SARA KAY PROCTOR (NPI# 1790119923) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790119923 |
| Entity Type | Individual |
| Full Name | SARA KAY PROCTOR |
| Credential | PA |
| Practice Address |
3228 San Jose Mission Dr Dover FL 33527-4746 |
| Mailing Address |
2510 W Shell Point Rd Lot 151 Ruskin FL 33570-3110 |
| Practice Telephone | 8137077376 |
| Practice Fax Number | 8137077417 |
| Mailing Telephone | 8139448144 |
| Mailing Fax Number | 8137077417 |
| Enumeration Date | 2013-08-23 |
| Last Update Date | 2013-08-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA2530 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3228 SAN JOSE MISSION DR |
| City | DOVER |
| State | FL |
| Zip Code | 33527-4746 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750744033 | Erixis Lopez | Physician Assistant | 3228 San Jose Mission Dr, Dover, FL 33527-4746 | 2016-04-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891308052 | Learn 2 Speak LLC | Speech-Language Pathologist | 1505 Ringmore Ct, Dover, FL 33527 | 2020-08-27 |
| 1336570555 | Sarah Jane Connatser | Custodial Care Facility | 14576 Blackjack Rd, Dover, FL 33527 | 2013-12-13 |
| 1417207838 | Rudolf Bigord | Case Manager/Care Coordinator | 1712 Abbey Trace Drive, Tampa, FL 33527 | 2012-09-13 |
| 1689944381 | Walgreens | Health Maintenance Organization | 13213 Shady Stables Lane, Dover, FL 33527 | 2012-01-11 |
| 1376553883 | Suncoast Community Health Center Inc | Pharmacy | 14254 Sr 574 Bvld, Dover, FL 33527 | 2006-08-08 |
| 1144657834 | Barefoot Birth | Midwife | 1319 Sydney Washer Rd, Dover, FL 33527 | 2013-09-26 |
| 1023187424 | Edward Craig Reller | Internal Medicine | 14254 State Road 574, Dover, FL 33527 | 2006-11-07 |
| 1194156489 | Rafael Avecillas | Assisted Living Facility | 2644 Fritzke Rd, Dover, FL 33527-3433 | 2013-12-11 |
| 1669871711 | Christina Trang Nguyen | Pharmacist | 9550 Gallagher Rd, Dover, FL 33527-3604 | 2014-08-14 |
| 1043615693 | Donald Edward Smith | Pharmacist | 9550 Gallagher Rd, Dover, FL 33527-3604 | 2014-10-24 |
| Find all providers in zip 33527 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003986837 | Erin Chudzik-pryor | Physician Assistant | 125 Greentree Dr # 1, Dover, DE 19904-7648 | 2006-11-09 |
| 1073698619 | Breckinridge Sievers Smith II | Physician Assistant | Kent General Hospital Emergency Department, 640 South State St., Dover, DE 19901 | 2006-10-25 |
| 1184643975 | Denise Anne Hanley Gagnon | Physician Assistant | 701 Central Ave, Dover, NH 03820-3403 | 2006-07-19 |
| 1275507915 | Paul Thomas Ciechoski | Physician Assistant | 175 Pickett Rd, Dover, PA 17315-3125 | 2006-02-16 |
| 1912559782 | Taras Yurchenko | Physician Assistant | 1100 Forrest Ave, Dover, DE 19904-3309 | 2019-07-11 |
| 1114410602 | Sierra Rose Palochak | Physician Assistant | 1113 S State St, Dover, DE 19901-4112 | 2018-06-11 |
| 1841783479 | Claire O'connell | Physician Assistant | 540 S Governors Ave Ste 101a, Dover, DE 19904-3530 | 2018-06-08 |
| 1386135887 | Leland Davis IIi | Physician Assistant | 789 Central Ave, Dover, NH 03820-2526 | 2018-05-21 |
| 1962910604 | Desiree Villeneuve | Physician Assistant | 789 Central Ave, Dover, NH 03820-2526 | 2018-01-16 |
| 1679098818 | Jill A. Oliver | Physician Assistant | 770 Central Ave, Dover, NH 03820-3437 | 2017-08-09 |
| Find all providers in DOVER | ||||
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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.