LYNSEY CLEGHORN (NPI# 1730665936) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1730665936 |
Entity Type | Individual |
Full Name | LYNSEY CLEGHORN |
Credential | PA-C |
Practice Address |
102 Park Place Blvd Davenport FL 33837-6857 |
Practice Telephone | 8634220032 |
Mailing Telephone | 8634220032 |
Enumeration Date | 2018-07-11 |
Last Update Date | 2018-07-11 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
PA9111124 | FL | Allopathic & Osteopathic Physicians |
Street Address |
102 PARK PLACE BLVD |
City | DAVENPORT |
State | FL |
Zip Code | 33837-6857 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669405114 | Margaret Rose Yee | Family Medicine | 102 Park Place Blvd, Davenport, FL 33837-6857 | 2006-07-08 |
1356712541 | Tatiana L Mesa Santander | Physician Assistant | 102 Park Place Blvd, Davenport, FL 33837-6857 | 2015-10-13 |
1497974133 | Mdy Primary Care Medicine P A | Specialist | 102 Park Place Blvd, Davenport, FL 33837-6857 | 2007-04-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922612274 | Kimberly Zariya Honaker | Massage Therapist | 398 Madison Drive, Davenport, FL 33837 | 2020-09-03 |
1609480375 | Sun Health and Wellness, Inc | Pharmacy | 109 Park Place Blvd, Suite A, Davenport, FL 33837 | 2020-09-01 |
1093323156 | Tammey Davis Payne | Counselor | 1423 Merrimack Lane, Davenport, FL 33837 | 2020-07-15 |
1346872835 | Shelly Hanson | Dietitian, Registered | 40100 Us 27, Davenport, FL 33837 | 2020-02-12 |
1689221269 | Adventist Health System /sunbelt, Inc. | Clinic/Center | 40124 Us Hwy 27, Suite 205, Davenport, FL 33837 | 2019-08-20 |
1578029039 | Portia P White | In Home Supportive Care | 108 East James St, Davenport, FL 33837 | 2019-02-20 |
1366937146 | Sheetal Kirat Parikh | Dietitian, Registered | 40100 Us Highway 27, Davenport, FL 33837 | 2018-06-25 |
1063929883 | Marisa Christine Sweetser | Registered Nurse | 40100 Us-27, Davenport, FL 33837 | 2018-01-02 |
1104341460 | Haley Kampf | Behavioral Analyst | 4303 Cortland Dr, Davenport, FL 33837 | 2017-08-08 |
1013438373 | Tamara Michelle Ortiz | Speech-Language Pathologist | 206 Nova Drive, Davenport, FL 33837 | 2017-06-27 |
Find all providers in zip 33837 |
Taxonomy Code | 207QA0505X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
Specialization | Adult Medicine |
Definition to come. |
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---|---|---|---|---|
1518173392 | Forrest Waldo Smith | Family Medicine | 1920 Cromwell Cir, Davenport, IA 52807-2839 | 2007-05-16 |
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1942829536 | Health Medical Ultra Limited Liability Company | Family Medicine | 1760 Havendale Blvd Nw, Winter Haven, FL 33881-1224 | 2020-04-13 |
Find all providers with the same taxonomy |
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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.