WILLIAM M SHIMP (NPI# 1821092511) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821092511 |
| Entity Type | Individual |
| Full Name | WILLIAM M SHIMP |
| Credential | PA-C |
| Practice Address |
300 Health Park Blvd Ste 500 St Augustine FL 32086 |
| Mailing Address |
1824 King St Ste 200 Jacksonville FL 32204-4735 |
| Practice Telephone | 9044942394 |
| Practice Fax Number | 9044006676 |
| Mailing Telephone | 9043843343 |
| Mailing Fax Number | 9044006671 |
| Enumeration Date | 2005-06-09 |
| Last Update Date | 2018-05-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA9101052 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 290815800 | 05 | |
| MEDICARE RAILROAD | 970014848 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033196555 | William S Shimp | Internal Medicine | 3800 Park Nicollet Blvd, Park Nicollet Clinic-compass Program, St Louis Park, MN 55416-2527 | 2005-12-27 |
| Street Address |
300 HEALTH PARK BLVD STE 500 |
| City | ST AUGUSTINE |
| State | FL |
| Zip Code | 32086 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568464774 | Derek D Muehrcke | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 300 Health Park Blvd, Ste 5000, St Augustine, FL 32086-3705 | 2005-06-01 |
| 1366801052 | Elizabeth Arnett | Advanced Practice Midwife | 300 Health Park Blvd, Suite 3002, St Augustine, FL 32086-3707 | 2016-02-23 |
| 1932521200 | Kerry Hannifin Latka | Nurse Practitioner | 300 Health Park Blvd, Suite 4000, St Augustine, FL 32086-3707 | 2014-01-06 |
| 1083951024 | Lorraine M Searle | Advanced Practice Midwife | 300 Health Park Blvd, Suite 3002, St Augustine, FL 32086-3707 | 2013-01-10 |
| 1467722025 | First Coast Endocrinology, P.a. | Internal Medicine | 300 Health Park Blvd, Suite 3008, St Augustine, FL 32086-3707 | 2012-01-12 |
| 1194011908 | Faisal Usman | Internal Medicine | 300 Health Park Blvd, Ste 4000, St Augustine, FL 32086-3707 | 2011-06-21 |
| 1336446525 | Florida Woman Care LLC | Obstetrics & Gynecology | 300 Health Park Blvd, #3002, St Augustine, FL 32086-3703 | 2011-02-24 |
| 1588987747 | Gerard M. Gerling M.d., P.a. | Psychiatry & Neurology | 300 Health Park Blvd, Suite 4002, St Augustine, FL 32086-3707 | 2010-03-02 |
| 1528206968 | Michele Griffin Rogero | Advanced Practice Midwife | 300 Health Park Blvd, Suite 3002, St Augustine, FL 32086-3707 | 2009-01-22 |
| 1992967541 | Elizabeth H Meadows | Advanced Practice Midwife | 300 Health Park Blvd, Suite 3002, St Augustine, FL 32086-3707 | 2008-06-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225670037 | Ramonica Flagler | Nurse Practitioner | 3574 Us-1 South, St. Augustine, FL 32086 | 2019-10-14 |
| 1518522648 | Marissa Marie Lynch | Physician Assistant | 100 Whetstone Pl Ste 102, St Augustine, FL 32086 | 2019-05-03 |
| 1346706991 | Castillo Transportation | Non-emergency Medical Transport (VAN) | 295 North Hidden Tree Dr, Saint Augustine, FL 32086 | 2019-02-19 |
| 1790255842 | Michelle Moore | In Home Supportive Care | 135 Jenkins St. Suite 105b #265, St.augustine, FL 32086 | 2018-12-03 |
| 1649740200 | Paul James Lietz IIi | Physical Therapist | One Orthopedic Place, Saint Augustine, FL 32086 | 2018-11-27 |
| 1548764707 | Oceanside Endodontics Od St. Augustine | Dentist | 2510 U.S. 1 South, Suite B, St. Augustine, FL 32086 | 2018-03-22 |
| 1023538329 | Joseph R Edwards | Physical Therapist | 968 Espinado Avenue, St Augustine, FL 32086 | 2017-06-27 |
| 1235662032 | Jennifer L Csenge | Dentist | 4327 Us Highway 1 S, St Augustine, FL 32086 | 2017-04-07 |
| 1336683663 | Lisa Brice | Social Worker | 248 Southpark Circle East, Saint Augustine, FL 32086 | 2016-12-06 |
| 1558813303 | Bio-medical Applications of Florida, Inc. | Clinic/Center | 65 Whitehall Drive, Saint Augustine, FL 32086 | 2016-10-27 |
| Find all providers in zip 32086 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649702291 | Leonard Volpe | Physician Assistant | 745 Porta Rosa Cir, St Augustine, FL 32092 | 2017-04-03 |
| 1245620368 | Angela Sanchez | Physician Assistant | 229 Adelanto Ave, St Augustine, FL 32092 | 2015-01-27 |
| 1154446631 | Joseph C Rice | Physician Assistant | 1 Orthopaedic Pl, St Augustine, FL 32086-4202 | 2007-03-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811598691 | Monica Nancy Ginocchio | Physician Assistant | 1020 Crosspointe Dr Ste 110, Naples, FL 34110-0918 | 2020-11-06 |
| 1427657055 | Alyson Ryall | Physician Assistant | 480 Ventura Pl, Vero Beach, FL 32963-4262 | 2020-10-24 |
| 1104436476 | Forrest Joseph Steslow | Physician Assistant | 1971 Brandywine Rd Apt 305, West Palm Beach, FL 33409-6800 | 2020-08-03 |
| 1063039576 | Joshua Bras Prewitt | Physician Assistant | 4800 Linton Blvd Ste 201, Delray Beach, FL 33445-6584 | 2020-06-30 |
| 1003443904 | Sheila Rhinehart | Physician Assistant | 981 Tarpon Ave, Sebastian, FL 32958-5147 | 2020-03-23 |
| 1952932493 | Lisel Spieler | Physician Assistant | 1173 Fins Up Ct, Daytona Beach, FL 32124-3719 | 2020-02-03 |
| 1326685991 | Nikolai X Lincavage | Physician Assistant | 29277 Us Highway 19 N # 29277, Clearwater, FL 33761-2102 | 2019-12-03 |
| 1356984686 | Zane K Jude | Physician Assistant | 1775 Linton Lake Dr, Delray Beach, FL 33445-6927 | 2019-10-18 |
| 1720635998 | Jose R Munoz | Physician Assistant | 4801 Esedra Ct Apt 203, Lake Worth, FL 33467-5019 | 2019-08-22 |
| 1811559578 | Sydney Gillen | Physician Assistant | 1222 S Orange Ave Fl 2, Orlando, FL 32806-1215 | 2019-07-02 |
| Find all providers with the same taxonomy | ||||
| City | ST AUGUSTINE |
| Zip Code | 32086 |
Please comment or provide details below to improve the information on WILLIAM M SHIMP.
| 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.