SHAWN MCNICHOL


Address: 601 E Dixie Ave Ste 804, Leesburg, FL 34748-5994
Phone: 3523232337

SHAWN MCNICHOL (NPI# 1487207213) 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) 1487207213
Entity Type Individual
Full Name SHAWN MCNICHOL
Credential PA
Practice Address 601 E Dixie Ave Ste 804
Leesburg
FL 34748-5994
Mailing Address 6818 Slaven Dr
Orlando
FL 32819-4724
Practice Telephone 3523232337
Mailing Telephone 3039999611
Enumeration Date 2019-07-21
Last Update Date 2020-08-20
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
FL 105590600 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
6818 Slaven Dr, Orlando, FL 328194724 3039999611

Office Location

Street Address 601 E DIXIE AVE STE 804
City LEESBURG
State FL
Zip Code 34748-5994

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1437610243 Ashley Shamsa Martin Behavior Technician 292 Bent Oak Ct, Leesburg, FL 34748 2019-03-26
1891278875 Luis O Aponte Mendoza Physician Assistant 704 Doctors Ct., Suite 101, Leesburg, FL 34748 2018-09-14
1881197903 Physician Associates LLC Internal Medicine 22316 Us Highway 27, Leesburg, FL 34748 2018-03-15
1184136145 Infinite Support Services LLC In Home Supportive Care 129 Grove Ridge Circle, 104, Leesburg, FL 34748 2017-10-31
1619403037 Massage and Wellness Care Health Maintenance Organization 1218 W. Dixie Ave, Suite A, Leesburg, FL 34748 2017-05-04
1497202675 Prime Radiology of Leesburg Inc Radiology 600 N W Blvd, Suite E, Leesburg, FL 34748 2016-09-06
1023480332 Juanita Elizabeth Simpson Contractor 1911 Harcourt Drive, Leesburg, FL 34748 2015-10-26
1467835900 Serenity Choice Place, LLC Community/Behavioral Health 721 Balmoral Circle, Leesburg, FL 34748 2015-07-01
1356738397 Touching Heart's Group Homes, LLC Community/Behavioral Health 31809 Sunpark Cir, Leesburg, FL 34748 2015-04-16
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1457825093 Grace Christine Berardini Physician Assistant 19415 Deerfield Ave Ste 314, Leesburg, VA 20176-8472 2019-01-16
1891278875 Luis O Aponte Mendoza Physician Assistant 704 Doctors Ct., Suite 101, Leesburg, FL 34748 2018-09-14
1477052603 Charu Gupta Physician Assistant 635 Potomac Station Dr Ne, Leesburg, VA 20176-1818 2018-02-02
1255876041 John Edward Kelly Physician Assistant 1340 Citizens Blvd, Leesburg, FL 34748-3924 2017-01-03
1710436480 Reena Patel Physician Assistant 224 Cornwall St Nw Leesburg Orthope, Unit 204, Leesburg, VA 20176 2016-09-23
1043651342 Kristin Marie Kaiser Physician Assistant 19465 Deerfield Ave Ste 408, Leesburg, VA 20176-1707 2013-07-15
1326370438 Kimberly Brooke Fields Physician Assistant 19500 Sandridge Way Ste 170, Leesburg, VA 20176 2010-02-01
1386702652 Patricia Ann Nicholson Physician Assistant 224b Cornwall St Nw, Loudoun Free Clinic, Leesburg, VA 20176-2701 2006-12-05
1790737609 Stephen Joseph Signore Physician Assistant 401 W North Blvd, Mid-florida Primary Care, Pa, Leesburg, FL 34748-5044 2006-05-17
1811966377 Sanjeev Singh Physician Assistant 2 Cardinal Park Dr Se, Suite 103a, Leesburg, VA 20175-4448 2006-03-16
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Competitor

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City LEESBURG
Zip Code 34748

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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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