JAY WILLIAM BUTWINICK (NPI# 1053929190) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053929190 |
| Entity Type | Individual |
| Full Name | JAY WILLIAM BUTWINICK |
| Credential | APRN |
| Practice Address |
5357 Coquina Shores Ln Port Orange FL 32128-3011 |
| Practice Telephone | 3862904055 |
| Mailing Telephone | 3862904055 |
| Enumeration Date | 2020-07-15 |
| Last Update Date | 2020-07-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
APRN11007863 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
5357 COQUINA SHORES LN |
| City | PORT ORANGE |
| State | FL |
| Zip Code | 32128-3011 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487209979 | Encore Hearing Consultants, LLC | Hearing Instrument Specialist | 5889 S. Williamson Blvd, Suite 1409, Port Orange, FL 32128 | 2019-08-02 |
| 1346768835 | T'neill Treherne | Occupational Therapist | 5535 S. Williamson Blvd Suite 774, Port Orange, FL 32128 | 2017-09-05 |
| 1881055440 | Jose Ortiz | Chiropractor | 6315 S Williamson Blvd Apt 132, Port Orange, FL 32128 | 2016-03-10 |
| 1376915132 | Comfortable Care Dental Health Professionals, Pa | Dentist | 5445 S. Williamson Blvd, Port Orange, FL 32128 | 2015-10-20 |
| 1508289570 | Jeffrey Barnes | Physical Therapist | 5535 S. Williamson B;vd, Port Orange, FL 32128 | 2014-01-28 |
| 1881025542 | Rachael Hall | Physical Therapist | 55335 S Williamson Blvd, Suite 774, Port Orange, FL 32128 | 2013-12-06 |
| 1154765840 | Daniel Fleishman | Counselor | 6709 Ferri Circle, Port Orange, FL 32128 | 2013-04-24 |
| 1215282629 | Jeffrey Mclaughlin | Physical Therapist | 5535 S. Williamson Blvd., Ste 774, Port Orange, FL 32128 | 2012-07-23 |
| 1710266812 | Steven Gerald Daniels | Chiropractor | 1807 Creekwater Blvd, Port Orange, FL 32128 | 2011-08-08 |
| 1639489883 | Dr. Michael Hay and Associates, LLC | Optometrist | 5517 S. Williamson Blvd., #310, Port Orange, FL 32128 | 2010-10-20 |
| Find all providers in zip 32128 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063025054 | Jessica Kate Hamilton | Nurse Practitioner | 3873 Long Grove Ln, Port Orange, FL 32129-8634 | 2020-08-28 |
| 1275168999 | Robert Mathis | Nurse Practitioner | 930 Bentwood Ln, Port Orange, FL 32127-4814 | 2020-03-04 |
| 1417595646 | Kimberly Clough | Nurse Practitioner | 6147 Half Moon Dr, Port Orange, FL 32127-1128 | 2019-12-18 |
| 1104391465 | Jessica Kailee White | Nurse Practitioner | 5331 Cordgrass Bend Ln, Port Orange, FL 32128-3000 | 2018-10-12 |
| 1548745060 | Arsheema Abdurahman | Nurse Practitioner | 1690 Dunlawton Ave Ste 220, Port Orange, FL 32127-8980 | 2018-10-01 |
| 1366922882 | Stacey L Shaw | Nurse Practitioner | 1690 Dunlawton Ave Ste 230, Port Orange, FL 32127-8980 | 2018-08-14 |
| 1225516461 | Jessica Cole | Nurse Practitioner | 5400 S Williamson Blvd Apt 4-106, Port Orange, FL 32128-6540 | 2018-07-31 |
| 1457892226 | Jeannetta Ann Brooks | Nurse Practitioner | 3641 Clyde Morris Blvd Ste 400, Port Orange, FL 32129-2357 | 2017-03-13 |
| 1326159500 | Priscilla Clara Miller | Nurse Practitioner | 7800 Woodbriar Trail, Port Orange, FL 32129 | 2006-08-31 |
| 1962003251 | Jessica Crowell | Nurse Practitioner | 1690 Dunlawton Ave Ste 210, Port Orange, FL 32127-8980 | 2020-11-04 |
| Find all providers in PORT ORANGE | ||||
| City | PORT ORANGE |
| Zip Code | 32128 |
Please comment or provide details below to improve the information on JAY WILLIAM BUTWINICK.
| 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.