JOHN HUNTER PROTHEROE (NPI# 1609018092) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609018092 |
| Entity Type | Individual |
| Full Name | JOHN HUNTER PROTHEROE |
| Credential | PA |
| Practice Address |
303 North Clyde Morris Bl Halifax Health Medical Center Daytona Beach FL 32114-2709 |
| Practice Telephone | 3862542285 |
| Practice Fax Number | 3864251304 |
| Mailing Telephone | 3862542285 |
| Mailing Fax Number | 3864251304 |
| Enumeration Date | 2009-03-31 |
| Last Update Date | 2010-04-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA3742 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 000888400 | 05 |
| Street Address |
303 NORTH CLYDE MORRIS BL HALIFAX HEALTH MEDICAL CENTER |
| City | DAYTONA BEACH |
| State | FL |
| Zip Code | 32114-2709 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255334959 | Kiran Patel | Family Medicine | 303 North Clyde Morris Bl, Halifax Health Medical Center, Daytona Beach, FL 32114-2709 | 2005-05-27 |
| 1528265949 | Carson Bauder | Family Medicine | 303 North Clyde Morris Bl, Halifax Health Medical Center, Daytona Beach, FL 32114-2709 | 2007-06-29 |
| 1801811120 | James Patrick Marcum | Physician Assistant | 303 North Clyde Morris Bl, Halifax Health Medical Center, Daytona Beach, FL 32114-2709 | 2006-07-13 |
| 1285687459 | Alexander White | Family Medicine | 303 North Clyde Morris Bl, Halifax Health Medical Center, Daytona Beach, FL 32114-2709 | 2006-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376161380 | Evolution Health & Performance LLC | Physician Assistant | 244 S. Palmetto Ave, Daytona Beach, FL 32114 | 2020-07-07 |
| 1407480189 | Kierra Imani Kinsey | Behavior Technician | 1128-a Beville Rd, Daytona Beach, FL 32114 | 2020-03-02 |
| 1043776057 | Outreach Community Care Network Inc | Pharmacy | 240 N. Frederick Avenue, Daytona Beach, FL 32114 | 2019-02-14 |
| 1033681861 | Katherine Proppe | Specialist/Technologist | 1 Aerospace Blvd, Daytona Beach, FL 32114 | 2018-12-18 |
| 1841765047 | Anna L Smith | Nurse Practitioner | 339 Bill France Blvd Ste C, Daytona Beach, FL 32114 | 2018-10-04 |
| 1154806933 | Steve Anthony Lee | Family Medicine | 731 N. Clyde Morris Blvd, Daytona Beach, FL 32114 | 2018-09-27 |
| 1285116491 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1348 W International Speedway Blvd Ste 2, Daytona Beach, FL 32114 | 2018-09-04 |
| 1770085656 | Merina Lee | Occupational Therapist | 1159 Australia Ave., Daytona Beach, FL 32114 | 2018-03-06 |
| 1346752755 | Hand & Upper Extremity Surgery of Daytona Beach, LLC | Non-Pharmacy Dispensing Site | 1241 Ridgewood Ave, Daytona Beach, FL 32114 | 2017-10-26 |
| 1104347053 | Harry Herman Blanke IIi | Family Medicine | 201 N Clyde Morris Blvd, Suite 200, Halifax Health Family Medicine Residency Program, Daytona Beach, FL 32114 | 2017-06-30 |
| Find all providers in zip 32114 | ||||
| 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 |
|---|---|---|---|---|
| 1376161380 | Evolution Health & Performance LLC | Physician Assistant | 244 S. Palmetto Ave, Daytona Beach, FL 32114 | 2020-07-07 |
| 1013568856 | Priya Phiroze Desai | Physician Assistant | 301 Memorial Medical Pkwy Ste 307, Daytona Beach, FL 32117-5167 | 2019-09-23 |
| 1104297829 | Adrianne Newton | Physician Assistant | 303 S. Clyde Morris Blvd., Daytona Beach, FL 32114 | 2015-10-08 |
| 1841668068 | Colleen L Ursic | Physician Assistant | 655 N Clyde Morris Blvd Ste B, Daytona Beach, FL 32114-2321 | 2015-09-03 |
| 1225341191 | Kristin Wunker Nelson | Physician Assistant | 1890 Lpga Blvd Ste 250, Daytona Beach, FL 32117-7131 | 2010-07-21 |
| 1093924136 | Andrew George Giaconi | Physician Assistant | 1040 Mason Ave, Daytona Beach, FL 32117-4612 | 2007-05-22 |
| 1851506760 | Cindy R Parker | Physician Assistant | 1367 Beville Rd, Daytona Beach, FL 32119-1529 | 2007-05-14 |
| 1750323978 | David J Jones | Physician Assistant | 721 S Beach St Apt 214a, Daytona Beach, FL 32114-5404 | 2006-06-12 |
| 1073568747 | Anthony A. Azzarello | Physician Assistant | 303 No. Clyde Morris Blvd., Halifax Medical Center - Chest Pain Center, Daytona Beach, FL 32114-2709 | 2006-05-23 |
| 1336193044 | Kandace F Vagovic | Physician Assistant | 517 Health Blvd, Daytona Beach, FL 32114-1493 | 2006-05-19 |
| Find all providers in DAYTONA BEACH | ||||
| City | DAYTONA BEACH |
| Zip Code | 32114 |
Please comment or provide details below to improve the information on JOHN HUNTER PROTHEROE.
| 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.