MR. TRAVIS COLEMAN SATTERFIELD (NPI# 1750916359) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750916359 |
| Entity Type | Individual |
| Full Name | MR. TRAVIS COLEMAN SATTERFIELD |
| Other Name | MR. COLBY SATTERFIELD |
| Credential | PA-C |
| Practice Address |
3635 Clyde Morris Blvd Ste 100 Port Orange FL 32129-2349 |
| Mailing Address |
4800 Belfort Rd Jacksonville FL 32256-6004 |
| Practice Telephone | 3867881242 |
| Practice Fax Number | 3867568802 |
| Mailing Telephone | 9043987205 |
| Enumeration Date | 2020-03-04 |
| Last Update Date | 2020-03-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA9113092 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 305 Clyde Morris Blvd Ste 270, Ormond Beach, FL 321748182 | 3867881242 | 3867568802 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053738062 | Travis Satterfield | General Acute Care Hospital | 101 Sivley Rd Sw, Huntsville, AL 35801-4421 | 2014-03-27 |
| Street Address |
3635 CLYDE MORRIS BLVD STE 100 |
| City | PORT ORANGE |
| State | FL |
| Zip Code | 32129-2349 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003150715 | Vrushak Deshpande | Internal Medicine | 3635 Clyde Morris Blvd Ste 100, Port Orange, FL 32129-2349 | 2012-11-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982179818 | Port Orange Modern Dentistry, Pa | Dentist | 1765 Dunlawton Ave., Suite 103, Port Orange, FL 32129 | 2018-10-08 |
| 1932698131 | Brittany Michele Claude | Behavioral Analyst | 4647 Clyde Morris Blvd Suite 501, Port Orange, FL 32129 | 2018-05-03 |
| 1760919468 | Makayla Earl | Behavior Technician | 1557 Town Park Dr., Port Orange, FL 32129 | 2017-05-12 |
| 1184157968 | Katie Lynn Weisz | Physician Assistant | 3635 South Clyde Morris Blvd, Suite 100, Port Orage, FL 32129 | 2017-04-07 |
| 1285178319 | Mallory Driggers | Counselor | 980 Canal View Blvd Apt F7, Port Orange, FL 32129 | 2016-12-08 |
| 1912321654 | Edward L. Staudt Dds & Kenneth L. Staudt Dds, Mph | Dentist | 944 Bridgewater Dr., Suite 2-b, Port Orange, FL 32129 | 2014-02-18 |
| 1538411731 | Roberta Ann Gilmartin | Specialist | 1048 W Samms Ave, Port Orange, FL 32129 | 2012-10-11 |
| 1679892996 | Pamela Kirby Pa | Clinic/Center | 4606 South Clyde Morris Boulevard, Suite 1j, Port Orange, FL 32129 | 2010-05-26 |
| 1326376385 | Connie Jeanne Bodnarik | Physical Therapy Assistant | 3780 S Clyde Morris Blvd Apt 1206, Port Orange, FL 32129 | 2009-12-02 |
| 1669645057 | American Family & Sports Chiropractic Center Inc | Chiropractor | 4649 Clyde Morris Blvd Unit 609, Port Orange, FL 32129 | 2008-04-08 |
| Find all providers in zip 32129 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093111510 | Keri Long Miller | Physician Assistant | 1165 Dunlawton Ave Ste 105, Port Orange, FL 32127-2924 | 2014-11-11 |
| 1104814177 | Matthew John Morrison | Physician Assistant | 1690 Dunlawton Ave Ste 210, Port Orange, FL 32127-8980 | 2005-10-12 |
| 1871849133 | Dorothy Whatley Porter | Physician Assistant | 3635 S Clyde Morris Blvd, Suite 100, Port Orange, FL 32129-2300 | 2012-07-24 |
| 1609011501 | The Institute for Wellbeing LLC | Physician Assistant | 802 Dunlawton Ave, Suite 102, Port Orange, FL 32127-4931 | 2008-12-05 |
| 1538317383 | Angela K Beech | Physician Assistant | 4770 S Ridgewood Ave, Port Orange, FL 32127-4544 | 2008-09-05 |
| 1356519417 | Joanna Elizabeth Stoverink | Physician Assistant | 3635 S Clyde Morris Blvd, Ste 100, Port Orange, FL 32129-2300 | 2008-02-12 |
| 1124202734 | Pamela Ross | Physician Assistant | 802 Dunlawton Ave, Institute for Wellbeing Suite 102, Port Orange, FL 32127-4931 | 2007-12-19 |
| 1174704001 | Ralph J Zwolinski M D Inc | Physician Assistant | 3951 S Nova Rd, Port Orange, FL 32127-9270 | 2007-11-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255931325 | Jonathan Thomas Nusbaum | Physician Assistant | 26160 Angelica Rd, Punta Gorda, FL 33955-1419 | 2020-10-28 |
| 1235738659 | Kevin Marcus Luks | Physician Assistant | 10701 Santa Fe Dr, Hollywood, FL 33026-4955 | 2020-10-19 |
| 1245839521 | Stephanie Clay | Physician Assistant | 3455 Rose Mallow Loop, Oviedo, FL 32766-6648 | 2020-10-19 |
| 1104423755 | Lou Joseph Schneggenburger | Physician Assistant | 10115 Forest Hill Blvd Ste 100, Wellington, FL 33414-6178 | 2020-10-07 |
| 1235744582 | Stephanie Graham | Physician Assistant | 1053 Bernice Rd, Rockledge, FL 32955-2201 | 2020-09-14 |
| 1790399483 | Shyla Imani Kissoon | Physician Assistant | 4830 Nw 7th St, Plantation, FL 33317-1410 | 2020-09-01 |
| 1770193500 | My Physician Online | Physician Assistant | 9540 Nw 23rd St, Coral Springs, FL 33065-4974 | 2020-08-06 |
| 1225647977 | Robert Drew Singleton | Physician Assistant | 17501 Biscayne Blvd Ste 460, Aventura, FL 33160-4806 | 2020-07-29 |
| 1750990974 | Andrea K Webber | Physician Assistant | 8119 Sw State Rd 200, Ocala, FL 34481-3448 | 2020-07-23 |
| 1851919526 | Kyra Panni | Physician Assistant | 3857 Hartwood Ln, Jacksonville, FL 32216-1486 | 2020-07-09 |
| Find all providers with the same taxonomy | ||||
| City | PORT ORANGE |
| Zip Code | 32129 |
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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.