KYLE HARRIS (NPI# 1821639451) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821639451 |
| Entity Type | Individual |
| Full Name | KYLE HARRIS |
| Credential | PA-C |
| Practice Address |
2884 Wellness Ave Ste 100 Orange City FL 32763 |
| Mailing Address |
2884 Wellness Ave Ste 100 Orange City FL 32763-8427 |
| Practice Telephone | 3866682221 |
| Mailing Telephone | 3866682221 |
| Enumeration Date | 2019-10-04 |
| Last Update Date | 2020-04-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
PA9112709 | FL | Allopathic & Osteopathic Physicians |
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4016 Maguire Blvd Apt 3111, Orlando, FL 328037216 | 7726962066 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891144283 | Kyle Harris | Student in an Organized Health Care Education/Training Program | 4481 Sugar Maple Dr., Wright Patterson Afb, OH 45433 | 2016-06-07 |
| 1457765463 | Kyle Harris | Specialist/Technologist | 970 Bordentown Rd, Burlington, NJ 08016-1902 | 2014-06-17 |
| 1528251964 | Kyle William Harris | Dentist | 711 Quandt Ave, Springdale, AR 72764-5351 | 2007-08-20 |
| 1114566221 | Kyle Patrick Harris | Behavior Technician | 1901 Royal Oaks Dr Ste 201, Sacramento, CA 95815-4235 | 2020-01-06 |
| 1841629516 | Kyle Harris | Nurse Practitioner | 1975 Highway 54 W, Fayetteville, GA 30214-4794 | 2013-11-04 |
| 1336581396 | Kyle Harris | Pharmacist | 18433 N 19th Ave, Phoenix, AZ 85023-1359 | 2013-07-18 |
| 1497099485 | Kyle Jones Harris | Nurse Anesthetist, Certified Registered | 51 N 39th St, Ppmc 223 Wright/saunders, Philadelphia, PA 19104-2640 | 2012-11-15 |
| 1588977334 | Kyle Thomas Harris | Pharmacist | 707 N Laurel Rd, London, KY 40741-6025 | 2010-07-22 |
| Street Address |
2884 WELLNESS AVE STE 100 |
| City | ORANGE CITY |
| State | FL |
| Zip Code | 32763 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760456677 | Dany Shamoun | Internal Medicine | 2884 Wellness Ave Ste 100, Orange City, FL 32763-8427 | 2006-02-15 |
| 1457999385 | Amita Kaur Glamour | Internal Medicine | 2884 Wellness Ave Ste 100, Orange City, FL 32763-8427 | 2019-12-10 |
| 1427549799 | Lalaine Dela Cruz | Internal Medicine | 2884 Wellness Ave Ste 100, Orange City, FL 32763-8427 | 2018-05-22 |
| 1003214362 | Caroline Brooke Epstein | Internal Medicine | 2884 Wellness Ave Ste 100, Orange City, FL 32763-8397 | 2014-12-18 |
| 1942604798 | Purvi Amin | Internal Medicine | 2884 Wellness Ave Ste 100, Orange City, FL 32763-8427 | 2014-10-21 |
| 1457654113 | Lorenc Kalaveshi | Internal Medicine | 2884 Wellness Ave Ste 100, Orange City, FL 32763-8427 | 2010-12-17 |
| 1295900108 | Jennifer Ann Sinclair | Internal Medicine | 2884 Wellness Ave Ste 100, Orange City, FL 32763-8427 | 2008-04-23 |
| 1821167230 | Gastroenterology of Greater Orlando | Internal Medicine | 2884 Wellness Ave Ste 100, Orange City, FL 32763-8427 | 2006-11-07 |
| 1275633737 | Karl Tq Mersich | Internal Medicine | 2884 Wellness Ave Ste 100, Orange City, FL 32763-8397 | 2006-09-25 |
| 1255449179 | Vishal Gupta | Internal Medicine | 2884 Wellness Ave Ste 100, Orange City, FL 32763-8427 | 2006-08-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043852783 | Khushboo Patel | Nurse Practitioner | 915 Harley Strickland Blvd, Orange City, FL 32763 | 2019-10-15 |
| 1598325466 | Steves Hearingllc | Hearing Aid Equipment | 742 N Volucia Ave., Orange City, FL 32763 | 2019-06-13 |
| 1740762194 | Jamie Elizabeth Price | Speech-Language Pathologist | 2705 Rebecca Lane Suite B, Orange City, FL 32763 | 2018-09-02 |
| 1841771821 | Ashley Katherine Taylor | Early Intervention Provider Agency | 358 W Wisconsin Ave, Orange City, FL 32763 | 2018-08-27 |
| 1033636048 | Kimberly Michelle Belk | Social Worker | 300 Treemonte Dr, Orange City, FL 32763 | 2017-08-30 |
| 1588198733 | Adventist Health System/sunbelt, Inc. | Clinic/Center | 1320 Saxon Blvd, Orange City, FL 32763 | 2017-04-14 |
| 1629515333 | Anewerface, Inc | Clinic/Center | Address: 123 N Industrial Dr Ste C, Orange City, FL 32763 | 2017-01-20 |
| 1184073322 | Carolyn Ann Damato | Specialist/Technologist, Other | 1350 13th Street, Orange City, FL 32763 | 2016-06-08 |
| 1225451784 | Shamika Spencer | Nurse Practitioner | 932 Saxon Blvd Ste A, Orange City, FL 32763 | 2014-02-03 |
| 1972882314 | Orange City Anesthesia Services LLC | Anesthesiology | 975 Town Center Dr Ste 100, Orange City, FL 32763 | 2011-08-16 |
| Find all providers in zip 32763 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083663819 | Saad M Khan | Internal Medicine | 2541 S Volusia Ave Ste 300, Orange City, FL 32763-9116 | 2006-05-09 |
| 1760456677 | Dany Shamoun | Internal Medicine | 2884 Wellness Ave Ste 100, Orange City, FL 32763-8427 | 2006-02-15 |
| 1457999385 | Amita Kaur Glamour | Internal Medicine | 2884 Wellness Ave Ste 100, Orange City, FL 32763-8427 | 2019-12-10 |
| 1427549799 | Lalaine Dela Cruz | Internal Medicine | 2884 Wellness Ave Ste 100, Orange City, FL 32763-8427 | 2018-05-22 |
| 1003214362 | Caroline Brooke Epstein | Internal Medicine | 2884 Wellness Ave Ste 100, Orange City, FL 32763-8397 | 2014-12-18 |
| 1942604798 | Purvi Amin | Internal Medicine | 2884 Wellness Ave Ste 100, Orange City, FL 32763-8427 | 2014-10-21 |
| 1821167230 | Gastroenterology of Greater Orlando | Internal Medicine | 2884 Wellness Ave Ste 100, Orange City, FL 32763-8427 | 2006-11-07 |
| 1275633737 | Karl Tq Mersich | Internal Medicine | 2884 Wellness Ave Ste 100, Orange City, FL 32763-8397 | 2006-09-25 |
| 1255449179 | Vishal Gupta | Internal Medicine | 2884 Wellness Ave Ste 100, Orange City, FL 32763-8427 | 2006-08-29 |
| 1679507925 | Central Florida Gastroenterology P A | Internal Medicine | 1053 Medical Center Dr, Suite 251, Orange City, FL 32763-8260 | 2006-07-11 |
| Find all providers in ORANGE CITY | ||||
| City | ORANGE CITY |
| Zip Code | 32763 |
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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.