NIKOLAI X LINCAVAGE


Address: 29277 Us Highway 19 N # 29277, Clearwater, FL 33761-2102
Phone: 7273134764

NIKOLAI X LINCAVAGE (NPI# 1326685991) 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) 1326685991
Entity Type Individual
Full Name NIKOLAI X LINCAVAGE
Credential CST, SA-C
Practice Address 29277 Us Highway 19 N # 29277
Clearwater
FL 33761-2102
Practice Telephone 7273134764
Mailing Telephone 7273134764
Enumeration Date 2019-12-03
Last Update Date 2019-12-03
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AS0400X Physician Assistant
Specialization: Surgical Technologist
19-469 Physician Assistants & Advanced Practice Nursing Providers
N 246ZC0007X Specialist/Technologist, Other
Specialization: Surgical Assistant
19-469 Technologists, Technicians & Other Technical Service Providers
N 246ZS0410X Specialist/Technologist, Other
Specialization: Surgical Technologist
Technologists, Technicians & Other Technical Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
ABSA 19-469 01

Office Location

Street Address 29277 US HIGHWAY 19 N # 29277
City CLEARWATER
State FL
Zip Code 33761-2102

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1770184210 Sandra Shanice Campisi Behavior Technician 29228 Us-19 N, Clearwater, FL 33761 2020-11-02
1659838449 Branden Kleehammer Occupational Therapy Assistant 6941 300th Ave N, Clearwater, FL 33761 2019-02-27
1063901403 Sheleaha C Egly I Behavior Technician 29288 Us Highway 19 N, Clearwater, FL 33761 2018-05-01
1760979629 Melissa Irene Valentine Social Worker 6997 300th Ave North, Clearwater, FL 33761 2018-04-17
1871011049 Maria's Adult Day Care Center Clinic/Center 26224 Us Highway 19 N., Clearwater, FL 33761 2017-09-07
1962933739 Robert Hudson Occupational Therapist 3463 Northridge Dr, Clearwater, FL 33761 2017-03-23
1366985582 Brandon Chad Brown Physician Assistant 29277 Hwy 19 North, Clearwater, FL 33761 2016-11-19
1730575606 Layne S Winker Physician Assistant 26812 Us 19 N # 19, Clearwater, FL 33761 2015-04-08
1407254907 M Christina Memoli Od Pa Optometrist 27901 Us 19 N, Clearwater, FL 33761 2014-12-15
1952729774 Gina Pietras Spohn Dermatology 3165 N Mcmullen Booth Rd Bldg B, Clearwater, FL 33761 2014-03-29
Find all providers in zip 33761

Taxonomy Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1366985582 Brandon Chad Brown Physician Assistant 29277 Hwy 19 North, Clearwater, FL 33761 2016-11-19
1487108288 Andreas Demopoulos Physician Assistant 19277 Hwy 19 N, Clearwater, FL 33761-7360 2016-08-09
1003096652 Elizabeth Marie Weaver Physician Assistant 29277 Us Highway 19 N, Clearwater, FL 33761-2102 2007-11-13
1558323782 Amy Termine Physician Assistant 29277 Us 19 N, Clearwater, FL 33761-2102 2006-04-04
1871567313 Nancy J Andrejack Physician Assistant 1865 N Keene Rd, Clearwater, FL 33755-2314 2006-02-13
1538162292 Brenda Hoy Physician Assistant 455 Pinellas St, Suite 320, Clearwater, FL 33756-3369 2005-05-24
1003452426 Felix Esparra-santiago Physician Assistant 29277 Us Highway 19 N, Clearwater, FL 33761-2102 2019-11-20
1881170835 Bruce J. Farmer Physician Assistant 29277 Us Highway 19 N, Clearwater, FL 33761-2102 2018-07-12
1558860163 Jeffrey Smith Physician Assistant 29277 Us Highway 19 N, Clearwater, FL 33761-2102 2018-02-09
1750894010 Jennifer Marie Garner Jr. Physician Assistant 29277 Us Highway 19 N, Clearwater, FL 33761-2102 2017-11-08
Find all providers in CLEARWATER

Competitor

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City CLEARWATER
Zip Code 33761

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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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