DR. PAMELA KIRBY PA (NPI# 1174780134) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174780134 |
| Entity Type | Organization |
| Organization Name | DR. PAMELA KIRBY PA |
| Other Organization Name | PAMELA KIRBY, DPM |
| Practice Address |
4606 S Clyde Morris Blvd 1 J Port Orange FL 32129-7453 |
| Practice Telephone | 3867884111 |
| Practice Fax Number | 3867884113 |
| Mailing Telephone | 3867884111 |
| Mailing Fax Number | 3867884113 |
| Enumeration Date | 2008-05-19 |
| Last Update Date | 2015-08-20 |
| Authorized Official Name | DR. PAMELA KIRBY (OWNER) |
| Authorized Official Telephone | 3867884111 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QP1100X |
Clinic/Center Specialization: Podiatric |
PO2796 | FL | Ambulatory Health Care Facilities |
| N | 261QP1100X |
Clinic/Center Specialization: Podiatric |
PO0003382 | FL | Ambulatory Health Care Facilities |
| N | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
PT17909 | FL | Ambulatory Health Care Facilities |
| N | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
PT10210 | FL | Ambulatory Health Care Facilities |
| Y | 261QP1100X |
Clinic/Center Specialization: Podiatric |
PO2581 | FL | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Pamela Kirby, DPM | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558304279 | Dr. Pamela Kirby Pa | Podiatrist | 4606 Clyde Morris Blvd, Stuite 1j, Port Orange, FL 32129 | 2006-06-13 |
| Street Address |
4606 S CLYDE MORRIS BLVD 1 J |
| City | PORT ORANGE |
| State | FL |
| Zip Code | 32129-7453 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518960780 | Pamela Kirby | Podiatrist | 4606 S Clyde Morris Blvd, Ste 1j, Port Orange, FL 32129-7453 | 2005-05-23 |
| 1093191868 | Melanie Vumbaca | Physical Therapy Assistant | 4606 S Clyde Morris Blvd, Ste.1d, Port Orange, FL 32129-6404 | 2015-08-04 |
| 1073883971 | Daytona Plastic Surgery, P.l. | Clinic/Center | 4606 S Clyde Morris Blvd, Suite 1 L, Port Orange, FL 32129-6404 | 2012-01-09 |
| 1386895050 | Pro-motion Physical Therapy of Volusia Cty | Physical Therapist | 4606 S Clyde Morris Blvd, Suite 1-d, Port Orange, FL 32129-6404 | 2008-09-30 |
| 1831305093 | Rommel Tan Yu | Physical Therapist | 4606 S Clyde Morris Blvd, Suite 1-d, Port Orange, FL 32129-6404 | 2007-05-15 |
| 1932325545 | Marie Carmen R Yu | Physical Therapist | 4606 S Clyde Morris Blvd, Suite 1-d, Port Orange, FL 32129-6404 | 2007-04-18 |
| 1750457487 | Terry L. Kahn | Chiropractor | 4606 S Clyde Morris Blvd, Suite 1m, Port Orange, FL 32129-6404 | 2006-11-27 |
| 1164426581 | Mindy A Weingarten | Chiropractor | 4606 S Clyde Morris Blvd, Ste 1m, Port Orange, FL 32129-7453 | 2005-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982179818 | Port Orange Modern Dentistry, Pa | Dentist | 1765 Dunlawton Ave., Suite 103, Port Orange, FL 32129 | 2018-10-08 |
| 1932698131 | Brittany Michele Claude | Behavioral Analyst | 4647 Clyde Morris Blvd Suite 501, Port Orange, FL 32129 | 2018-05-03 |
| 1760919468 | Makayla Earl | Behavior Technician | 1557 Town Park Dr., Port Orange, FL 32129 | 2017-05-12 |
| 1184157968 | Katie Lynn Weisz | Physician Assistant | 3635 South Clyde Morris Blvd, Suite 100, Port Orage, FL 32129 | 2017-04-07 |
| 1285178319 | Mallory Driggers | Counselor | 980 Canal View Blvd Apt F7, Port Orange, FL 32129 | 2016-12-08 |
| 1912321654 | Edward L. Staudt Dds & Kenneth L. Staudt Dds, Mph | Dentist | 944 Bridgewater Dr., Suite 2-b, Port Orange, FL 32129 | 2014-02-18 |
| 1538411731 | Roberta Ann Gilmartin | Specialist | 1048 W Samms Ave, Port Orange, FL 32129 | 2012-10-11 |
| 1679892996 | Pamela Kirby Pa | Clinic/Center | 4606 South Clyde Morris Boulevard, Suite 1j, Port Orange, FL 32129 | 2010-05-26 |
| 1326376385 | Connie Jeanne Bodnarik | Physical Therapy Assistant | 3780 S Clyde Morris Blvd Apt 1206, Port Orange, FL 32129 | 2009-12-02 |
| 1669645057 | American Family & Sports Chiropractic Center Inc | Chiropractor | 4649 Clyde Morris Blvd Unit 609, Port Orange, FL 32129 | 2008-04-08 |
| Find all providers in zip 32129 | ||||
| Taxonomy Code | 261QP1100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Podiatric |
| Definition to come... |
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| 1124593355 | Ankle & Foot Center of Tampa Bay | Clinic/Center | 2039 Little Rd Ste B, Trinity, FL 34655-4421 | 2018-10-03 |
| 1649745886 | Ankle & Foot Center of Tampa Bay | Clinic/Center | 801 S Florida Ave Ste 1, Lakeland, FL 33801-5242 | 2018-10-03 |
| 1922535830 | Jemaar Graham Dpm Pa | Clinic/Center | 12839 Grand Bank Ln, Orlando, FL 32825-2737 | 2017-05-23 |
| 1306398839 | Modern Podiatry, Pa | Clinic/Center | 1151 Miranda Ln, Kissimmee, FL 34741-0763 | 2016-11-01 |
| 1346625522 | J&e Jackson Enterprises, Pllc | Clinic/Center | 1677 Eagle Harbor Pkwy # C, Fleming Island, FL 32003-4802 | 2015-07-29 |
| 1598023624 | Giselle Ojeda Dpm Pa | Clinic/Center | 6039 Collins Ave, 311, Miami Beach, FL 33140-2203 | 2012-04-26 |
| 1720363724 | J.m. Rehabilitation Center Corp | Clinic/Center | 10300 Sw 72nd St Ste 157, Miami, FL 33173-3038 | 2011-10-21 |
| 1598941411 | Steven James Pangborn Dpm Pa | Clinic/Center | 4879 Coconut Creek Pkwy, Coconut Creek, FL 33063-3944 | 2008-01-10 |
| Find all providers with the same taxonomy | ||||
| City | PORT ORANGE |
| Zip Code | 32129 |
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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.