MRS. JOAN KATHERINE WAHL (NPI# 1861689192) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861689192 |
| Entity Type | Individual |
| Full Name | MRS. JOAN KATHERINE WAHL |
| Credential | PA-C |
| Practice Address |
10115 W Forest Hill Blvd Suite 100 Wellington FL 33414-3105 |
| Practice Telephone | 5617982425 |
| Practice Fax Number | 5617986356 |
| Mailing Telephone | 5617982425 |
| Mailing Fax Number | 5617986356 |
| Enumeration Date | 2007-10-01 |
| Last Update Date | 2007-10-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA9100955 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | FL STATE LICENSE | PA9100955 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720453392 | Joan Susan Wahl | Nurse Practitioner | 6722 State Route 132 Ste A, Goshen, OH 45122-9346 | 2015-12-08 |
| Street Address |
10115 W FOREST HILL BLVD SUITE 100 |
| City | WELLINGTON |
| State | FL |
| Zip Code | 33414-3105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073518130 | Lawrence Russell Bergman | Pediatrics | 10115 W Forest Hill Blvd, Ste 303, Wellington, FL 33414-3102 | 2005-06-16 |
| 1710289780 | Western Surgical Specialists Pa | Surgery | 10115 W Forest Hill Blvd, Suite 302, Wellington, FL 33414-3105 | 2010-11-24 |
| 1952538167 | Prime Md LLC | Family Medicine | 10115 W Forest Hill Blvd, Suite 102, Wellington, FL 33414-3105 | 2009-06-15 |
| 1588838742 | Andrew J Shapiro Md Pa | Surgery | 10115 W Forest Hill Blvd, Suite 405, Wellington, FL 33414-3105 | 2008-04-18 |
| 1821284316 | Palm Beach Podiatric Center | Podiatrist | 10115 W Forest Hill Blvd, Suite 302, Wellington, FL 33414-3105 | 2007-09-19 |
| 1417075326 | Sandra E. Aneti | Internal Medicine | 10115 W Forest Hill Blvd, Suite 200, Wellington, FL 33414-3105 | 2007-03-27 |
| 1962547109 | Jeffrey Carl Lerner | Podiatrist | 10115 W Forest Hill Blvd, Suite 302, Wellington, FL 33414-3105 | 2007-02-21 |
| 1689742157 | South Florida Center of Gastroenterology | Internal Medicine | 10115 W Forest Hill Blvd, Suite 100, Wellington, FL 33414-3105 | 2006-12-01 |
| 1003909888 | Gastrocare, LLP | Internal Medicine | 10115 W Forest Hill Blvd, Suite 100, Wellington, FL 33414-3105 | 2006-10-02 |
| 1487760856 | David G. Simon | Dentist | 10115 W Forest Hill Blvd, Suite 301, Wellington, FL 33414-3105 | 2006-08-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932707247 | Juana Maria Gonzales | Home Health | 2766 Penhall Ct, Wellington, FL 33414 | 2020-10-09 |
| 1821601089 | Wellington Rehab and Health Center, LLC | Skilled Nursing Facility | 10330 Nu Vista Ave, Wellington, FL 33414 | 2020-08-27 |
| 1730661158 | Michelle Alexis Anagnostu | Nurse Practitioner | 1447 Medical Park Blvd Suite 406, Wellington, FL 33414 | 2018-09-01 |
| 1932686193 | Borola Inc | Occupational Therapy Assistant | 1985 Canterbury Circle, Wellington, FL 33414 | 2018-07-20 |
| 1841783156 | Kid'z World Advance Inc | Behavioral Analyst | 2400 Wrotham Ter, Wellington, FL 33414 | 2018-06-11 |
| 1134619489 | Devin Michael Scheller | Counselor | 2077 Vinings Circle Apt 1303, Wellington, FL 33414 | 2018-05-12 |
| 1942726617 | Amanda Hardy | Social Worker | 11120 South Way, Suite 1, Wellington, FL 33414 | 2017-08-15 |
| 1467976423 | Dawn Carnegia Blackshear | Nurse Practitioner | 1397 Medical Park Blvd Ste 480, Wellington, FL 33414 | 2017-08-01 |
| 1508390238 | Morgan Mccollum | Speech-Language Pathologist | 2158 Polo Gardens Dr Apt 203, Wellington, FL 33414 | 2017-04-19 |
| 1003369786 | Memite G Charlemagne | Registered Nurse | 184 Berenger Walk, Royal Palm Beach, FL 33414 | 2016-07-28 |
| Find all providers in zip 33414 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104423755 | Lou Joseph Schneggenburger | Physician Assistant | 10115 Forest Hill Blvd Ste 100, Wellington, FL 33414-6178 | 2020-10-07 |
| 1528536810 | Jihan Inez Ramadan | Physician Assistant | 2655 S State Road 7, Wellington, FL 33414-9377 | 2018-11-05 |
| 1235530320 | Kathleen Trummer | Physician Assistant | 2257 Balsan Way, Wellington, FL 33414-6435 | 2014-09-09 |
| 1235530486 | Stacie Buchanan Campbell | Physician Assistant | 10111 Forest Hill Blvd #100, 100, Wellington, FL 33414 | 2014-09-08 |
| 1144281353 | Dean Ernest Evans | Physician Assistant | 11924 Forest Hill Blvd # 10a-243, Wellington, FL 33414-6256 | 2006-03-29 |
| 1932500949 | Olivia Presas | Physician Assistant | 10140 Forest Hill Blvd, Suite 150, Wellington, FL 33414-6125 | 2014-09-09 |
| 1154629541 | Isha Kothari | Physician Assistant | 1157 S State Road 7, Wellington, FL 33414-6101 | 2011-03-09 |
| 1427242239 | Tina M Mitterling | Physician Assistant | 508 Dickson St, Wellington, OH 44090-1300 | 2007-09-05 |
| 1376577536 | Annette Linnebur | Physician Assistant | 507 E 16th St, Ste 1, Wellington, KS 67152-2828 | 2006-07-11 |
| 1124059159 | Andrea P Krasniansky | Physician Assistant | 3319 State Road 7, Suite 313, Wellington, FL 33449 | 2006-07-06 |
| Find all providers in WELLINGTON | ||||
| City | WELLINGTON |
| Zip Code | 33414 |
Please comment or provide details below to improve the information on MRS. JOAN KATHERINE WAHL.
| 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.