TOMOYO PARK (NPI# 1851902571) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851902571 |
| Entity Type | Individual |
| Full Name | TOMOYO PARK |
| Other Name | TOMOYO OHARA |
| Credential | PA-S |
| Practice Address |
2820 Drifting Lilly Loop Kissimmee FL 34747-2203 |
| Practice Telephone | 3212462871 |
| Mailing Telephone | 3212462871 |
| Enumeration Date | 2020-08-14 |
| Last Update Date | 2020-10-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2820 DRIFTING LILLY LOOP |
| City | KISSIMMEE |
| State | FL |
| Zip Code | 34747-2203 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861974073 | Keiler Heberto Moreno Rivero, P.a. | Internal Medicine | 2954 Mallory Cir #200, Kissimmee, FL 34747 | 2018-09-04 |
| 1437644952 | Tri-county Nursing and Rehabilitation Center Inc | Skilled Nursing Facility | 1290 Celebration Blvd, Kissimmee, FL 34747 | 2018-06-27 |
| 1669918579 | Kyle Mcclurg | Specialist/Technologist | 700 S Victory Way, Kissimmee, FL 34747 | 2017-01-17 |
| 1194277913 | Norma Ivelisse Arzola | Counselor | 7519 Pellham Way, Kissimmee, FL 34747 | 2016-10-27 |
| 1528416625 | Guillermo Rivera | Counselor | 8401 Titkos Drive Apt 201, Kissimmee, FL 34747 | 2016-05-31 |
| 1659780625 | Keiler Moreno Rivero | Internal Medicine | 2954 Mallory Cir, Suite 200, Kissimmee, FL 34747 | 2014-08-04 |
| 1538596309 | Chad Black Md, LLC | Family Medicine | 610 Sycamore Street Suite 130, Celebration, FL 34747 | 2013-10-10 |
| 1598046344 | Adventist Health System/sunbelt, Inc. | Non-Pharmacy Dispensing Site | 8201 W. Irlo Bronson Hwy, Kissimmee, FL 34747 | 2011-09-07 |
| 1447467170 | Matthew W Johnston | Orthopaedic Surgery | 410 Celectration Place, Suite 106, Celebration, FL 34747 | 2007-05-16 |
| 1457563538 | Eric Edwin Malek | Specialist/Technologist | 700 South Victory Way, Kissimmee, FL 34747 | 2007-05-03 |
| Find all providers in zip 34747 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306451430 | Namita Hunjen | Physician Assistant | 651 Eagle Pointe S, Kissimmee, FL 34746-6707 | 2020-09-15 |
| 1659986339 | Nickisha Kristina Brown | Physician Assistant | 2605 Eagle Bay Blvd, Kissimmee, FL 34743-6080 | 2020-09-10 |
| 1477178796 | Mia M Stokes | Physician Assistant | 1343 Banbridge Dr, Kissimmee, FL 34758-2732 | 2020-06-11 |
| 1255986428 | Anam Jaffar | Physician Assistant | 1118 Cypress Glen Cir, Kissimmee, FL 34741-7559 | 2019-08-05 |
| 1003327016 | Holly N Jones | Physician Assistant | 1157 Miranda Ln, Kissimmee, FL 34741-0763 | 2017-10-17 |
| 1023490190 | Alyssa Madanick | Physician Assistant | 8201 W Irlo Bronson Memorial Hwy, Kissimmee, FL 34747-8202 | 2015-06-24 |
| 1255659405 | Melissa Amada Rodriguez | Physician Assistant | 2488 E Irlo Bronson Memorial Hwy Ste 203, Kissimmee, FL 34744-4948 | 2010-05-12 |
| 1033444088 | Bria Leigh Bennie | Physician Assistant | 102 Park Place Blvd Ste 3, Kissimmee, FL 34741-2358 | 2009-10-08 |
| 1881847382 | Stacey Lee Farmer | Physician Assistant | 841 East Oak Street, Kissimmee, FL 34744-5838 | 2008-10-28 |
| 1629232335 | Maria Delcarmen Rodriguez-houder | Physician Assistant | 2651 Ham Brown Rd, Kissimmee, FL 34746-3415 | 2008-07-11 |
| Find all providers in KISSIMMEE | ||||
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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.