |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2015-02-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA2439 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861523219 | Thomas Edward Lundy | Dentist | 50 Popham Rd, Scarsdale, NY 10583 | 2007-03-08 |
| Street Address |
9090 REGENCY SQUARE BLVD CREDENTIALING DEPARTMENT |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32211-8119 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629054978 | Jeffry D Altomare | Pediatrics | 9090 Regency Square Blvd, Jacksonville, FL 32211-8119 | 2005-12-19 |
| 1649823477 | Kristina Ashley Pound Butler | Nurse Practitioner | 9090 Regency Square Blvd, Jacksonville, FL 32211-8119 | 2019-07-21 |
| 1447504527 | Belynda F Mccurry | Physician Assistant | 9090 Regency Square Blvd, Jacksonville, FL 32211-8119 | 2012-10-29 |
| 1477832715 | Kristen Nicole Galloway | Psychologist | 9090 Regency Square Blvd, Jacksonville, FL 32211-8119 | 2011-08-04 |
| 1912211905 | Nicholas D A Peterkin | Family Medicine | 9090 Regency Square Blvd, Jacksonville, FL 32211-8119 | 2010-08-02 |
| 1073830725 | Muhammad A Ghazi | Family Medicine | 9090 Regency Square Blvd, Jacksonville, FL 32211 | 2010-04-21 |
| 1891976734 | Baptist Primary Care Inc | Internal Medicine | 9090 Regency Square Blvd, Jacksonville, FL 32211-8119 | 2007-11-20 |
| 1871523894 | Farah Malik | Family Medicine | 9090 Regency Square Blvd, Jacksonville, FL 32211-8119 | 2006-07-04 |
| 1255309332 | Manuel Portalatin | Family Medicine | 9090 Regency Square Blvd, Credentialing Department, Jacksonville, FL 32211-8119 | 2006-03-14 |
| 1104894393 | James A Waler | Pediatrics | 9090 Regency Square Blvd, Jacksonville, FL 32211-8119 | 2006-03-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457951758 | Ebs Childrens Therapy - Fl LLC | Behavioral Analyst | 5491 Dolphin Point Blvd, Jacksonville, FL 32211 | 2020-10-27 |
| 1700412822 | Marie Vernal | Social Worker | 6051 Arlington Expressway Suite 169, Jacksonville, FL 32211 | 2020-03-20 |
| 1992336895 | Dolphin Pointe Health Care, LLC | Skilled Nursing Facility | 5355 Dolphin Point Rd., Jacksonville, FL 32211 | 2020-01-29 |
| 1366089641 | Prophetic Healing Deliverance Ministry of Mysteries, Inc | Counselor | 8550-2 Lone Star Road, Jacksonville, FL 32211 | 2019-12-05 |
| 1922656370 | Timothy Richard Barron | Behavior Technician | 5633 Clifton Ln, Jacksonville, FL 32211 | 2019-08-29 |
| 1023583325 | Linnzi Marks | Behavioral Analyst | 6014 Wateredge Ln, Jacksonville, FL 32211 | 2018-10-12 |
| 1780160192 | Ganesh Healthcare of Jax LLC | Alzheimer Center (Dementia Center) | 644 Cesery Blvd Ste 150, Jacksonville, FL 32211 | 2018-07-18 |
| 1902397276 | Chandra Harris Washington | In Home Supportive Care | 2712 Gaillardia Rd, Jacksonville, FL 32211 | 2018-05-22 |
| 1043730062 | Monica R Iskander | Dentist | 465 University Blvd N, Jacksonville, FL 32211 | 2017-06-21 |
| 1205366895 | Lilibeth Bundang Adona | Custodial Care Facility | 1818 Townsend Blvd, Jacksonville, FL 32211 | 2017-06-15 |
| Find all providers in zip 32211 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 1760099071 | Laura Alexandra Ramos-heckman | Physician Assistant | 2014 Capistrano Dr, Jacksonville, FL 32224-3091 | 2020-09-30 |
| 1184230583 | Julian Clouse | Physician Assistant | 9803 Creekfront Rd Apt 307, Jacksonville, FL 32256-8449 | 2020-09-21 |
| 1962016717 | Stephanie Benton Gentry | Physician Assistant | 3179 Shadow Creek Rd, Jacksonville, FL 32226-2386 | 2020-08-31 |
| 1629689435 | Monarch Mental Health Association | Physician Assistant | 5393 Roosevelt Blvd Ste 8, Jacksonville, FL 32210-8424 | 2020-08-14 |
| 1235749425 | Nicole Lhommedieu | Physician Assistant | 3850 Marnie Pl, Jacksonville, FL 32223-3541 | 2020-08-03 |
| 1861002123 | Naw-am Acio Daniels | Physician Assistant | 7467 Volley Dr N, Jacksonville, FL 32277-9368 | 2020-08-03 |
| 1750906640 | Veronica Adriana Dediego | Physician Assistant | 915 W Monroe St Ste 300, Jacksonville, FL 32204-1177 | 2020-06-16 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32211 |
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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.