BRIAN PAUL WISOWATY (NPI# 1346891942) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346891942 |
| Entity Type | Individual |
| Full Name | BRIAN PAUL WISOWATY |
| Credential | PA-C |
| Practice Address |
1400 N Us Highway 441 Ste 810 The Villages FL 32159-8987 |
| Mailing Address |
1020 Lake Sumter Lndg The Villages FL 32162-2699 |
| Practice Telephone | 3526748700 |
| Practice Fax Number | 3526748714 |
| Mailing Telephone | 3526748905 |
| Mailing Fax Number | 3526748919 |
| Enumeration Date | 2019-09-25 |
| Last Update Date | 2019-09-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA9112585 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1400 N US HIGHWAY 441 STE 810 |
| City | THE VILLAGES |
| State | FL |
| Zip Code | 32159-8987 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235133505 | John A Purcell | Specialist | 1400 N Us Highway 441 Ste 810, The Villages, FL 32159 | 2005-06-02 |
| 1821558321 | Jofy Gerard | Nurse Practitioner | 1400 N Us Highway 441 Ste 810, The Villages, FL 32159-8987 | 2019-03-21 |
| 1881076040 | Pranav Ravi | Internal Medicine | 1400 N Us Highway 441 Ste 810, The Villages, FL 32159-8987 | 2015-06-24 |
| 1700275088 | Mary Lombardi | Physician Assistant | 1400 N Us Highway 441 Ste 810, The Villages, FL 32159-8987 | 2015-01-09 |
| 1699059808 | Pezzone Gastroenterology Associates PC | Internal Medicine | 1400 N Us Highway 441 Ste 810, The Villages, FL 32159-8987 | 2011-10-06 |
| 1639468556 | Katherine Delphine Tripi | Physician Assistant | 1400 N Us Highway 441 Ste 810, The Villages, FL 32159 | 2011-03-31 |
| 1124289731 | Allison Greenstein Yow | Internal Medicine | 1400 N Us Highway 441 Ste 810, The Villages, FL 32159-8987 | 2008-06-17 |
| 1184784845 | Deon Keiva-marie Sutherland | Family Medicine | 1400 N Us Highway 441 Ste 810, The Villages, FL 32159-8987 | 2006-12-11 |
| 1780762062 | Catherine Taylor | Nurse Practitioner | 1400 N Us Highway 441 Ste 810, The Villages, FL 32159-8987 | 2006-11-02 |
| 1437250065 | Roland More | Psychiatry & Neurology | 1400 N Us Highway 441 Ste 810, The Villages, FL 32159-8987 | 2006-09-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306451216 | Lindsey Porubcan | Physician Assistant | 990 South Us Highway 441/27, Lady Lake, FL 32159 | 2020-09-09 |
| 1073134979 | Michael Robert Frates | Dietitian, Registered | 900 Cr 466, Lady Lake, FL 32159 | 2020-05-01 |
| 1346800364 | Barbara Conrad | Social Worker | 906 Orchid Street, Lady Lake, FL 32159 | 2019-06-20 |
| 1962977165 | Curelogics Wound Care and Hyperbaric LLC | Registered Nurse | 809 County Road 466, Unit C-201, Lady Lake, FL 32159 | 2018-10-04 |
| 1346736907 | Caroline Butler | Physician Assistant | 805 E. Cr 466, Lady Lake, FL 32159 | 2018-07-06 |
| 1033609607 | Cyrus Immanuel Macalisang Doroy | Physical Therapist | 6340 County Rd 466, Suite 733, Lady Lake, FL 32159 | 2018-05-18 |
| 1962999680 | Sharma Institute of Pain Medicine | Physical Medicine & Rehabilitation | 1501 Us Hwy 441, Villages, FL 32159 | 2018-04-18 |
| 1538683198 | Cathleen Laurel Civiello | Psychologist | 929 H. Hwy 441, Suite 404, Lady Lake, FL 32159 | 2017-07-26 |
| 1649709015 | Adria Young | Optometrist | 801 Cr 466, Suite 102 Sunset Plaza, Lady Lake, FL 32159 | 2017-06-08 |
| 1891222527 | Center for Hope and Healing, LLC | Social Worker | 804 Hwy 466, Lady Lake, FL 32159 | 2017-05-12 |
| Find all providers in zip 32159 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386949733 | Jennifer Anne West | Physician Assistant | 352 East Cr 466, The Villages, FL 32159-4205 | 2011-01-17 |
| 1790976330 | Jennifer Starr Davis | Physician Assistant | 340 Heald Way Ste 216, The Villages, FL 32163-6088 | 2007-08-08 |
| 1275636128 | Philomena Walker | Physician Assistant | 1950 Laurel Manor Dr Ste 224, The Villages, FL 32162-5602 | 2006-09-06 |
| 1255440475 | Scott Clark | Physician Assistant | 1503 Buenos Aires Blvd Ste 100, The Villages, FL 32159-6825 | 2006-08-30 |
| 1639722887 | Troy Edward Black Pace | Physician Assistant | 2910 Brownwood Blvd, The Villages, FL 32163-2032 | 2019-07-17 |
| 1376195677 | Katherine Rodriguez | Physician Assistant | 1050 Old Camp Rd Ste 100, The Villages, FL 32162-1762 | 2019-07-16 |
| 1104485291 | Amanda Naumann | Physician Assistant | 1050 Old Camp Rd Ste 100, The Villages, FL 32162-1762 | 2019-06-11 |
| 1861951246 | Sarah Marie Ely | Physician Assistant | 1580 Santa Barbara Blvd, The Villages, FL 32159-6827 | 2019-03-15 |
| 1083183826 | Sierra C Heptner | Physician Assistant | 1575 Santa Barbara Blvd, The Villages, FL 32159-6820 | 2018-11-23 |
| 1528541166 | Sara Michele Rojek | Physician Assistant | 1503 Buenos Aires Blvd, The Villages, FL 32159-6821 | 2018-09-10 |
| Find all providers in THE VILLAGES | ||||
| City | THE VILLAGES |
| Zip Code | 32159 |
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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.