MR. PHILLIP WOODROW ARNOLD (NPI# 1780649038) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780649038 |
| Entity Type | Individual |
| Full Name | MR. PHILLIP WOODROW ARNOLD |
| Credential | PA |
| Practice Address |
Shcc, 1 Fletcher Drive Gainesville FL 32611-7500 |
| Mailing Address |
505 Se Palmetto Ave Keystone Heights FL 32656-9244 |
| Practice Telephone | 3523921161 |
| Practice Fax Number | 3528461422 |
| Mailing Telephone | 3524739209 |
| Enumeration Date | 2006-04-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA 1530 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | PHYSICIAN ASSISTANT LICEN | PA 1530 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619984143 | Phillip Bonner Arnold | Family Medicine | 11011 Meridican Ave N, Suite 200, Seattle, WA 98133-8967 | 2006-08-01 |
| 1134495070 | Phillip Booth Arnold | Physical Therapist | 1018 Atherton Dr, Taylorsville, UT 84123-3470 | 2012-03-26 |
| 1619194040 | Phillip Arnold | Nurse Anesthetist, Certified Registered | 1431 Bluffview St, Ste 215, Wichita, KS 67218-3039 | 2007-04-19 |
| 1154301349 | Phillip G Arnold | Plastic Surgery | 200 1st St Sw, Rochester, MN 55905-0001 | 2006-01-23 |
| Street Address |
SHCC, 1 FLETCHER DRIVE |
| City | GAINESVILLE |
| State | FL |
| Zip Code | 32611-7500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073578761 | Lynne G. Goldman | Counselor | Shcc, 1 Fletcher Drive, Gainesville, FL 32611-7500 | 2006-04-18 |
| 1316992837 | Roger Keroack | Psychologist | Shcc, 1 Fletcher Drive, Gainesville, FL 32611-7500 | 2006-05-23 |
| 1245295278 | Jackie L. Ayers | Psychologist | Shcc, 1 Fletcher Drive, Gainesville, FL 32611-7500 | 2006-04-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235607813 | Sayuri Kitada | Student in an Organized Health Care Education/Training Program | 1908 Stadium Road, Gainesville, FL 32611 | 2018-11-13 |
| 1780938621 | Analesa Clarke | Psychologist | 3190 Radio Rd, Gainesville, FL 32611 | 2012-10-30 |
| 1659496107 | J. Chris Patrick | Specialist/Technologist | Bhg Stadium, Gale Lemerand Dr., Gainesville, FL 32611 | 2007-03-20 |
| 1780711424 | Susan A Donaldson | Nurse Practitioner | 101 S Newell Avenue, Gainesville, FL 32611 | 2007-02-28 |
| 1225117039 | Lance S. Governale | Neurological Surgery | 1149 South Newell Drive;, Univ of Florida; Dept of Neurosurgery; Room L2-100, Gainesville, FL 32611 | 2006-11-03 |
| 1851493191 | Larry Markel Lopez | Pharmacist | 101 South Newell Dr., Hpnp Bldg 212; Room 3309, Gainesville, FL 32611 | 2006-09-05 |
| 1194708065 | Pamela Pieper | Nurse Practitioner | 101 S Newell Drive, Gainesville, FL 32611 | 2005-11-23 |
| 1003436130 | Gerald Richardson IIi | Student in an Organized Health Care Education/Training Program | 100 Newell Dr, Gainesville, FL 32611 | 2020-04-18 |
| 1033774120 | George Joseph Raineri | Student in an Organized Health Care Education/Training Program | 100 S Newell Dr, L4100, Mcknight Brain Institute, Gainesville, FL 32611 | 2019-05-05 |
| 1962907691 | Regan Kemp | Specialist/Technologist | 3150 Hull Rd, Gainesville, FL 32611 | 2018-03-26 |
| Find all providers in zip 32611 | ||||
| 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 |
|---|---|---|---|---|
| 1750989471 | Rylee Holland | Physician Assistant | 701 Sw 62nd Blvd Apt 118, Gainesville, FL 32607-2079 | 2020-10-14 |
| 1992329726 | Clinton Thomas Zopf | Physician Assistant | 4229 Nw 43rd St Apt E40, Gainesville, FL 32606-2508 | 2020-06-08 |
| 1689298721 | Michael Wood | Physician Assistant | 10360 Sw 51st Ln, Gainesville, FL 32608-4380 | 2020-06-04 |
| 1386268431 | Alexandra Christina Clayton | Physician Assistant | 1600 Sw Archer Rd Rm 6130, Gainesville, FL 32610-6922 | 2020-06-04 |
| 1437782851 | Madison Raye Huth | Physician Assistant | 743 Spring Street Se, Gainesville, GA 30501 | 2020-02-13 |
| 1003454786 | Erica Lynn Iketani | Physician Assistant | 1600 Sw Archer Rd Rm 10-504, Gainesville, FL 32610-3003 | 2019-12-13 |
| 1952967184 | Naomi Lux | Physician Assistant | 15418 N State Road 121, Gainesville, FL 32653-7513 | 2019-05-13 |
| 1700441441 | Alexandria Brown | Physician Assistant | 3538 Nw 25th Ter, Gainesville, FL 32605-2296 | 2019-05-08 |
| 1891250502 | Mark Burdette Mechak | Physician Assistant | 14535 John Marshall Hwy Ste 105, Gainesville, VA 20155-4024 | 2019-02-06 |
| 1427564848 | Ngan Lam | Physician Assistant | 200 Sw 62nd Blvd Ste C, Gainesville, FL 32607-2067 | 2017-12-20 |
| Find all providers in GAINESVILLE | ||||
| City | GAINESVILLE |
| Zip Code | 32611 |
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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.