NIKKI-ANN GILIAM MCGOVERN (NPI# 1770672172) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1770672172 |
Entity Type | Individual |
Full Name | NIKKI-ANN GILIAM MCGOVERN |
Other Name | NIKKI ANN GILIAM |
Credential | PA-C |
Practice Address |
2415 N Orange Ave Ste 302 Orlando FL 32804-5505 |
Practice Telephone | 4073037250 |
Practice Fax Number | 4073037255 |
Mailing Telephone | 4073037250 |
Mailing Fax Number | 4073037255 |
Enumeration Date | 2006-10-12 |
Last Update Date | 2020-09-10 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 363A00000X | Physician Assistant | PA9103180 | FL | Physician Assistants & Advanced Practice Nursing Providers |
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA9103180 | FL | Physician Assistants & Advanced Practice Nursing Providers |
Address | Telephone Number | Fax Number |
---|---|---|
2501 N Orange Ave, Suite 402, Orlando, FL 328044603 | 4073037250 | 4073037255 |
Street Address |
2415 N ORANGE AVE STE 302 |
City | ORLANDO |
State | FL |
Zip Code | 32804-5505 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942288808 | Manuel Ramon Perez-izquierdo | Surgery | 2415 N Orange Ave Ste 302, Orlando, FL 32804-5505 | 2006-01-02 |
1790324549 | Michael Edmiston | Physician Assistant | 2415 N Orange Ave Ste 302, Orlando, FL 32804-5505 | 2019-12-26 |
1851941983 | Giulia Marie Vasquez | Physician Assistant | 2415 N Orange Ave Ste 302, Orlando, FL 32804-5505 | 2019-09-20 |
1518515576 | Tori Lysaght | Nurse Practitioner | 2415 N Orange Ave Ste 302, Orlando, FL 32804-5505 | 2019-09-03 |
1346708054 | Ashley Kay Munns | Physician Assistant | 2415 N Orange Ave Ste 302, Orlando, FL 32804-5505 | 2019-03-12 |
1831656792 | Arjun Ryan Dhingra | Physician Assistant | 2415 N Orange Ave Ste 302, Orlando, FL 32804 | 2019-02-27 |
1205301249 | Stepfani L. Tagupa | Emergency Medicine | 2415 N Orange Ave Ste 302, Orlando, FL 32804-5505 | 2018-10-05 |
1588193692 | Ivonne Marie Vidal Ramos | Nurse Practitioner | 2415 N Orange Ave Ste 302, Orlando, FL 32804-5505 | 2017-06-12 |
1649665639 | Rachel Elizabeth Wilson | Surgery | 2415 N Orange Ave Ste 302, Orlando, FL 32804-5505 | 2015-04-06 |
1952571671 | David Varnagy | Surgery | 2415 N Orange Ave Ste 302, Orlando, FL 32804-5505 | 2008-03-10 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881252716 | Alyssa Bass | Counselor | 3130 Edgewater Dr, Orlando, FL 32804 | 2019-06-05 |
1841856366 | Debora Cheryl Ramirez | Technician/Technologist | 1231 North Orange Ave, Orlando, FL 32804 | 2019-05-10 |
1679074009 | Jessica Dobbs | Counselor | 3801 Grant Blvd, Orlando, FL 32804 | 2018-02-21 |
1881109031 | Pedro Mendez Jr. | Counselor | 1800 W. Colonial Drive, Orlando, FL 32804 | 2017-12-11 |
1902259310 | Michael Lo | Nurse Practitioner | 2400 N Orange Ave Ste 302, Orlando, FL 32804 | 2016-07-20 |
1083093595 | Michael Gregg | Student in an Organized Health Care Education/Training Program | 2415 North Orange Avenue, Suite 400, Orlando, FL 32804 | 2015-05-29 |
1922485473 | Lindsay Rae Piet | Physician Assistant | 1910 N. Orange Ave., Orlando, FL 32804 | 2015-05-05 |
1093106189 | College Park Community Acupuncture & Herbal Medicine | Acupuncturist | 710 W. Princeton Street., Suite A, Orlando, FL 32804 | 2015-02-10 |
1164822359 | Orlando Sleep Solutions, LLC | Durable Medical Equipment & Medical Supplies | 2921 N. Orange Ave, Orlando, FL 32804 | 2014-08-26 |
1780926741 | Joseph Arturo Reza | Student in an Organized Health Care Education/Training Program | 2415 N Orange Ave #400, Orlando, FL 32804 | 2013-03-17 |
Find all providers in zip 32804 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770054843 | Cynthia Marie Mills | Physician Assistant | 7806 Lake Underhill Rd Ste 104, Orlando, FL 32822-8232 | 2018-12-16 |
1447751029 | Brittney Marie Osterhoudt | Physician Assistant | 2014 S Orange Ave Ste 101, Orlando, FL 32806-3069 | 2018-02-28 |
1164934006 | Stephanie Carmen Oberweger | Physician Assistant | 8124 Chianti Dr, Orlando, FL 32836-5311 | 2017-11-01 |
1881046407 | Chrystal Danielle Fravel | Physician Assistant | 2609 S Orange Ave, Orlando, FL 32806-4547 | 2016-07-07 |
1922498740 | Taylor Stetson | Physician Assistant | 7403 Sugar Bend Dr, Orlando, FL 32819-7215 | 2015-02-01 |
1619370103 | Emily R Avgeropoulos | Physician Assistant | 7512 Dr Phillips Blvd Ste 50-209, Orlando, FL 32819-5420 | 2014-09-29 |
1417357567 | Allyson Lee | Physician Assistant | 3090 Caruso Ct, Orlando, FL 32806-8510 | 2014-08-26 |
1386052371 | Nancy Callaham | Physician Assistant | 6953 Cadiz Blvd, Orlando, FL 32819-4713 | 2014-07-23 |
1922367010 | Quality Care Providers | Physician Assistant | 5565 Cinderlane Pkwy, 291, Orlando, FL 32808-4705 | 2012-05-09 |
1013212067 | Rheumatology Associates of Central Fl. | Physician Assistant | 3160 Southgate Commerce Blvd Bldg Suite30, Orlando, FL 32806-8549 | 2011-01-24 |
Find all providers in ORLANDO |
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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.