MR. JONATHAN THOMAS DISMUKE (NPI# 1255990693) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255990693 |
| Entity Type | Individual |
| Full Name | MR. JONATHAN THOMAS DISMUKE |
| Credential | ARNP |
| Practice Address |
6804 Cecelia Dr New Port Richey FL 34653-4935 |
| Practice Telephone | 8552320644 |
| Practice Fax Number | 8885460488 |
| Mailing Telephone | 8552320644 |
| Mailing Fax Number | 8885460488 |
| Enumeration Date | 2019-06-10 |
| Last Update Date | 2019-06-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
APRN11002313 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801374715 | Jonathan James Dismuke | Dentist | 36000 Darnall Loop Rm 1048, Fort Hood, TX 76544-5095 | 2018-08-02 |
| Street Address |
6804 CECELIA DR |
| City | NEW PORT RICHEY |
| State | FL |
| Zip Code | 34653-4935 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356339170 | Peter Arthur Radice | Internal Medicine | 6804 Cecelia Dr, New Port Richey, FL 34653-4935 | 2005-10-06 |
| 1558845594 | Scott Wilson | Nurse Practitioner | 6804 Cecelia Dr, New Port Richey, FL 34653-4935 | 2018-09-15 |
| 1538665310 | Jennifer Danielle Quinn | Nurse Practitioner | 6804 Cecelia Dr, New Port Richey, FL 34653 | 2018-04-02 |
| 1528561081 | Adriana Smith | Nurse Practitioner | 6804 Cecelia Dr, New Port Richey, FL 34653-4935 | 2018-03-12 |
| 1114450483 | Cheryl Lynn Izzo | Nurse Practitioner | 6804 Cecelia Dr, New Port Richey, FL 34653-4935 | 2017-04-04 |
| 1427418193 | Anne Marie Thompson | Nurse Practitioner | 6804 Cecelia Dr, New Port Richey, FL 34653-4935 | 2016-02-24 |
| 1457710287 | Melissa G Cole | Nurse Practitioner | 6804 Cecelia Dr, New Port Richey, FL 34653-4935 | 2016-02-22 |
| 1831554484 | Lisa M Hiestand | Nurse Practitioner | 6804 Cecelia Dr, New Port Richey, FL 34653-4935 | 2015-12-28 |
| 1538552328 | Lisa Hudson Lynn | Nurse Practitioner | 6804 Cecelia Dr, New Port Richey, FL 34653-4935 | 2015-03-18 |
| 1255751186 | Eileen Claire Callaway | Family Medicine | 6804 Cecelia Dr, New Port Richey, FL 34653-4935 | 2014-04-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669956033 | All Best Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 7114 Congress Street, New Port Richey, FL 34653 | 2018-09-20 |
| 1851880132 | Select Medical Solutions LLC | Durable Medical Equipment & Medical Supplies | 4575 Whitton Way, Unit# 1119, New Port Richey, FL 34653 | 2018-05-02 |
| 1477050151 | A & B of Pasco, Inc | Non-emergency Medical Transport (VAN) | 6449 Sutters Mill Rd, New Port Richey, FL 34653 | 2018-04-10 |
| 1841704988 | Kelly R Stryjewski | Nurse Practitioner | 6331 State Rd 54, New Port Richey, FL 34653 | 2017-11-28 |
| 1568974921 | Life Back, LLC. | Durable Medical Equipment & Medical Supplies | 8018 Old County Road 54, New Port Richey, FL 34653 | 2017-10-25 |
| 1477002558 | Amy Rebecca Patten | Nurse Practitioner | Gulfside Hospice, 6117 Trouble Creek Road, New Port Richey, FL 34653 | 2016-09-29 |
| 1972976900 | Steven Cheung | Physical Therapist | 5138 Deer Park Drive, New Port Richey, FL 34653 | 2015-11-13 |
| 1164804852 | Drew Finnegan | Chiropractor | 7653 Cypress Trace Ct, New Port Richey, FL 34653 | 2015-06-18 |
| 1699155184 | Chad Exceen | Counselor | 8002 King Helie Blvd., Baycare Behavioral Health, New Port Richey, FL 34653 | 2015-06-01 |
| 1881025005 | Elm Tree Lodge | Preferred Provider Organization | 6205 Viola Lane, New Port Richey, FL 34653 | 2013-12-13 |
| Find all providers in zip 34653 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992304042 | Dawn Marie Decker-bowe | Nurse Practitioner | 7735 Hampton Hills Loop, New Port Richey, FL 34654-6206 | 2020-10-20 |
| 1053707992 | Vivian W. Endaya | Nurse Practitioner | 9530 Riverchase Dr, New Port Richey, FL 34655-5720 | 2015-04-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477154896 | Christa Marie Mcnamara | Nurse Practitioner | 3820 Northdale Blvd Ste 107a, Tampa, FL 33624-1834 | 2020-11-03 |
| 1093315285 | Linh My Duong | Nurse Practitioner | 6184 49th Ave N, Kenneth City, FL 33709-3306 | 2020-10-28 |
| 1770181182 | Lisa Maria Mercado | Nurse Practitioner | 8115 97th Ct, Vero Beach, FL 32967-2810 | 2020-10-16 |
| 1609474329 | Elisa Swieboda | Nurse Practitioner | 100 W Myrtle St, Howey In The Hills, FL 34737-4316 | 2020-10-14 |
| 1275130551 | Edgar Rafael Valdez Quinonez | Nurse Practitioner | 1212 Verdant Glade Pl, Winter Park, FL 32792-3029 | 2020-10-08 |
| 1306453683 | Madelyn Delgado Borges | Nurse Practitioner | 901 Tivoli Ter Apt 203, Deerfield Beach, FL 33441-7893 | 2020-09-30 |
| 1497362024 | Kyliene Reyes | Nurse Practitioner | 4771 Sw 138th Loop, Ocala, FL 34473-2000 | 2020-09-28 |
| 1598371882 | Curt David Miller | Nurse Practitioner | 5300 East Avenue West Palm Beach Fl, West Palm Beach, FL 33401 | 2020-09-22 |
| 1093321754 | Sangita Nair | Nurse Practitioner | 16302 Sw 23rd St, Miramar, FL 33027-4404 | 2020-09-18 |
| 1588279459 | Vanessa Renee Mixon | Nurse Practitioner | 3783 Wood Cir, Cocoa, FL 32926-4828 | 2020-09-08 |
| Find all providers with the same taxonomy | ||||
| City | NEW PORT RICHEY |
| Zip Code | 34653 |
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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.