STEVEN ANDREW WICK (NPI# 1962966622) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1962966622 |
Entity Type | Individual |
Full Name | STEVEN ANDREW WICK |
Credential | DNP, APRN |
Practice Address |
1613 N Mills Ave Orlando FL 32803-1849 |
Mailing Address |
6717 Magnolia Homes Rd Orlando FL 32810-3660 |
Practice Telephone | 4078944474 |
Practice Fax Number | 4078947136 |
Mailing Telephone | 4077901064 |
Enumeration Date | 2019-01-28 |
Last Update Date | 2019-04-10 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
9365972 | FL | Allopathic & Osteopathic Physicians |
Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
APRN9365972 | FL | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | STATE OF FLORIDA DEPARTMENT OF HEALTH | 9365972 | 01 |
Address | Telephone Number | Fax Number |
---|---|---|
601 E Rollins St, Orlando, FL 328031248 | 4073035600 |
Street Address |
1613 N MILLS AVE |
City | ORLANDO |
State | FL |
Zip Code | 32803-1849 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932105558 | Florida Heart Group | Internal Medicine | 1613 N Mills Ave, Orlando, FL 32803-1849 | 2005-06-28 |
1740847144 | Boni May | Registered Nurse | 1613 N Mills Ave, Orlando, FL 32803-1849 | 2019-05-22 |
1851762082 | Danielle C Smith | Nurse Practitioner | 1613 N Mills Ave, Orlando, FL 32803 | 2015-10-14 |
1639447360 | Pavan Vishnubhai Patel | Internal Medicine | 1613 N Mills Ave, Orlando, FL 32803-1849 | 2011-12-08 |
1730465113 | Melissa Suanne Buchanan | Nurse Practitioner | 1613 N Mills Ave, Orlando, FL 32803-1849 | 2011-10-28 |
1023312071 | Abigail Katzman Hoffman | Registered Nurse | 1613 N Mills Ave, Orlando, FL 32803-1849 | 2011-01-05 |
1770758021 | Rebecca Jean Payor | Nurse Practitioner | 1613 N Mills Ave, Orlando, FL 32803-1849 | 2008-04-28 |
1962613570 | Dawn Michelle Derrick | Nurse Practitioner | 1613 N Mills Ave, Orlando, FL 32803-1849 | 2007-05-24 |
1881813129 | John Michael William Woodward | Nurse Practitioner | 1613 N Mills Ave, Orlando, FL 32803-1849 | 2007-04-25 |
1730223181 | Carol C. Ma | Internal Medicine | 1613 N Mills Ave, Orlando, FL 32803-1849 | 2007-02-19 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255952636 | Laiza Souza Tanner | Technician | 500 E Rollins St, Orlando, FL 32803 | 2020-04-27 |
1407415342 | Betty Carrol | Marriage & Family Therapist | 1516 E Colonial Dr Ste 100, Orlando, FL 32803 | 2019-06-12 |
1326606047 | Anthony Balingit | Physical Therapy Assistant | 1870 Aloma Avenue, Orlando, FL 32803 | 2019-05-29 |
1396234795 | Natasha Le Morvan | Technician/Technologist | 1364 Ferris Ave, Orlando, FL 32803 | 2018-05-02 |
1306365796 | Sarah E Fischer | Nurse Practitioner | Adventhealth Orlando, 601 E Rollins St, Orlando, FL 32803 | 2017-09-17 |
1710404249 | Emilia's Direct Care Agency | Community/Behavioral Health | 3218 E Colonial Dr Rm 118, Orlando, FL 32803 | 2017-08-25 |
1760907620 | Kalie Brianne Morris | Speech-Language Pathologist | 1120 Portland Ave Unit 7, Orlando, FL 32803 | 2017-08-11 |
1972024271 | Tatiana Ungredda | Psychologist | 5201 Raymond St Ste 424, Orlando, FL 32803 | 2017-06-28 |
1063942662 | Michael Thomas | Licensed Practical Nurse | 101 South Bumby Ave, E11, Orlando, FL 32803 | 2017-06-15 |
1598209249 | Danielle Marin | Behavioral Analyst | 2807 Edgewater Dr, Orlando, FL 32803 | 2016-12-15 |
Find all providers in zip 32803 |
Taxonomy Code | 363LP2300X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Primary Care |
Definition to come... |
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1710595640 | Sunshine Health Partners, LLC | Nurse Practitioner | 80 W Lucerne Cir, Orlando, FL 32801-3779 | 2020-07-16 |
1245863398 | Haley Toruno | Nurse Practitioner | 3100 Oxford St, Orlando, FL 32803-6825 | 2020-02-18 |
1205391968 | Chi Kim Hoang | Nurse Practitioner | 11418 Brindle St, Orlando, FL 32824-4412 | 2019-02-07 |
1154885929 | Latrece N Booker | Nurse Practitioner | 10925 Moss Park Rd Unit 741, Orlando, FL 32832-6054 | 2019-01-25 |
1851884944 | Timothy L. Ramos | Nurse Practitioner | 6732 Brittany Chase Ct, Orlando, FL 32810-3613 | 2018-06-13 |
1538670021 | Ingrid Stewart | Nurse Practitioner | 4721 Watch Hill Ct, Orlando, FL 32808-2029 | 2017-10-24 |
1780116012 | Hyacinth Fay Addison | Nurse Practitioner | 13944 Broadwing Dr, Orlando, FL 32837-8122 | 2017-03-28 |
1841655180 | In Home Primary Care Inc | Nurse Practitioner | 11380 Ashboro Dr, Orlando, FL 32837-9022 | 2015-12-30 |
1083215446 | Erin Risavi Tongue | Nurse Practitioner | 3160 Southgate Commerce Blvd, Orlando, FL 32806-8549 | 2020-11-03 |
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.