MRS. JUDITH ANN KALTENBACH (NPI# 1356498307) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356498307 |
| Entity Type | Individual |
| Full Name | MRS. JUDITH ANN KALTENBACH |
| Credential | PA-C |
| Practice Address |
280 Wekiva Springs Rd Suite 1000 Longwood FL 32779-5946 |
| Practice Telephone | 4077882273 |
| Practice Fax Number | 4073892273 |
| Mailing Telephone | 4077882273 |
| Mailing Fax Number | 4073892273 |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2014-01-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA 3205 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | LICENSE PHYSICIAN ASSISTA | PA 3205 | 01 |
| Street Address |
280 WEKIVA SPRINGS RD SUITE 1000 |
| City | LONGWOOD |
| State | FL |
| Zip Code | 32779-5946 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225002033 | Orlando Benitez | Internal Medicine | 280 Wekiva Springs Rd, Suite 1000, Longwood, FL 32779-5946 | 2006-02-16 |
| 1497178818 | In Harmony Counseling LLC | Marriage & Family Therapist | 280 Wekiva Springs Rd, Suite 1040, Longwood, FL 32779-5946 | 2014-01-22 |
| 1174832034 | Mid Florida Adult Medicine LLC | Internal Medicine | 280 Wekiva Springs Rd, Suite 1000, Longwood, FL 32779-5946 | 2010-09-27 |
| 1821139189 | Jorge L De Arrigoitia | Acupuncturist | 280 Wekiva Springs Rd, Suite 1040, Longwood, FL 32779-5946 | 2007-02-09 |
| 1265572028 | Raul E Tamayo P L | Internal Medicine | 280 Wekiva Springs Rd, Suite 1000, Longwood, FL 32779-5946 | 2007-02-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285268854 | Erin Nicole Marsh | Speech-Language Pathologist | 2957 W State Rd. 434 Suite 100, Longwood, FL 32779 | 2020-02-23 |
| 1902443294 | Melanie Lynn Milner | Chiropractor | 2160 West S.r. 434, Unit 108, Longwood, FL 32779 | 2019-12-05 |
| 1538723440 | Darby Anne Santora | Speech-Language Pathologist | 2957 W 434 State Road, #100, Longwood, FL 32779 | 2019-04-25 |
| 1508336645 | Lashawnda L Richmond | Counselor | 207 Briar Cliff Dr, Longwood, FL 32779 | 2018-12-02 |
| 1992275598 | The Center of Life Counseling, LLC | Clinic/Center | 300 N. Ronald Reagan Blvd. #302, Longwood, FL 32779 | 2018-11-27 |
| 1770052508 | Megan Elizabeth Runyan | Speech-Language Pathologist | 1511 Suzanne Way, Longwood, FL 32779 | 2018-11-22 |
| 1003398447 | Neha Patel | Physical Therapist | 500 Village Place, Longwood, FL 32779 | 2018-09-01 |
| 1487146122 | Wai Acupuncture & Integrative Chinese Medicine LLC | Acupuncturist | 2901 West S.r. 434, Suite 141, Longwood, FL 32779 | 2018-05-30 |
| 1396130217 | Alison Marie Nasuti | Occupational Therapy Assistant | 2989 Wsr 434, Suite 200, Longwood, FL 32779 | 2015-03-30 |
| 1346646288 | Abby Louise Hertel | Speech-Language Pathologist | 2917 W State Road 434, Longwood, FL 32779 | 2014-11-04 |
| Find all providers in zip 32779 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104128305 | Abdul Samad Memon | Physician Assistant | 450 W Sr 434 Ste 3010, Longwood, FL 32750-5196 | 2010-11-22 |
| 1922232065 | Gloria M Reyes- Ortiz | Physician Assistant | 225 W Highway 434, Suite 203, Longwood, FL 32750-4980 | 2009-05-04 |
| 1699846469 | Amy Faith Russo | Physician Assistant | 1908 Boothe Cir, Longwood, FL 32750-6774 | 2006-11-13 |
| 1013093384 | Leslie Suzann Horne | Physician Assistant | 451 S Milwee St, Longwood, FL 32750-4132 | 2006-10-30 |
| 1467484915 | Raymond Hilton | Physician Assistant | 1250 Douglas Ave, Suite 101, Longwood, FL 32779-4978 | 2006-07-07 |
| 1639496565 | Ashley R Vrecenak | Physician Assistant | 515 W State Road 434, Suite 210, Longwood, FL 32750-4981 | 2010-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255931325 | Jonathan Thomas Nusbaum | Physician Assistant | 26160 Angelica Rd, Punta Gorda, FL 33955-1419 | 2020-10-28 |
| 1235738659 | Kevin Marcus Luks | Physician Assistant | 10701 Santa Fe Dr, Hollywood, FL 33026-4955 | 2020-10-19 |
| 1245839521 | Stephanie Clay | Physician Assistant | 3455 Rose Mallow Loop, Oviedo, FL 32766-6648 | 2020-10-19 |
| 1104423755 | Lou Joseph Schneggenburger | Physician Assistant | 10115 Forest Hill Blvd Ste 100, Wellington, FL 33414-6178 | 2020-10-07 |
| 1235744582 | Stephanie Graham | Physician Assistant | 1053 Bernice Rd, Rockledge, FL 32955-2201 | 2020-09-14 |
| 1790399483 | Shyla Imani Kissoon | Physician Assistant | 4830 Nw 7th St, Plantation, FL 33317-1410 | 2020-09-01 |
| 1770193500 | My Physician Online | Physician Assistant | 9540 Nw 23rd St, Coral Springs, FL 33065-4974 | 2020-08-06 |
| 1225647977 | Robert Drew Singleton | Physician Assistant | 17501 Biscayne Blvd Ste 460, Aventura, FL 33160-4806 | 2020-07-29 |
| 1750990974 | Andrea K Webber | Physician Assistant | 8119 Sw State Rd 200, Ocala, FL 34481-3448 | 2020-07-23 |
| 1851919526 | Kyra Panni | Physician Assistant | 3857 Hartwood Ln, Jacksonville, FL 32216-1486 | 2020-07-09 |
| Find all providers with the same taxonomy | ||||
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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.