FAWN G HARRISON


Address: 900 N Robert Ave, Arcadia, FL 34266-8712
Phone: 8634948436

FAWN G HARRISON (NPI# 1831388982) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1831388982
Entity Type Individual
Full Name FAWN G HARRISON
Other Name FAWN A GRIGSBY
Credential M.D.
Practice Address 900 N Robert Ave
Arcadia
FL 34266-8712
Mailing Address Po Box 2177
Arcadia
FL 34265-2177
Practice Telephone 8634948436
Practice Fax Number 8634914328
Mailing Telephone 8634948436
Mailing Fax Number 8634914328
Enumeration Date 2007-10-15
Last Update Date 2015-10-02
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208000000X Pediatrics ME102181 FL Allopathic & Osteopathic Physicians
N 390200000X Student in an Organized Health Care Education/Training Program TRN8799 FL Student, Health Care

Other Provider Identifier

State Issuer Identifier Type Code
FL 000012400 05
FL BCBS 50761 01

Office Location

Street Address 900 N ROBERT AVE
City ARCADIA
State FL
Zip Code 34266-8712

Providers in the same location

NPI Name Taxonomy Address Enumeration
1790328821 Dennis Pierce Respiratory Therapist, Registered 900 N Robert Ave, Arcadia, FL 34266-8712 2019-10-22
1639722770 Daniel C Debee Nurse Anesthetist, Certified Registered 900 N Robert Ave, Arcadia, FL 34266-8712 2019-07-18
1265970784 Kimberly Diane Davis Nurse Practitioner 900 N Robert Ave, Arcadia, FL 34266-8712 2017-02-03
1538603931 Small Hospital Innovations LLC Emergency Medicine 900 N Robert Ave, Arcadia, FL 34266-8712 2016-12-05
1003289745 Richard A Ligon Nurse Anesthetist, Certified Registered 900 N Robert Ave, Arcadia, FL 34266-8712 2015-11-03
1982040119 Universal Radiology Services, LLC Radiology 900 N Robert Ave, Arcadia, FL 34266-8712 2013-05-15
1427391465 Rafael Pita Emergency Medicine 900 N Robert Ave, Arcadia, FL 34266-8712 2013-03-28
1417293416 Kelly Renee Soria Nurse Practitioner 900 N Robert Ave, Arcadia, FL 34266-8712 2012-12-19
1528387842 Desoto County Hospital District General Acute Care Hospital 900 N Robert Ave, Arcadia, FL 34266-8712 2010-05-26
1699003764 Gregory Arov Radiology 900 N Robert Ave, Arcadia, FL 34266-8712 2009-11-30
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1578102471 Catherine Cosgrave Nurse Practitioner 13619 Fl-70, Arcadia, FL 34266 2019-12-26
1194102285 Catalyst Walk-in Clinic Clinic/Center 1707 East Oak Street, Arcadia, FL 34266 2015-04-28
1538562699 Corinthia Harrison Ross Counselor 720 Sw Martin Luther King St, Arcadia, FL 34266 2014-10-03
1770983009 Terry L Chouinard General Acute Care Hospital 1031 E Oak Street, Arcadia, FL 34266 2014-08-22
1922342336 Ironhead Ranch, Inc. Assisted Living Facility 1711 Sw County Rd 760a, Arcadia, FL 34266 2012-11-26
1841534666 Ironhead Ranch, Inc. Assisted Living Facility 2605 Sw Baldwin St, Arcadia, FL 34266 2012-11-16
1336499367 Precious Angels Home Care Home Health 18 N Polk Ave, Arcadia, FL 34266 2012-09-18
1891064721 Manatee Diagnostic Center, Ltd Radiology 833 N Robert Avenue, Arcadia, FL 34266 2011-12-21
1952547853 Dorothy A Smith Massage Therapist 702 N. Robert Ave, Arcadia, FL 34266 2008-12-23
1851588057 Leslie Krajcovic Dentist 930 E Gibson St, Arcadia, FL 34266 2007-10-02
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Taxonomy Information

Taxonomy Code 208000000X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics

Taxonomy Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio
- Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1790182988 Arcadia Pediatrics Plc Pediatrics 1014 N Mills Ave, Arcadia, FL 34266-8811 2014-12-03
1487097218 Jayalakshmamma Bangaru Pediatrics 15 South Carol Pine Lane, Arcadia, CA 91007 2013-04-11
1407102031 Agnes Chiang Jee Pediatrics 301 W Huntington Dr Ste 320, Arcadia, CA 91007-1500 2012-08-01
1659646636 Charles E. Imbus, Md, Inc Pediatrics 665 W Naomi Ave Ste 202, Arcadia, CA 91007-7563 2012-03-09
1306027834 Geraldine Uy Chen Pediatrics 520 Workman Ave, Arcadia, CA 91007-8455 2007-11-27
1750401964 Willis Medical LLC Pediatrics 600 Factory Outlet Dr, Suite 12, Arcadia, LA 71001-3057 2007-03-30
1588712673 Letrinh Hoang Pediatrics 51 N. 5th Ave., Suite 201, Arcadia, CA 91006-3739 2007-01-08
1427113588 Melinda Willis Pediatrics 600 Factory Outlet Drive, Ste 12, Arcadia, LA 71001-3057 2006-12-27
1043305634 Ana L Hernandez Pediatrics 250 N Brevard Ave Ste 2, Arcadia, FL 34266 2006-10-03
1508963398 Loanne B. Tran, Md Inc. Pediatrics 624 W Duarte Rd Ste 205, Arcadia, CA 91007-9260 2006-09-20
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Competitor

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City ARCADIA
Zip Code 34266

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Dataset Information

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.

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