KELLEY MULFINGER MCILVAINE


Address: 5210 Webb Rd, Tampa, FL 33615
Phone: 8138829986

KELLEY MULFINGER MCILVAINE (NPI# 1619338688) 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) 1619338688
Entity Type Individual
Full Name KELLEY MULFINGER MCILVAINE
Other Name KELLEY S MULFINGER
Credential PA-C
Practice Address 5210 Webb Rd
Tampa
FL 33615
Mailing Address 5210 Webb Rd
Tampa
FL 33615-4518
Practice Telephone 8138829986
Practice Fax Number 8138829849
Mailing Telephone 8138829986
Mailing Fax Number 8133413259
Enumeration Date 2016-03-17
Last Update Date 2018-05-18
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant PA9111274 FL Physician Assistants & Advanced Practice Nursing Providers
N 363A00000X Physician Assistant C0006030 MD Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
FL FL DOH LICENSE PA9111274 01

Provider Secondary Practice Location

Address Telephone Number Fax Number
2919 W Swann Ave, Tampa, FL 336094038 8135148985 8135148983

Office Location

Street Address 5210 WEBB RD
City TAMPA
State FL
Zip Code 33615

Providers in the same location

NPI Name Taxonomy Address Enumeration
1407855430 Ann Tran Physician Assistant 5210 Webb Rd, Tampa, FL 33615-4518 2005-07-20
1083224968 Evangelia Nezis Nurse Practitioner 5210 Webb Rd, Tampa, FL 33615-4518 2020-08-05
1588288757 Kirstie Dicharry Nurse Practitioner 5210 Webb Rd, Tampa, FL 33615-4518 2020-06-03
1790329100 Bealie Grace Castor Lucero Nurse Practitioner 5210 Webb Rd, Tampa, FL 33615-4518 2019-10-30
1659912749 April Louise Silverberg Nurse Practitioner 5210 Webb Rd, Tampa, FL 33615-4518 2019-10-01
1790349322 Graham P Chriss Physician Assistant 5210 Webb Rd, Tampa, FL 33615-4518 2019-04-29
1205357654 Semhar Mekonen Nurse Practitioner 5210 Webb Rd, Tampa, FL 33615-4518 2017-07-06
1609317908 Sharnel Ransome Nurse Practitioner 5210 Webb Rd, Tampa, FL 33615-4518 2017-03-20
1114379484 Alexandra Yatros Physician Assistant 5210 Webb Rd, Tampa, FL 33615-4518 2016-07-11
1427418185 Michelle Brown Nurse Practitioner 5210 Webb Rd, Tampa, FL 33615-4518 2016-02-24
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1083125132 The Ida House Assisted Living LLC Assisted Living Facility 6014 Rosewood Dr, Tampa, FL 33615 2017-10-17
1235671785 Magnet Home Health Care Services, LLC Home Health 5700 Memorial Highway Suite G X H 102, Tampa, FL 33615 2016-11-15
1891247532 Martin Esuzor Nurse Practitioner 7918 Hillsborough Avenue, Tampa, FL 33615 2016-10-28
1902263007 Marie E. Simeon Nursing Facility/Intermediate Care Facility 8206 Pennywell Place, Tampa, FL 33615 2016-01-20
1598183659 Mustafa Mohammad Dermatology 6001 Memorial Highway, Tampa, FL 33615 2014-04-04
1710327101 Kelly A Alvarez Case Manager/Care Coordinator 7007 Cobblewood Ct, Tampa, FL 33615 2013-06-28
1336497080 Serenity Home of Tampa Alf LLC Assisted Living Facility 6013 Cresthill Drive, Tampa, FL 33615 2012-08-28
1063777563 Jaime Alexander Pacheco Chiropractor 6301 Memorial Hwy Suit 304, Tampa, FL 33615 2012-07-10
1558656678 Scripts Direct, LLC Pharmacy 8313 W. Hillsborough Ave., # 260, Tampa, FL 33615 2011-06-16
1508178245 The Spring of Tampa Bay Counselor 2810 N. 35 St, Tampa, FL 33615 2010-07-10
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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
1356941504 Kelsey Alexandra Leon Physician Assistant 5033 W Laurel St, Tampa, FL 33607-3855 2020-10-27
1144839796 Alana Marie Arcese Physician Assistant 10401 Villa View Cir, Tampa, FL 33647-2598 2020-07-29
1437768512 Jessica Lynn Flores-mcgrath Physician Assistant 14411 Audubon Trce Apt 912, Tampa, FL 33613-5402 2020-07-24
1417574104 Hunter Vila Physician Assistant 5033 W Laurel St Ste 100, Tampa, FL 33607-3855 2020-06-29
1003432360 Jennifer Rose Baker Koebert Physician Assistant 4001 E Fletcher Ave Fl 6, Tampa, FL 33613-4808 2020-06-23
1487277109 Victoria Mahi Verzwyvelt Physician Assistant 4714 N Habana Ave Apt 510, Tampa, FL 33614-7126 2020-05-28
1538780853 Lexy Hazle Physician Assistant 2715 W Mississippi Ave, Tampa, FL 33629-6131 2020-04-27
1619509494 Amy Sullinger Physician Assistant 207 S Occident St, Tampa, FL 33609-2526 2020-02-10
1225668122 Michelle Korthauer Physician Assistant 1531 W Lemon St Apt 1101, Tampa, FL 33606-1014 2020-01-20
1992344360 Marisa Ehrlich Berger Physician Assistant 311 W Idlewild Ave, Tampa, FL 33604-6656 2020-01-02
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Competitor

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City TAMPA
Zip Code 33615

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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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