PAUL K SOUTHARD (NPI# 1902963788) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902963788 |
| Entity Type | Individual |
| Full Name | PAUL K SOUTHARD |
| Credential | M.D. |
| Practice Address |
10730 State Road 54 Ste 104 Trinity FL 34655-2265 |
| Mailing Address |
10090 Sunburst Ct Spring Hill FL 34608-2649 |
| Practice Telephone | 7273723888 |
| Mailing Telephone | 3526833493 |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2010-06-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | ME49621 | FL | Allopathic & Osteopathic Physicians |
| Street Address |
10730 STATE ROAD 54 STE 104 |
| City | TRINITY |
| State | FL |
| Zip Code | 34655-2265 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245845221 | Kathryn E Wright | Social Worker | 8225 Florida State Road 54, New Port Richey, FL 34655 | 2020-09-15 |
| 1245873728 | Trinity Counseling Services | Marriage & Family Therapist | 1934 Duck Slough, Trinity, FL 34655 | 2019-10-28 |
| 1134770563 | Timothy Foster | Licensed Practical Nurse | 9332 Sr 54, Ste 202, Trinity, FL 34655 | 2019-09-26 |
| 1710542824 | Leah E. Grossman | Student in an Organized Health Care Education/Training Program | Medical Center of Trinity, 9330 State Rd 54, Trinity, FL 34655 | 2019-05-03 |
| 1508420696 | Varun Reddy | Student in an Organized Health Care Education/Training Program | 9330 Fl 54, Trinity, FL 34655 | 2019-04-24 |
| 1184183642 | Courtney Lynne Fagan | Specialist/Technologist | 8225 Fl-54, New Port Richey, FL 34655 | 2019-03-14 |
| 1164996633 | Brooke E Cox | Obstetrics & Gynecology | 8145 Cerebellum Way Ste 102, Trinity, FL 34655 | 2019-01-17 |
| 1144734591 | Optimal Performance and Physical Therapies Trinity LLC | Physical Therapist | 11157 Trinity Blvd, Trinity, FL 34655 | 2017-11-21 |
| 1629581285 | Nationwide Vision Center, LLC | Technician/Technologist | 3238 Little Rd, Trinity, FL 34655 | 2017-11-06 |
| 1053834267 | Spnn LLC | Pharmacy | 5429 Little Rd, New Port Richey, FL 34655 | 2017-07-19 |
| Find all providers in zip 34655 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215434592 | Dennis Dario Md LLC | Family Medicine | 3633 Little Rd Ste 104, Trinity, FL 34655-1815 | 2018-04-12 |
| 1225331945 | Timothy S Bailey | Family Medicine | 1815 Health Care Dr Ste B, Trinity, FL 34655-5363 | 2010-12-20 |
| 1053624221 | Elizabeth Diane Carson | Family Medicine | 4111 Little Rd, Trinity, FL 34655-1743 | 2010-07-16 |
| 1528208071 | Ruben Gerardo Font | Family Medicine | 11551 Weaver Park Ct., Trinity, FL 34655-7138 | 2009-02-24 |
| 1912060500 | Amir Shirmohammad | Family Medicine | 1817 Cypress Brook Dr, Suite 101, Trinity, FL 34655-4414 | 2006-12-18 |
| 1083717862 | Jesse Tippett | Family Medicine | 1807 Short Branch Dr, Suite 102, Trinity, FL 34655-4415 | 2006-09-06 |
| 1437104148 | Edward James Navas-nazario | Family Medicine | 1838 Health Care Dr Bldg 2, Trinity, FL 34655 | 2006-05-23 |
| 1518919117 | Robert J. Ferreira | Family Medicine | 2044 Trinity Oaks Blvd Ste 220, Trinity, FL 34655-4406 | 2006-05-16 |
| 1619928652 | Lisa M Ferreira | Family Medicine | 2102 Trinity Oaks Blvd Ste 216, Trinity, FL 34655-4409 | 2006-05-15 |
| 1659320364 | Rose M Langer | Family Medicine | 1806 Short Branch Dr, Suite 101, Trinity, FL 34655-4426 | 2006-05-09 |
| Find all providers in TRINITY | ||||
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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.