MR. CHARLES TRAVIS GREENLEY (NPI# 1740418243) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1740418243 |
Entity Type | Individual |
Full Name | MR. CHARLES TRAVIS GREENLEY |
Credential | PA-C |
Practice Address |
11555 Central Pkwy Suite 304 Jacksonville FL 32224-2691 |
Mailing Address |
7855 Argyle Forest Blvd Suite 101 Jacksonville FL 32244-5596 |
Practice Telephone | 9042657755 |
Practice Fax Number | 9042657754 |
Mailing Telephone | 9042826331 |
Mailing Fax Number | 9042824117 |
Enumeration Date | 2009-06-24 |
Last Update Date | 2015-07-13 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
11555 CENTRAL PKWY SUITE 304 |
City | JACKSONVILLE |
State | FL |
Zip Code | 32224-2691 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265426829 | Luis U Ramirez | Internal Medicine | 11555 Central Pkwy, Ste 200, Jacksonville, FL 32224-2691 | 2005-09-09 |
1760880165 | Lauren Timney | Psychologist | 11555 Central Pkwy, Suite 704, Jacksonville, FL 32224-2691 | 2014-12-17 |
1346565215 | Ashley L Horn | Nurse Practitioner | 11555 Central Pkwy, Suite 201, Jacksonville, FL 32224-2691 | 2010-04-02 |
1679897243 | Luis U Ramirez Md Pa | Internal Medicine | 11555 Central Pkwy, Ste 200, Jacksonville, FL 32224-2691 | 2010-03-25 |
1316273733 | Lisa Permenter | Nurse Practitioner | 11555 Central Pkwy, Suite 304, Jacksonville, FL 32224-2691 | 2009-10-20 |
1679716344 | Haitao Zhang | Internal Medicine | 11555 Central Pkwy, Suite 304, Jacksonville, FL 32224-2691 | 2009-04-10 |
1245425065 | Dima Nassour Nassour | Internal Medicine | 11555 Central Pkwy, Suite 204, Jacksonville, FL 32224-2691 | 2007-09-14 |
1801000161 | Ferdinand Joseph Formoso | Physical Medicine & Rehabilitation | 11555 Central Pkwy, Suite 304, Jacksonville, FL 32224-2691 | 2007-05-09 |
1326050105 | Jose P Vindas Cordero | Specialist | 11555 Central Pkwy, Suite 204, Jacksonville, FL 32224-2691 | 2006-08-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356974372 | Noelle Parker | Specialist/Technologist | 1 Unf Drivve, Jacksonville, FL 32224 | 2020-02-18 |
1124685102 | Charcy Rene Stiller | Specialist/Technologist | 1 Unf Dr., Jacksonville, FL 32224 | 2019-05-24 |
1265097513 | Mayo Clinic Jacksonville | Ambulance | 13970 Zumbro Dr, Jacksonville, FL 32224 | 2019-05-02 |
1639681471 | Brigantti Anesthesia & Spine Care | Clinic/Center | 1361 13th Ave South Suite #210, Jacksonville, FL 32224 | 2017-11-02 |
1093240061 | Beric Emilio Berlioz | Anesthesiology | 4500 San Pablo Rd S # J, Jacksonville, FL 32224 | 2017-04-26 |
1609240746 | Matthew James Dailey | Nurse Anesthetist, Certified Registered | 2500 San Pablo Rd S, Jacksonville, FL 32224 | 2015-11-29 |
1003299603 | Upscale Personal Care Home | Assisted Living Facility | 4375 Autumn River Road, Jacksonville, FL 32224 | 2015-07-01 |
1629459375 | Bellanid Fonseca | Social Worker | 3694 Summerlin Ln E, Jacksonville, FL 32224 | 2015-06-17 |
1164840500 | Nicholas Scotto | Physical Therapist | 11555 Central Pkwy Ste 1104, Jacksonville, FL 32224 | 2014-04-02 |
1497093454 | Quicker Care Urgent Care | Point of Service | 13770 Beach Blvd., Unit # 4, Jacksonville, FL 32224 | 2013-01-27 |
Find all providers in zip 32224 |
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 |
---|---|---|---|---|
1831799527 | Emily Vander Zee | Physician Assistant | 6680 Bennett Creek Dr Apt 213, Jacksonville, FL 32216-0018 | 2020-10-30 |
1245830314 | Jonathan V Korah | Physician Assistant | 6650 Corporate Center Pkwy Apt 1108, Jacksonville, FL 32216-8725 | 2020-10-28 |
1255931473 | Rachel Gavrielle Stahly | Physician Assistant | 11438 Emuness Rd, Jacksonville, FL 32218-4050 | 2020-10-27 |
1760099071 | Laura Alexandra Ramos-heckman | Physician Assistant | 2014 Capistrano Dr, Jacksonville, FL 32224-3091 | 2020-09-30 |
1184230583 | Julian Clouse | Physician Assistant | 9803 Creekfront Rd Apt 307, Jacksonville, FL 32256-8449 | 2020-09-21 |
1962016717 | Stephanie Benton Gentry | Physician Assistant | 3179 Shadow Creek Rd, Jacksonville, FL 32226-2386 | 2020-08-31 |
1629689435 | Monarch Mental Health Association | Physician Assistant | 5393 Roosevelt Blvd Ste 8, Jacksonville, FL 32210-8424 | 2020-08-14 |
1235749425 | Nicole Lhommedieu | Physician Assistant | 3850 Marnie Pl, Jacksonville, FL 32223-3541 | 2020-08-03 |
1861002123 | Naw-am Acio Daniels | Physician Assistant | 7467 Volley Dr N, Jacksonville, FL 32277-9368 | 2020-08-03 |
1750906640 | Veronica Adriana Dediego | Physician Assistant | 915 W Monroe St Ste 300, Jacksonville, FL 32204-1177 | 2020-06-16 |
Find all providers in JACKSONVILLE |
City | JACKSONVILLE |
Zip Code | 32224 |
Please comment or provide details below to improve the information on MR. CHARLES TRAVIS GREENLEY.
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.