MS. TAMMY D GAINES (NPI# 1619948775) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619948775 |
| Entity Type | Individual |
| Full Name | MS. TAMMY D GAINES |
| Credential | PA-C |
| Practice Address |
4675 Linton Blvd Ste 200 Delray Beach FL 33445-6615 |
| Mailing Address |
11924 Forest Hill Blvd Ste 10a-138 Wellington FL 33414-6256 |
| Practice Telephone | 5613315050 |
| Practice Fax Number | 5613313711 |
| Mailing Telephone | 5614252929 |
| Mailing Fax Number | 5618101677 |
| Enumeration Date | 2006-01-27 |
| Last Update Date | 2020-06-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA9111653 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | CAQH ID | 11544101 | 01 |
| FL | MEDICARE | KU584 | 01 |
| Street Address |
4675 LINTON BLVD STE 200 |
| City | DELRAY BEACH |
| State | FL |
| Zip Code | 33445-6615 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386256733 | Cerberus Medical LLC | Neurological Surgery | 4675 Linton Blvd Ste 200, Delray Beach, FL 33445-6615 | 2020-08-18 |
| 1497314124 | Carol Austin | Nurse Practitioner | 4675 Linton Blvd Ste 200, Delray Beach, FL 33445-6615 | 2019-06-06 |
| 1861954141 | Morrison Clinic | Neurological Surgery | 4675 Linton Blvd Ste 200, Delray Beach, FL 33445-6615 | 2019-04-04 |
| 1639665219 | Flpmi, LLC | Anesthesiology | 4675 Linton Blvd Ste 200, Delray Beach, FL 33445-6615 | 2018-07-06 |
| 1588951974 | Adam Eric Shestack | Anesthesiology | 4675 Linton Blvd Ste 200, Delray Beach, FL 33445 | 2011-07-06 |
| 1619101656 | Cy Blanco | Anesthesiology | 4675 Linton Blvd Ste 200, Delray Beach, FL 33445-6615 | 2009-05-05 |
| 1053482331 | Harvey Ivan Garber | Surgery | 4675 Linton Blvd Ste 200, Delray Beach, FL 33445-6611 | 2006-11-10 |
| 1952472250 | Eli Shemesh | Surgery | 4675 Linton Blvd Ste 200, Delray Beach, FL 33445-6611 | 2006-11-10 |
| 1811068117 | Garber & Shemesh Md Pa | Surgery | 4675 Linton Blvd Ste 200, Delray Beach, FL 33445-6611 | 2006-11-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346894839 | Timothy Joseph Marten Jr. | Physical Therapist | 601 N Congress Ave 411, Delray Beach, FL 33445 | 2019-08-01 |
| 1881252948 | Three Dots LLC | Behavioral Analyst | 1300 Nw 17th Ave Ste 272, Delray Beach, FL 33445 | 2019-06-04 |
| 1437649951 | Cardinal Care Medical Supply Inc | Durable Medical Equipment & Medical Supplies | 601 N Congress Ave Ste 110b, Delray Beach, FL 33445 | 2018-05-10 |
| 1437654001 | Yvonne Marie Venton | Speech-Language Pathologist | 1221 Nw 19th Ter, Delray Beach, FL 33445 | 2018-03-27 |
| 1265935183 | Robert J Pina | Physical Therapist | 4800 Linton Blvd., Bldg. A-201, Delray Beach, FL 33445 | 2018-03-16 |
| 1447771159 | Julian Ibrahim Rashid | Pharmacist | 3030 Dorson Way, Delray Beach, FL 33445 | 2017-07-03 |
| 1285179333 | Sara Davis-larkins | Behavioral Analyst | 2061 Coral Trace Circle, Delray Beach, FL 33445 | 2016-12-28 |
| 1255876637 | Annette Annmarie Gray | Case Manager/Care Coordinator | 3624 Ave De Gien, Delray Beach, FL 33445 | 2016-12-21 |
| 1093262586 | Gordium Mental Health | Counselor | 4723 W Atlantic Ave St 21, Delray Beach, FL 33445 | 2016-09-01 |
| 1003279993 | Ted Paul | Home Health Aide | 2127 Sw 13 Ct, Delray Beach, FL 33445 | 2016-03-30 |
| Find all providers in zip 33445 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124543830 | Melinda Susan Mastrapa | Physician Assistant | 5130 Linton Blvd Ste F1, Delray Beach, FL 33484-6595 | 2017-08-03 |
| 1790175800 | Abigail Lee Cichon | Physician Assistant | 601 N Congress Ave Ste 402, Delray Beach, FL 33445-4639 | 2015-01-27 |
| 1053716332 | Donna Leonardo | Physician Assistant | 13660 Jog Rd Ste 5b, Delray Beach, FL 33446-3806 | 2014-10-28 |
| 1710249545 | Tashan A Jones | Physician Assistant | 525 Ne 3rd Ave Ste 104, Delray Beach, FL 33444-3800 | 2012-06-07 |
| 1518009497 | Svetlana Reyblat | Physician Assistant | 5258 Linton Blvd Ste 306, Delray Beach, FL 33484-6530 | 2007-02-13 |
| 1578006060 | Luisa Maria Indiviglio | Physician Assistant | 5130 Linton Blvd, Suite H1, Delray Beach, FL 33484-6596 | 2016-12-01 |
| 1902263577 | Alexandra Williams | Physician Assistant | 601 N Congress Ave, Suite 402, Delray Beach, FL 33445-4703 | 2016-01-27 |
| 1235528951 | Michael Arno | Physician Assistant | 16244 S Military Trl, Suite 560, Delray Beach, FL 33484-6534 | 2015-01-19 |
| 1700125390 | Brittany Evernden | Physician Assistant | 14428 S Military Trl, Delray Beach, FL 33484-3720 | 2013-02-03 |
| 1366794125 | Ashley Lauren Reinhardt | Physician Assistant | 4760 W Atlantic Ave, Delray Beach, FL 33445-3839 | 2012-10-03 |
| Find all providers in DELRAY BEACH | ||||
| City | DELRAY BEACH |
| Zip Code | 33445 |
Please comment or provide details below to improve the information on MS. TAMMY D GAINES.
| 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.