MR. GERRY SURRENCY (NPI# 1457771016) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457771016 |
| Entity Type | Individual |
| Full Name | MR. GERRY SURRENCY |
| Credential | PMHNP-BC, ARNP |
| Practice Address |
7765 S County Road 231 Lake Butler FL 32054-5721 |
| Mailing Address |
Po Box 628 Lake Butler FL 32054-0628 |
| Practice Telephone | 3864966000 |
| Mailing Telephone | 3864966000 |
| Enumeration Date | 2014-04-22 |
| Last Update Date | 2014-10-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
ARNP3174792 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
7765 S COUNTY ROAD 231 |
| City | LAKE BUTLER |
| State | FL |
| Zip Code | 32054-5721 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871564781 | Jeffery David Render | Dentist | 7765 S County Road 231, Reception / Medical Center, Lake Butler, FL 32054-5721 | 2006-01-30 |
| 1295342798 | Karl Hudson Dupont | Nurse Practitioner | 7765 S County Road 231, Lake Butler, FL 32054-5721 | 2020-09-28 |
| 1891306213 | Mykhue Ashley Nguyen-tran | Dentist | 7765 S County Road 231, Lake Butler, FL 32054-5721 | 2020-08-10 |
| 1952960015 | Kevin Nantz | Registered Nurse | 7765 S County Road 231, Lake Butler, FL 32054-5721 | 2019-06-11 |
| 1043798697 | Reina Michele Brown | Registered Nurse | 7765 S County Road 231, Lake Butler, FL 32054-5721 | 2018-08-04 |
| 1992203566 | Lisa A. Frazer | Nurse Practitioner | 7765 S County Road 231, Lake Butler, FL 32054-5721 | 2018-01-29 |
| 1013427954 | Farida Kazvinova | General Practice | 7765 S County Road 231, Lake Butler, FL 32054-5721 | 2017-10-05 |
| 1043671241 | Cccnf - Lake Butler, LLC | Radiology | 7765 S County Road 231, Lake Butler, FL 32054-5721 | 2016-03-15 |
| 1215351606 | Pablo Manaronsong Lomangcolob Jr. | Clinical Medical Laboratory | 7765 S County Road 231, Lake Butler, FL 32054-0628 | 2014-02-06 |
| 1043644982 | Marie Josephine Garcon | General Practice | 7765 S County Road 231, Lake Butler, FL 32054-5721 | 2013-08-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740627892 | Nalini Anandjiwala | General Practice | 7765 County Rd 231, Lake Butler, FL 32054 | 2013-05-30 |
| 1356690721 | Cheryl Anderson | Nurse Practitioner | 850 East Main Street, Lake Butler, FL 32054 | 2012-08-31 |
| 1891007860 | Lisa Cunningham | Speech-Language Pathologist | 6398 South West State Road 121, Lake Butler, FL 32054 | 2010-07-07 |
| 1609374131 | Michele Lewis | Counselor | 10 W Main St, Lake Butler, FL 32054 | 2018-01-30 |
| 1144756735 | Kateena James | Counselor | 10 W Main St, Lake Butler, FL 32054 | 2017-05-03 |
| 1710380373 | Ashley C Nelson | Counselor | 10 W Main St, Lake Butler, FL 32054 | 2014-09-26 |
| 1073954046 | Can Trong Tran | General Practice | 7765 County Rd 231, Rmc, Lake Butler, FL 32054 | 2013-07-08 |
| 1013972272 | Medlink Management Services Inc | General Acute Care Hospital | 850 E Main St, Lake Butler, FL 32054 | 2006-04-19 |
| 1922105360 | Waldemar Ricardo Riefkohl | Dentist | Reception and Medical Center, Hwy 231, Lake Butler, FL 32054-0628 | 2006-09-20 |
| 1740653708 | Union Speech Solutions, LLC | Speech-Language Pathologist | 495 Ne 3rd St, Lake Butler, FL 32054-1209 | 2015-11-12 |
| Find all providers in zip 32054 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992203566 | Lisa A. Frazer | Nurse Practitioner | 7765 S County Road 231, Lake Butler, FL 32054-5721 | 2018-01-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295336832 | Marco Desouza | Nurse Practitioner | 10235 Avelar Ridge Dr, Riverview, FL 33578-7560 | 2020-11-02 |
| 1457950107 | Janet Rosemarie Walker | Nurse Practitioner | 9988 Sw 38th Ave, Ocala, FL 34476-4082 | 2020-10-23 |
| 1104425800 | Vijayalakshmi Kumaraguru | Nurse Practitioner | 102 Park Place Blvd Ste D1, Kissimmee, FL 34741-2358 | 2020-10-22 |
| 1356940217 | Smitha Ajesh | Nurse Practitioner | 9833 Westview Dr Apt 829, Coral Springs, FL 33076-2537 | 2020-10-21 |
| 1457959066 | Kecia Hicks | Nurse Practitioner | 691 Institution Rd, Defuniak Springs, FL 32433-1850 | 2020-10-15 |
| 1699372003 | Rosie Michel | Nurse Practitioner | 13000 Ne 12th Ave, North Miami, FL 33161-4305 | 2020-10-08 |
| 1952908352 | Karen Weinstock | Nurse Practitioner | 7148 Sportsmans Dr, North Lauderdale, FL 33068-5456 | 2020-10-08 |
| 1396342754 | Pamela Ziel | Nurse Practitioner | 545 Lakeside Cir, Sunrise, FL 33326-2136 | 2020-10-07 |
| 1922615608 | Urszula Dorfman | Nurse Practitioner | 1 Las Olas Cir Apt 609, Fort Lauderdale, FL 33316-1634 | 2020-09-28 |
| 1073129136 | Karen Harris | Nurse Practitioner | 28211 Church Rd, Brooksville, FL 34602-6232 | 2020-09-23 |
| Find all providers with the same taxonomy | ||||
| City | LAKE BUTLER |
| Zip Code | 32054 |
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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.