DR. JONATHAN PETER HALCOVAGE (NPI# 1154457513) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154457513 |
| Entity Type | Individual |
| Full Name | DR. JONATHAN PETER HALCOVAGE |
| Credential | D.O. |
| Practice Address |
68 Clubhouse Dr Palm Coast FL 32137-8135 |
| Practice Telephone | 3862464096 |
| Mailing Telephone | 3862464096 |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | OS6813 | FL | Allopathic & Osteopathic Physicians |
| Street Address |
68 CLUBHOUSE DR |
| City | PALM COAST |
| State | FL |
| Zip Code | 32137-8135 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922617505 | Palm Coast Alf Management LLC | Assisted Living Facility | 3830 Old Kings Road, Palm Coast, FL 32137 | 2020-07-29 |
| 1093324964 | Akilah Collins | Behavior Technician | 515 Palm Coast Pwky Sw, Suite 6, Palm Coast, FL 32137 | 2020-07-27 |
| 1750929477 | Jeanette Ann Stevens | Technician | 1 Lema Place, Palm Coast, FL 32137 | 2019-12-12 |
| 1649816919 | Patrick Meyer | Occupational Therapy Assistant | 9 Pine Cone Drive, Palm Coast, Palm Coast, FL 32137 | 2019-11-21 |
| 1689230385 | Coastal Care Medical Transport | Non-emergency Medical Transport (VAN) | #2b, 1 Hargrove Grde, Palm Coast, FL 32137 | 2019-05-17 |
| 1407357437 | Palm Coast Counseling, LLC | Counselor | 1 Hargrove Grade, Ste B-1, Palm Coast, FL 32137 | 2018-02-25 |
| 1679081459 | Lance J Langston | Behavior Technician | 2 Crosstie Ct, Palm Coast, FL 32137 | 2018-01-16 |
| 1407360712 | Hanna Mercedes Brown | Behavior Technician | 515 Palm Coast Pkwy, Suite 6/7, Palm Coast, FL 32137 | 2017-11-22 |
| 1760994511 | Sophia's Choice Hands That Help, LLC | Custodial Care Facility | 119 Bud Hollow Dr, Palm Coast, FL 32137 | 2017-11-02 |
| 1922543255 | Megan Katherine Dickerson | Physical Therapist | 250 Palm Coast Pkwy Ne Unit 209a, Palm Coast, FL 32137 | 2016-12-22 |
| Find all providers in zip 32137 | ||||
| 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 |
|---|---|---|---|---|
| 1184251787 | Cassandra Chamoun | Family Medicine | 43 Eagle Harbor Trl, Palm Coast, FL 32164-6149 | 2020-03-24 |
| 1467751057 | Edwin R Forsberg | Family Medicine | 30 Emerald Lake Dr, Palm Coast, FL 32137-1311 | 2011-03-22 |
| 1407175425 | Stephen Keen | Family Medicine | 145 City Pl Ste 101, Palm Coast, FL 32164-2480 | 2010-06-01 |
| 1801121215 | Ralph William Buchanan Sr. | Family Medicine | 44 Ocean St, Palm Coast, FL 32137-2419 | 2009-10-03 |
| 1477747970 | Natalya A Verbinskaya | Family Medicine | 4875 Palm Coast Pkwy N.w., Unit 1, Palm Coast, FL 32137 | 2007-08-29 |
| 1013108992 | S S Marathe Md Pa | Family Medicine | 4869 Palm Coast Pkwy Nw, Suite 2, Palm Coast, FL 32137-3661 | 2007-08-06 |
| 1669672952 | Adams Medical Associates, Pa | Family Medicine | 28 Office Park Dr, Palm Coast, FL 32137-3808 | 2007-07-24 |
| 1841316312 | F R Fruehan Family Practice Inc | Family Medicine | 9 Pine Cone Dr Ste 102, Palm Coast, FL 32137-8683 | 2007-03-22 |
| 1275640997 | Memorial Health Systems Inc | Family Medicine | 61 Memorial Medical Pkwy Ste 2811, Palm Coast, FL 32164-5999 | 2006-08-25 |
| 1295841476 | Barry Steven Poliner | Family Medicine | 33 Old Kings Rd N Ste 3, Palm Coast, FL 32137-8238 | 2006-08-21 |
| Find all providers in PALM COAST | ||||
| City | PALM COAST |
| Zip Code | 32137 |
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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.