ROBERT B DEHGAN MD PA (NPI# 1841463601) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841463601 |
| Entity Type | Organization |
| Organization Name | ROBERT B DEHGAN MD PA |
| Practice Address |
6500 Crill Ave Palatka FL 32177-6807 |
| Mailing Address |
460 Osceola Ave Jacksonville FL 32250-4078 |
| Practice Telephone | 3863250570 |
| Mailing Telephone | 9042471919 |
| Mailing Fax Number | 9042460301 |
| Enumeration Date | 2008-04-11 |
| Last Update Date | 2009-09-02 |
| Authorized Official Name | ROBERT B DEHGAN (CEO/ OWNER) |
| Authorized Official Telephone | 9047949180 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 204C00000X | Neuromusculoskeletal Medicine, Sports Medicine | ME16903 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 049429101 | 05 | |
| FL | BCBS | 16803 | 01 |
| FL | RR MEDICARE | 250011286 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750555777 | Robert B Dehgan Md Pa | Neuromusculoskeletal Medicine, Sports Medicine | 460 Osceola Ave, Jacksonville, FL 32250-4078 | 2008-04-22 |
| Street Address |
6500 CRILL AVE |
| City | PALATKA |
| State | FL |
| Zip Code | 32177-6807 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477519361 | Robert Pendrak | Family Medicine | 6500 Crill Ave, Palatka, FL 32177-9230 | 2006-04-21 |
| 1891309340 | Jacksonville Spine Center Pa | Pain Medicine | 6500 Crill Ave, Palatka, FL 32177-9230 | 2020-09-02 |
| 1598395816 | Express Urgent Care, LLC | Clinic/Center | 6500 Crill Ave, Bldg 3 Ste 5, Palatka, FL 32177-9231 | 2020-01-26 |
| 1831748623 | Andrea Margaret Bytheway | Nurse Practitioner | 6500 Crill Ave, Palatka, FL 32177-9230 | 2019-09-05 |
| 1144732504 | Thomas Llewellyn Christopher | Nurse Practitioner | 6500 Crill Ave, Palatka, FL 32177-9230 | 2017-10-25 |
| 1134563679 | E. David Risch, M.d., P.a. | Orthopaedic Surgery | 6500 Crill Ave, E David Risch, Palatka, FL 32177-9230 | 2013-04-27 |
| 1174892830 | Medex Primary Care | Clinic/Center | 6500 Crill Ave, Bldg 3 Ste 1, Palatka, FL 32177-9230 | 2011-12-23 |
| 1376830521 | Courtesy Transport Services, LLC | Ambulance | 6500 Crill Ave, Palatka, FL 32177-9230 | 2011-07-07 |
| 1740504737 | Deanna Wilkinson | Massage Therapist | 6500 Crill Ave, Suite 3, Palatka, FL 32177-6807 | 2010-03-18 |
| 1346481629 | Med Ex | Preferred Provider Organization | 6500 Crill Ave, Palatka, FL 32177-6807 | 2009-03-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174124176 | Charlie Douglas | Pharmacist | 1024 South State Road 19, Pharmacy, Palatka, FL 32177 | 2020-11-05 |
| 1275090359 | Carol M Kazounis | Dietitian, Registered | 2801 Kennedy Strett, Palatka, FL 32177 | 2019-02-26 |
| 1447744768 | Pulido Internal Medicine | Nurse Practitioner | 700 Zeagler Drive, Suite 1, Palatka, FL 32177 | 2018-06-20 |
| 1063922656 | Ronald Michael Wendt | Nurse Practitioner | 3703 Crill Ave, Palatka, FL 32177 | 2017-10-09 |
| 1043560212 | Leslie Ann Lewis | Massage Therapist | 325 Poinsetta Ave, Palatka, FL 32177 | 2012-09-14 |
| 1285984963 | Walgreens | Pharmacy | 719 South State Road 19, Palatka, FL 32177 | 2012-09-11 |
| 1841549235 | Audrey M Russell | Pharmacy Technician | 719 Hwy 19 South, Palatka, FL 32177 | 2012-08-31 |
| 1194023838 | Sherry D. Michael | Licensed Practical Nurse | 330 Kay Larkin Dr., Palatka, FL 32177 | 2011-03-04 |
| 1083846364 | Patricia Kowalchuk | Occupational Therapy Assistant | 6050 St.johns Ave., Suite A, Palatka, FL 32177 | 2009-08-20 |
| 1609015320 | Robin Calhoun | Occupational Therapist | 611 Zeagler Dr., Palatka, FL 32177 | 2009-02-19 |
| Find all providers in zip 32177 | ||||
| Taxonomy Code | 204C00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neuromusculoskeletal Medicine, Sports Medicine |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619912250 | Richard Michael Laubaugh | Neuromusculoskeletal Medicine, Sports Medicine | 700 Zeagler Dr, Suite 4, Palatka, FL 32177-6806 | 2006-06-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649810540 | Charles L Carr Jr Do Pa | Neuromusculoskeletal Medicine, Sports Medicine | 4335 Cheval Blvd, Lutz, FL 33558-5328 | 2020-01-09 |
| 1871057836 | Nextstep Orlando | Neuromusculoskeletal Medicine, Sports Medicine | 330 Harbour Isle Way Unit 1090, Longwood, FL 32750-3979 | 2019-01-24 |
| 1124512371 | Jennifer Lynn Wiersma | Neuromusculoskeletal Medicine, Sports Medicine | 346 Se 5th Ave, Delray Beach, FL 33483-5209 | 2018-06-20 |
| 1548602840 | Shaun Notman | Neuromusculoskeletal Medicine, Sports Medicine | 1700 South Tamiami Trl, Sarasota, FL 34277 | 2013-07-27 |
| 1487920237 | North Florida Treatment Centers, Inc. | Neuromusculoskeletal Medicine, Sports Medicine | 601 N Bumby Ave Ste C, Orlando, FL 32803-4904 | 2012-03-27 |
| 1093049579 | Hem M Bhatt | Neuromusculoskeletal Medicine, Sports Medicine | 2298 Sw Golden Bear Way, Palm City, FL 34990-8803 | 2009-09-30 |
| 1750555777 | Robert B Dehgan Md Pa | Neuromusculoskeletal Medicine, Sports Medicine | 460 Osceola Ave, Jacksonville, FL 32250-4078 | 2008-04-22 |
| 1730383993 | Alfred B Chapman | Neuromusculoskeletal Medicine, Sports Medicine | 1221 Rogers St, Suite B, Clearwater, FL 33756-5900 | 2007-06-12 |
| 1780887760 | Tamarac Physicians Group Inc | Neuromusculoskeletal Medicine, Sports Medicine | 8287 Nw 88th Ave, Tamarac, FL 33321-1541 | 2007-06-07 |
| 1366563066 | Stephen R Wood Do Pa | Neuromusculoskeletal Medicine, Sports Medicine | 13211 Walsingham Rd, Largo, FL 33774-3518 | 2007-04-02 |
| Find all providers with the same taxonomy | ||||
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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.