DR. PATRICIA JEAN PULWERS (NPI# 1861426421) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861426421 |
| Entity Type | Individual |
| Full Name | DR. PATRICIA JEAN PULWERS |
| Credential | M.D. |
| Practice Address |
440 Kingsley Ave Orange Park FL 32073-4828 |
| Mailing Address |
Po Box 45443 Salt Lake City UT 84145-0443 |
| Practice Telephone | 9042649293 |
| Practice Fax Number | 9042647553 |
| Mailing Telephone | 9042021032 |
| Mailing Fax Number | 9043734107 |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2020-01-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | ME76341 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | RAILROAD MEDICARE | P00963367 | 01 |
| FL | 009417000 | 05 |
| Street Address |
440 KINGSLEY AVE |
| City | ORANGE PARK |
| State | FL |
| Zip Code | 32073-4828 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801888607 | Michael Anthony Stephens | Family Medicine | 440 Kingsley Ave, Orange Park, FL 32073-4828 | 2005-08-17 |
| 1811172448 | Daniel Jacob Palmieri | Nurse Practitioner | 440 Kingsley Ave, Credentialing Department, Orange Park, FL 32073-4828 | 2008-01-02 |
| 1841471828 | Baptist Primary Care Inc | Family Medicine | 440 Kingsley Ave, Orange Park, FL 32073-4828 | 2007-11-19 |
| 1336267392 | Gary E Cain | Physician Assistant | 440 Kingsley Ave, Credentialing Department, Orange Park, FL 32073-4828 | 2007-03-27 |
| 1164530382 | Michael A. Stephens Md Pa | Family Medicine | 440 Kingsley Ave, Orange Park, FL 32073 | 2006-08-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891309423 | Kingsley Endoscopy Center LLC | Clinic/Center | 970 Kingsley Avenue, Orange Park, FL 32073 | 2020-09-01 |
| 1962028688 | Esra Sari | Student in an Organized Health Care Education/Training Program | 2001 Kingsley Avenue., Orange Park Medical Center, Orange Park, FL 32073 | 2020-06-18 |
| 1104441146 | Zeshan Tariq Malik | Student in an Organized Health Care Education/Training Program | 2001 Kingsley Avenue, Office of Graduate Medical Educa, Orange Park, FL 32073 | 2020-06-16 |
| 1902421894 | Ameer Hamza | Student in an Organized Health Care Education/Training Program | 2001, Kingsley Avenue Office of Graduate Medical Educat, Orange Park, FL 32073 | 2020-06-16 |
| 1497378103 | Fawad Ahmed Rashid | Student in an Organized Health Care Education/Training Program | 2001 Kingsley Avenue Office of Graduate Medical Educati, Orange Park, FL 32073 | 2020-05-28 |
| 1477174985 | Hannan Asghar | Student in an Organized Health Care Education/Training Program | Office of Graduate Medical Education 2001 Kingsley, Orange Park, FL 32073 | 2020-05-06 |
| 1902427156 | Emmanuel Iyanuloluwa Morakinyo | Student in an Organized Health Care Education/Training Program | 413 Deer View Avenue, 2001 Kingsley Ave, Orange Park, FL 32073 | 2020-04-29 |
| 1437799327 | Dalande Leger | Behavior Technician | 1563 Kingsley Ave Suite 103, Orange Park, FL 32073 | 2020-01-08 |
| 1215598313 | Mohammad Harisullah Khan | Student in an Organized Health Care Education/Training Program | 2001 Kingsley Ave, Gme Office, Orange Park, FL 32073 | 2019-06-28 |
| 1558927970 | Preetha Kamath | Student in an Organized Health Care Education/Training Program | Orange Park Medical Center, 2001 Kingsley Ave, Orange Park, FL 32073 | 2019-05-10 |
| Find all providers in zip 32073 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811439516 | Baptist Primary Care Inc | Family Medicine | 769 Blanding Blvd, Suite 7, Orange Park, FL 32065-8720 | 2016-11-11 |
| 1538519640 | Johnique C Bennett | Family Medicine | 2300 Park Ave Ste 205, Orange Park, FL 32073 | 2016-06-20 |
| 1275894529 | Stacy Quinn | Family Medicine | 769 Blanding Blvd Ste 7, Orange Park, FL 32065 | 2012-06-04 |
| 1144591249 | David Maynoldi | Family Medicine | 1202 Kingsley Ave, Orange Park, FL 32073-4632 | 2012-01-20 |
| 1710293980 | Ai Belcon | Family Medicine | 1242 Tahoe Ct, Orange Park, FL 32065-6677 | 2010-08-26 |
| 1154502110 | Baptist Primary Care Inc | Family Medicine | 1590 Island Ln, Suite 1, Orange Park, FL 32003-4406 | 2007-11-19 |
| 1265627541 | Gaines C Martin Md Phd Pa | Family Medicine | 1409 Kingsley Ave Ste 9g, Orange Park, FL 32073-4579 | 2007-09-11 |
| 1194854539 | Charles Marshall House Jr. | Family Medicine | 4607 Highway 17 South, Orange Park, FL 32003-7866 | 2007-03-03 |
| 1194851352 | Sharon Lisa Acevedo | Family Medicine | 971 Prairie Dunes Ct, Orange Park, FL 32065-2680 | 2007-02-24 |
| 1568514503 | First Choice Family Practice Pa | Family Medicine | 550 Wells Rd, Suite 17, Orange Park, FL 32073-2969 | 2007-01-18 |
| Find all providers in ORANGE PARK | ||||
| City | ORANGE PARK |
| Zip Code | 32073 |
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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.