JEAN BERNARD LE GALL (NPI# 1982857579) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982857579 |
| Entity Type | Individual |
| Full Name | JEAN BERNARD LE GALL |
| Credential | P.A. |
| Practice Address |
190 E. Intendencia Street Suite A-28 Pensacola FL 32502-5806 |
| Mailing Address |
Po Box 17567 Pensacola FL 32522-7567 |
| Practice Telephone | 8509086810 |
| Enumeration Date | 2008-10-28 |
| Last Update Date | 2018-07-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA9111202 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 0249870000 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 126 Missouri Ave, Fort Leonard Wood, MO 654738952 | 5735960131 |
| Street Address |
190 E. INTENDENCIA STREET SUITE A-28 |
| City | PENSACOLA |
| State | FL |
| Zip Code | 32502-5806 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275199762 | Anita Kay Morris | Marriage & Family Therapist | 25 W Cedar St Ste 205, Pensacola, FL 32502 | 2019-05-10 |
| 1013409028 | Everydaydoctor Inc | Internal Medicine | 13 Palafox Pl Ste 200, Pensacola, FL 32502 | 2018-06-05 |
| 1780119115 | Felisha Palmer | Nurse's Aide | 619 W Gregory St Apt A, Pensacola, FL 32502 | 2017-04-24 |
| 1619428257 | Young Men's Christian Association of Northwest Florida, Inc. | Health Educator | 165 E.intendencia Street, Pensacola, FL 32502 | 2016-10-19 |
| 1972968386 | Lauren Reeves | Counselor | 435 E Zarragossa St, Pensacola, FL 32502 | 2015-12-30 |
| 1902202492 | Amabel Arquillano | Physical Therapist | 600 West Gregory Street, Pensacol, FL 32502 | 2014-11-10 |
| 1639579568 | Community Experiences LLC | Home Health | 321 N Devillers St Suite 221, Pensacola, FL 32502 | 2014-08-28 |
| 1831523612 | Our Lady of Angels, St. Joseph Medical Clinic, Inc | Clinic/Center | 131 W. Intendencia St., Pensacola, FL 32502 | 2013-08-28 |
| 1295013266 | Sabrina Gail Evans | Family Medicine | 236 West Garden Street, Pensacola, FL 32502 | 2011-07-25 |
| 1356538771 | Optum Infusion Services 204, Inc. | Pharmacy | 201 N. Tarragona Street, Pensacola, FL 32502 | 2007-09-30 |
| Find all providers in zip 32502 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518593326 | Shelby Jane Carson | Physician Assistant | 8333 N Davis Hwy Fl 3, Pensacola, FL 32514-6050 | 2020-03-13 |
| 1477194934 | Alyssa Brooke Mayer | Physician Assistant | 4501 N Davis Hwy Ste A, Pensacola, FL 32503-2724 | 2019-10-04 |
| 1720638448 | Frances Ponsuwan Bell | Physician Assistant | 5151 N 9th Ave # 200, Pensacola, FL 32504-8721 | 2019-09-14 |
| 1881242022 | Kendall Hoover | Physician Assistant | 190 E Intendencia St # A-28, Pensacola, FL 32502-5806 | 2019-08-30 |
| 1477047181 | Taylor Elaine Morrison | Physician Assistant | 4901 Marketplace Road, Pensacola, FL 32504-8986 | 2018-06-15 |
| 1245771591 | Tina Rayfield | Physician Assistant | 12480 Seratine Dr, Pensacola, FL 32506-9601 | 2017-03-19 |
| 1891166344 | Kevin Lacz | Physician Assistant | 100 S Baylen St, Suite A, Pensacola, FL 32502-5825 | 2015-10-09 |
| 1831448653 | Hillary H. Doussan | Physician Assistant | 8333 N. Davis Hwy, Pensacola, FL 32514-6050 | 2012-09-07 |
| 1891004560 | Lauren Andrea Treven | Physician Assistant | 3205 E Olive Rd, Apt 80, Pensacola, FL 32514-7239 | 2010-09-29 |
| 1285948703 | Sarah Grace Purdy | Physician Assistant | 5503 Admiral Doyle Rd, Pensacola, FL 32506-5353 | 2010-07-27 |
| Find all providers in PENSACOLA | ||||
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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.