PEARSON FACIAL PLASTIC SURGERY PA (NPI# 1780739482) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780739482 |
| Entity Type | Organization |
| Organization Name | PEARSON FACIAL PLASTIC SURGERY PA |
| Other Organization Name | FLEMING ISLAND EAR, NOSE & THROAT |
| Practice Address |
1835 East West Parkway Suite 19 Orange Park FL 32003 |
| Practice Telephone | 9042157377 |
| Practice Fax Number | 9042157350 |
| Mailing Telephone | 9042157377 |
| Mailing Fax Number | 9042157350 |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2008-05-09 |
| Authorized Official Name | DR. DAVID CRAIG PEARSON (PRESIDENT) |
| Authorized Official Telephone | 9042157377 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207YX0905X |
Otolaryngology Specialization: Otolaryngology/Facial Plastic Surgery |
ME80556 | FL | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Fleming Island Ear, Nose & Throat | Doing Business As Name - Organization |
| Street Address |
1835 EAST WEST PARKWAY SUITE 19 |
| City | ORANGE PARK |
| State | FL |
| Zip Code | 32003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558322610 | David Craig Pearson | Otolaryngology | 1835 East West Parkway, Suite 19, Orange Park, FL 32003 | 2006-03-29 |
| 1154466217 | Fleming Island Family Chiropractic | Chiropractor | 1835 East West Parkway, Suite 3, Orange Park, FL 32003 | 2007-02-20 |
| 1508929779 | Physical Therapy and Rehabiliation Clinic Inc | Physical Therapist | 1835 East West Parkway, 16, Orange Park, FL 32003 | 2006-12-19 |
| 1972683670 | Kristen T Burke | Chiropractor | 1835 East West Parkway, Orange Park, FL 32003 | 2006-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649758012 | Pruitthealth - Fleming Island, LLC | Skilled Nursing Facility | 2040 Town Center Boulevard, Fleming Island, FL 32003 | 2018-07-30 |
| 1841733904 | Linda Giacobbe | Community/Behavioral Health | 4609 Hwy 17, Suite 1, Fleming Island, FL 32003 | 2016-11-22 |
| 1538515796 | Kelly Standish | Dentist | 1700 Eagle Harbor Parkway East, Orange Park, FL 32003 | 2016-05-06 |
| 1396119301 | Emily Benn | Physical Therapist | 4689 Hwy 17, Suite 11, Fleming Island, FL 32003 | 2015-11-16 |
| 1467834929 | Sherrye Frady | Nurse Practitioner | 1915 East West Pkwy #2, Fleming Island, FL 32003 | 2015-06-22 |
| 1023497658 | Musa Medical Supplies | Durable Medical Equipment & Medical Supplies | 1915 Eastwest Parkway, Fleming Island, FL 32003 | 2015-05-28 |
| 1093125676 | Stephen Gibbs | Orthopaedic Surgery | 4689 Highway 17, Suite 11, Fleming Island, FL 32003 | 2014-05-05 |
| 1033555198 | Lillie Elaine Switanek | Social Worker | 1 743 Cr 220, Fleming Island, FL 32003 | 2013-05-16 |
| 1003188475 | Comfortable Care Dental Health Professionals | Dentist | 1647 Country Road 220, Suite 101, Fleming Island, FL 32003 | 2012-02-01 |
| 1285901488 | Lynzie Lane Cammilleri | Pharmacist | 1565 Doctor's Inlet, Orange Park, FL 32003 | 2011-11-17 |
| Find all providers in zip 32003 | ||||
| Taxonomy Code | 207YX0905X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Otolaryngology/Facial Plastic Surgery |
| An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457397499 | John A Fetchero Jr D O P A | Otolaryngology | 1542 Kingsley Ave Ste 140, Orange Park, FL 32073-4547 | 2006-06-20 |
| 1558322610 | David Craig Pearson | Otolaryngology | 1835 East West Parkway, Suite 19, Orange Park, FL 32003 | 2006-03-29 |
| 1912912106 | J D Ruggiero Md Pllc | Otolaryngology | 2035 Professional Center Dr, Suite A, Orange Park, FL 32073-4492 | 2006-07-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740832799 | Aspire Allergy & Sinus of Florida Pllc | Otolaryngology | 31800 Us Highway 19 N, Palm Harbor, FL 34684-3713 | 2019-07-10 |
| 1376970731 | Accent Physician Specialists, P.a. | Otolaryngology | 438 Sw Perimeter Gln, Suite 100, Lake City, FL 32025-0497 | 2013-10-01 |
| 1306190889 | Elliott Solomon | Otolaryngology | 4381 White Cedar Lane, Delray Beach, FL 33445 | 2012-11-05 |
| 1992036933 | Don N. Lerner, Md, P.a. | Otolaryngology | 836 Prudential Dr Ste 1802, Suite 1802, Jacksonville, FL 32207-8345 | 2010-01-14 |
| 1710143987 | Broward Head Neck and Facial Plastic Surgery Pa | Otolaryngology | 2671 Riviera Mnr, Weston, FL 33332-3422 | 2008-08-06 |
| 1356517767 | Jeremy Boyd White | Otolaryngology | 20950 Ne 27th Ct Ste 302, Arc Plastic Surgery, Aventura, FL 33180-1232 | 2008-05-06 |
| 1073709127 | Burger Zapf | Otolaryngology | 411 Walnut St, Green Cove Springs, FL 32043-3443 | 2007-09-22 |
| 1639360258 | Beaches Facial and Nasal Surgery Center | Otolaryngology | 1361 13th Ave S Ste 125, Jacksonville Beach, FL 32250-3260 | 2007-08-08 |
| 1851509889 | Kapil Saigal | Otolaryngology | 1035 N Orlando Ave Ste 205, Winter Park, FL 32789-2213 | 2007-05-21 |
| 1790853091 | Linda J Gardiner | Otolaryngology | 9771 Cypress Lake Dr, Fort Myers, FL 33919-6063 | 2006-12-04 |
| Find all providers with the same taxonomy | ||||
| City | ORANGE PARK |
| Zip Code | 32003 |
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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.