LUCAS BRADEN HEITMAN


Address: 8333 N Davis Hwy, Pensacola, FL 32514-6050
Phone: 8504748000

LUCAS BRADEN HEITMAN (NPI# 1114528312) 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) 1114528312
Entity Type Individual
Full Name LUCAS BRADEN HEITMAN
Credential PA
Practice Address 8333 N Davis Hwy
Pensacola
FL 32514-6050
Practice Telephone 8504748000
Mailing Telephone 8504748436
Mailing Fax Number 8504748285
Enumeration Date 2020-11-04
Last Update Date 2020-11-09
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant PA9113784 FL Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 8333 N DAVIS HWY
City PENSACOLA
State FL
Zip Code 32514-6050

Providers in the same location

NPI Name Taxonomy Address Enumeration
1851394613 Donald M Dewey Orthopaedic Surgery 8333 N Davis Hwy, Pensacola, FL 32514-6050 2005-05-24
1093328056 Alyssa Haley Audiologist 8333 N Davis Hwy, Pensacola, FL 32514-6050 2020-08-28
1568074995 Andrew Bean Pharmacist 8333 N Davis Hwy, Walgreens, Pensacola, FL 32514 2020-08-18
1942810072 Martha Davault Nurse Practitioner 8333 N Davis Hwy, Pensacola, FL 32514-6050 2020-08-04
1144855958 Nicole Chase Adams Nurse Practitioner 8333 N Davis Hwy, Pensacola, FL 32514-6049 2020-03-12
1093352619 Danielle Tozzo Physician Assistant 8333 N Davis Hwy, Pensacola, FL 32514-6049 2019-12-02
1104475235 Aryn Del Valle Physician Assistant 8333 N Davis Hwy, Pensacola, FL 32514-6050 2019-09-11
1649731415 Vanessa Enriquez Nurse Practitioner 8333 N Davis Hwy, Pensacola, FL 32514-6050 2019-03-26
1881165652 Jessica Christine Byrd Nurse Practitioner 8333 N Davis Hwy, Pensacola, FL 32514-6049 2018-12-05
1013486711 Melissa Kelly Brown Nurse Practitioner 8333 N Davis Hwy, Pensacola, FL 32514-6050 2018-11-26
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1568920643 Cameron Rae Mackey Student in an Organized Health Care Education/Training Program 9091 Aiway Dr, Apt 622, Pensacola, FL 32514 2019-03-07
1083182612 B & B of Pensacola LLC Home Health 2024 E Olive Rd, Pensacola, FL 32514 2018-11-13
1902398423 Chana Levy Developmental Therapist 10080 Hillview Dr # 387b, Pensacola, FL 32514 2018-05-31
1629407663 James Daniel Langston Registered Nurse 8383 North Davie Highway, Pensacola, FL 32514 2013-11-08
1174956197 Valerie Kuloba Pharmacist 9251 University Parkway, Pensacola, FL 32514 2013-08-13
1548550924 Pamela Lynn Trammel Nurse Practitioner 8383 North Davis Hywy, West Florida Hospital, Pensacola, FL 32514 2011-04-19
1659609378 Michael Smith Physical Therapy Assistant 10100 Hillveiw Dr., Pensacola, FL 32514 2009-11-19
1154582906 Karen Buchanan Bailey Dentist 2322 Copter Road, Pensacola, FL 32514 2008-06-24
1811181985 Sandra Paquingan Kloman Registered Nurse 9400 University Parkway #10c, Medical Professional Agency, Pensacola, FL 32514 2007-08-31
1083826523 Renfroe Spinal Center LLC Chiropractor 1421 East Nine Mile Rd, Pensacola, FL 32514 2007-05-04
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

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.

Providers in the same taxonomy and city

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
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Competitor

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City PENSACOLA
Zip Code 32514

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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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