CATHERINE ALEXANDRA KOUBEK (NPI# 1730619594) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730619594 |
| Entity Type | Individual |
| Full Name | CATHERINE ALEXANDRA KOUBEK |
| Practice Address |
630 N Main St Williston FL 32696-1705 |
| Mailing Address |
919 Nw 42nd Ter Gainesville FL 32605-4767 |
| Practice Telephone | 3525282447 |
| Practice Fax Number | 3527553078 |
| Mailing Telephone | 3219178234 |
| Enumeration Date | 2017-06-14 |
| Last Update Date | 2018-10-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | DN22911 | FL | Dental Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1601 Sw Archer Rd, Gainesville, FL 326081135 | 3523761611 |
| Street Address |
630 N MAIN ST |
| City | WILLISTON |
| State | FL |
| Zip Code | 32696-1705 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902879158 | Stephen S Falkowski | Family Medicine | 630 N Main St, Williston, FL 32696-1705 | 2006-02-08 |
| 1437780764 | Chantal Marie Nichols | Family Medicine | 630 N Main St, Williston, FL 32696-1705 | 2020-01-27 |
| 1174181333 | Tonya L Jones | Nurse Practitioner | 630 N Main St, Williston, FL 32696-1705 | 2019-06-03 |
| 1396280103 | Shonverea S Robinson | Registered Nurse | 630 N Main St, Williston, FL 32696-1705 | 2017-01-03 |
| 1659620409 | Carmen I Tozzo Pa | Psychologist | 630 N Main St, Williston, FL 32696-1705 | 2012-09-06 |
| 1508154956 | Tamara Michelle Wood | Physician Assistant | 630 N Main St, Williston, FL 32696-1705 | 2011-07-19 |
| 1720313950 | Elizabeth Eddins Thompson | Nurse Practitioner | 630 N Main St, Williston, FL 32696-1705 | 2009-10-06 |
| 1255577631 | Trenton Medical Center Inc | Clinic/Center | 630 N Main St, Williston, FL 32696-1705 | 2009-01-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962060939 | Quick Care Med LLC | Non-Pharmacy Dispensing Site | 517 W Noble Ave, Williston, FL 32696 | 2019-06-04 |
| 1346770930 | Michelle Yvette Dempsey | Home Health Aide | 931 Ne 207th Ave, Williston, FL 32696 | 2017-06-15 |
| 1801157185 | Pratibha Lumb | Family Medicine | 630 N. Main Street, Williston, FL 32696 | 2012-06-04 |
| 1821261306 | Raymond T Webber | Dentist | 610 Sw 1st Ave, Williston, FL 32696 | 2008-04-07 |
| 1003912635 | Jeremie Joseph Young | General Practice | 125 Sw 7th Street, Williston, FL 32696 | 2006-09-14 |
| 1073514543 | Kolli Prabhakara Reddy | Family Medicine | 520 Sw 5th Ave, Williston, FL 32696 | 2005-08-09 |
| 1578584884 | Winn Dixie Stores Inc | Durable Medical Equipment & Medical Supplies | 727 W Noble Ave, Williston, FL 32696-1515 | 2006-07-21 |
| 1841631249 | Lawrence C Rush Jr. | Pharmacist | 727 W Noble Ave, Williston, FL 32696-1515 | 2013-07-13 |
| 1952401648 | Teresa Sever | Pharmacist | 727 W Noble Ave, Williston, FL 32696-1515 | 2006-09-23 |
| 1497060784 | Priscilla Smith | Social Worker | 18990 Ne 49th St, Williston, FL 32696-1555 | 2010-08-11 |
| Find all providers in zip 32696 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588810204 | Scott Thomas Ellis | Dentist | 501 Main St Ste 4, Williston, ND 58801-5327 | 2008-08-13 |
| 1326224601 | Chandrakant Dave | Dentist | 510 Sw 5th Ter, Williston, FL 32696-2548 | 2008-01-16 |
| 1538220389 | Dr Ron J Seeley D D S PC | Dentist | 2224 1st Avenue West, Williston, ND 58801 | 2006-12-13 |
| 1982214623 | Ilya Kvartin | Dentist | 62 Merchants Row Ste 104, Williston, VT 05495-4476 | 2020-08-07 |
| 1811480155 | Ashley Beard | Dentist | 2224 1st Ave W, Williston, ND 58801-6286 | 2018-06-12 |
| 1619474095 | Jordan Alexander Lieberman | Dentist | 62 Merchants Row, Williston, VT 05495 | 2018-04-11 |
| 1558746271 | Buntrock Detnal PC | Dentist | 2204 2nd Ave W, Suite 102, Williston, ND 58801-3485 | 2015-07-23 |
| 1487066908 | John W. Hamilton Dds PC | Dentist | 2204 2nd Ave W, Suite 101, Williston, ND 58801-3485 | 2014-06-02 |
| 1548536493 | Natalie Crawford | Dentist | 2224 1st Ave W, Williston, ND 58801-6286 | 2012-03-26 |
| 1154575199 | Randolph R. Pitzer Dds PC | Dentist | 2224 1st Ave W, Williston, ND 58801-6286 | 2008-11-04 |
| Find all providers in WILLISTON | ||||
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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.