THERON D HAWKINS (NPI# 1851345201) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851345201 |
| Entity Type | Individual |
| Full Name | THERON D HAWKINS |
| Credential | PAC |
| Practice Address |
703 Virginia St Dunedin FL 34698-6615 |
| Practice Telephone | 7277344000 |
| Practice Fax Number | 7277344454 |
| Mailing Telephone | 7277344000 |
| Mailing Fax Number | 7277344454 |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2013-01-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA 9101296 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BCBS | Y00YE | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730510256 | Theron Hawkins | In Home Supportive Care | 11401 Saint James Ct, Northport, AL 35475-4430 | 2013-12-09 |
| 1699817098 | Theron E Hawkins | Nurse Practitioner | 1240 Jesse Jewell Pkwy Se, Suite 500, Gainesville, GA 30501-3862 | 2007-02-13 |
| Street Address |
703 VIRGINIA ST |
| City | DUNEDIN |
| State | FL |
| Zip Code | 34698-6615 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811991540 | Larry R. Levine | Family Medicine | 703 Virginia St, V J Dilella, Do LLC, Dunedin, FL 34698-6615 | 2005-06-10 |
| 1881065746 | Marlena Dietrich | Nurse Practitioner | 703 Virginia St, Dunedin, FL 34698-6615 | 2015-10-16 |
| 1164891644 | Katherine D Dellangelo | Clinical Nurse Specialist | 703 Virginia St, Dunedin, FL 34698-6615 | 2015-09-15 |
| 1407286479 | Cheryl Blank | Nurse Practitioner | 703 Virginia St, Dunedin, FL 34698-6615 | 2013-11-12 |
| 1881026102 | Erika S Carelli | Nurse Practitioner | 703 Virginia St, Dunedin, FL 34698-6615 | 2013-08-09 |
| 1972944015 | Lori Ann Borja | Nurse Practitioner | 703 Virginia St, Dunedin, FL 34698-6615 | 2013-07-16 |
| 1861738817 | Rhonda Gary Jackson | Nurse Practitioner | 703 Virginia St, Dunedin, FL 34698 | 2012-12-19 |
| 1033454624 | Latosha Maria Negrete | Nurse Practitioner | 703 Virginia St, Dunedin, FL 34698-6615 | 2012-12-07 |
| 1861769671 | Dynamic Health Care Services,llc | Clinic/Center | 703 Virginia St, Dunedin, FL 34698-6615 | 2011-11-22 |
| 1649547563 | Brooke Chiodo | Physician Assistant | 703 Virginia St, Dunedin, FL 34698-6615 | 2011-11-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245711803 | Surgcenter Clearwater, LLC | Clinic/Center | 980 Milwaukee Avenue, Dunedin, FL 34698 | 2018-08-22 |
| 1700379112 | Richard A Richert | Counselor | Alternatives In Behavioral Health, 1301 Seminole Blvd, Ste 169, Largo, FL 34698 | 2018-06-11 |
| 1487168506 | Dunedin Chiropractic Inc | Chiropractor | 1059 Broadway Suite C, Dunedin, FL 34698 | 2017-11-28 |
| 1578072039 | Changesu | Clinic/Center | 998 Emerson Drive, Dunedin, FL 34698 | 2017-09-27 |
| 1144680042 | Diane Chonacki | Social Worker | 1835 Santa Barbara Dr, Dunedin, FL 34698 | 2016-03-04 |
| 1801201157 | Beverly Sorrells | Acupuncturist | 595 Main Street, Suite 201, Dunedin, FL 34698 | 2014-06-25 |
| 1215275623 | Izabela Kowal | Internal Medicine | 1460 Beltrees St Ste 1, Dunedin, FL 34698 | 2013-01-18 |
| 1588923346 | Kim T Rohr, Dc Pa | Chiropractor | 1000 Bass Blvd, Dunedin, FL 34698 | 2012-05-14 |
| 1235437500 | Caryn Daley Mcclintock | Registered Nurse | 1930 Dunloe Circle, Dunedin, FL 34698 | 2011-03-10 |
| 1295043073 | Chmiel Corp | Assisted Living Facility | 3240 Cr #1, Dunedin, FL 34698 | 2010-09-15 |
| Find all providers in zip 34698 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558731059 | Saja Said Rum | Physician Assistant | 2812 Saint Marks Dr, Dunedin, FL 34698-1926 | 2015-09-28 |
| 1932307592 | Leona Trent Hamrick | Physician Assistant | 1615 Summit Way, Dunedin, FL 34698-4752 | 2007-07-05 |
| 1326587163 | Benjamin Edward Love | Physician Assistant | 125 Patricia Ave, Dunedin, FL 34698-8100 | 2017-02-13 |
| 1730507674 | Phuong Bui | Physician Assistant | 125 Patricia Ave, Suite B, Dunedin, FL 34698-8100 | 2014-03-28 |
| 1851692800 | James Breen | Physician Assistant | 1022 Main St Ste R, Dunedin, FL 34698-5225 | 2010-11-08 |
| 1265757553 | Leah Yang Faucett | Physician Assistant | 703 Virginia St, Dunedin, FL 34698-6615 | 2010-03-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255931325 | Jonathan Thomas Nusbaum | Physician Assistant | 26160 Angelica Rd, Punta Gorda, FL 33955-1419 | 2020-10-28 |
| 1235738659 | Kevin Marcus Luks | Physician Assistant | 10701 Santa Fe Dr, Hollywood, FL 33026-4955 | 2020-10-19 |
| 1245839521 | Stephanie Clay | Physician Assistant | 3455 Rose Mallow Loop, Oviedo, FL 32766-6648 | 2020-10-19 |
| 1104423755 | Lou Joseph Schneggenburger | Physician Assistant | 10115 Forest Hill Blvd Ste 100, Wellington, FL 33414-6178 | 2020-10-07 |
| 1235744582 | Stephanie Graham | Physician Assistant | 1053 Bernice Rd, Rockledge, FL 32955-2201 | 2020-09-14 |
| 1790399483 | Shyla Imani Kissoon | Physician Assistant | 4830 Nw 7th St, Plantation, FL 33317-1410 | 2020-09-01 |
| 1770193500 | My Physician Online | Physician Assistant | 9540 Nw 23rd St, Coral Springs, FL 33065-4974 | 2020-08-06 |
| 1225647977 | Robert Drew Singleton | Physician Assistant | 17501 Biscayne Blvd Ste 460, Aventura, FL 33160-4806 | 2020-07-29 |
| 1750990974 | Andrea K Webber | Physician Assistant | 8119 Sw State Rd 200, Ocala, FL 34481-3448 | 2020-07-23 |
| 1851919526 | Kyra Panni | Physician Assistant | 3857 Hartwood Ln, Jacksonville, FL 32216-1486 | 2020-07-09 |
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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.