KENNETH T. ZYLSTRA (NPI# 1528239662) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528239662 |
| Entity Type | Individual |
| Full Name | KENNETH T. ZYLSTRA |
| Credential | PA |
| Practice Address |
3731 Lake Worth Rd Ste 1 Palm Springs FL 33461-4062 |
| Mailing Address |
6101 Blue Lagoon Dr Ste 400 Miami FL 33126-2051 |
| Practice Telephone | 5619670234 |
| Practice Fax Number | 5614394833 |
| Mailing Telephone | 3055002000 |
| Enumeration Date | 2008-03-17 |
| Last Update Date | 2020-09-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA9104399 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | PA LICENSE | PA9104399 | 01 |
| Street Address |
3731 LAKE WORTH RD STE 1 |
| City | PALM SPRINGS |
| State | FL |
| Zip Code | 33461-4062 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386117281 | Mcci Group Holdings LLC | Internal Medicine | 3731 Lake Worth Rd Ste 1, Palm Springs, FL 33461-4062 | 2019-01-03 |
| 1851736300 | Frank Diaz | Internal Medicine | 3731 Lake Worth Rd Ste 1, Palm Springs, FL 33461-4062 | 2013-05-09 |
| 1285994566 | Lee Scott Epstein | Internal Medicine | 3731 Lake Worth Rd Ste 1, Palm Springs, FL 33461-4062 | 2012-05-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174167993 | Pcc Medical Holdings LLC | Health Maintenance Organization | 5055 South Congress Avenue, Suite 303, Lake Worth, FL 33461 | 2019-11-05 |
| 1841849692 | Five Star Medical Group Inc | Clinic/Center | 4300 10th Ave North, Suite 2, Lake Worth, FL 33461 | 2019-09-04 |
| 1346894375 | Patrick Pierre Jr. | Behavioral Analyst | 2430 Lake Worth Rd, Apt 2306, Lake Worth, FL 33461 | 2019-07-29 |
| 1740842699 | Amanda Shaw | Massage Therapist | 822 Lynnwood Dr, Lake Worth, FL 33461 | 2019-07-01 |
| 1043706005 | Elina Aguero Arman | Case Manager/Care Coordinator | 420 Alemeda Dr, Palm Springs, FL 33461 | 2018-07-02 |
| 1275028656 | Cagigas Dental Services Inc | Clinic/Center | 2311 10th Avenue North Suite 14, Lake Worth, FL 33461 | 2018-06-27 |
| 1972028447 | Annette Daley | Behavior Technician | 3595 2nd Ave North, Palm Springs, FL 33461 | 2017-08-07 |
| 1104349471 | Safe At Home Health Care, LLC | In Home Supportive Care | 555 Purdy Ln. #215, Palm Springs, FL 33461 | 2017-07-19 |
| 1609307271 | Yadira Perera | Assistant Behavior Analyst | 500 Davis Rd 42a, Palm Springs, FL 33461 | 2017-03-24 |
| 1982155842 | Palm Beach Addiction Center, Inc | Substance Abuse Rehabilitation Facility | 4196 Lake Worth Road, Lake Worth, FL 33461 | 2016-10-17 |
| Find all providers in zip 33461 | ||||
| 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 |
|---|---|---|---|---|
| 1891319059 | Punit S Patel | Physician Assistant | 341 S Sunrise Way Apt P11, Palm Springs, CA 92262-0834 | 2020-06-03 |
| 1558840322 | Donovan Andrew Smith | Physician Assistant | 555 E Tachevah Dr Ste 2w203, Palm Springs, CA 92262-5761 | 2018-08-12 |
| 1033493226 | Colin Tucker Drew | Physician Assistant | 275 N El Cielo Rd # D-402, Palm Springs, CA 92262-6972 | 2011-10-05 |
| 1023306321 | Jessica Daun Miller | Physician Assistant | 1180 N Indian Canyon Dr Ste W300, Palm Springs, CA 92262-4809 | 2011-07-20 |
| 1922250505 | Laura Rae Smith | Physician Assistant | 555 E Tachevah Dr Ste 2w103, Palm Springs, CA 92262-5748 | 2008-10-15 |
| 1174567838 | George Edward Lennon | Physician Assistant | 1150 N Indian Canyon Drive, Palm Springs, CA 92262 | 2006-06-15 |
| 1053302463 | County of Riverside- Community Health Agency | Physician Assistant | 3111 E Tahquitz Canyon Way, Palm Springs, CA 92262-6956 | 2005-11-03 |
| 1043762958 | Allison Hall | Physician Assistant | 1150 N Indian Canyon Dr, Palm Springs, CA 92262-4872 | 2016-10-26 |
| 1285014910 | Saige Mary Gurtowski | Physician Assistant | 1150 N Indian Canyon Dr, Palm Springs, CA 92262-4872 | 2015-06-08 |
| 1861899213 | Cody Jay Tapp | Physician Assistant | 555 E Tachevah Dr, Suite 2w-203, Palm Springs, CA 92262-5750 | 2014-12-01 |
| Find all providers in PALM SPRINGS | ||||
| City | PALM SPRINGS |
| Zip Code | 33461 |
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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.