MR. WORTHINGTON S. KEVILLE III


Address: 1355 37th St, Suite 301, Vero Beach, FL 32960-7321
Phone: 7729787808

MR. WORTHINGTON S. KEVILLE III (NPI# 1881623536) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1881623536
Entity Type Individual
Full Name MR. WORTHINGTON S. KEVILLE III
Credential P.A-C
Practice Address 1355 37th St
Suite 301
Vero Beach
FL 32960-7321
Practice Telephone 7729787808
Practice Fax Number 7729789320
Mailing Telephone 7729787808
Mailing Fax Number 7729789320
Enumeration Date 2006-07-02
Last Update Date 2013-06-11
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AS0400X Physician Assistant
Specialization: Surgical Technologist
PA2528 FL Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
FL RAILROAD MEDICARE 970025675 01

Office Location

Street Address 1355 37TH ST
SUITE 301
City VERO BEACH
State FL
Zip Code 32960-7321

Providers in the same location

NPI Name Taxonomy Address Enumeration
1265423966 Nancy L Herman Nurse Practitioner 1355 37th St, Suite 302, Vero Beach, FL 32960-7321 2005-11-02
1366818973 Andrew Joseph Prestianni Physician Assistant 1355 37th St, Suite 303, Vero Beach, FL 32960-7321 2015-08-18
1588933055 Michele Land Physical Therapist 1355 37th St, Suite 401, Vero Beach, FL 32960-7321 2011-12-29
1053642348 Michael P Tonner Md Pa Internal Medicine 1355 37th St, Ste 302, Vero Beach, FL 32960-7321 2010-01-26
1861633968 L. Brian Robinson, Dpm, Pa Podiatrist 1355 37th St, Suite 402, Vero Beach, FL 32960-7321 2009-03-19
1235329814 Anesthesia Associates of Vero Beach Pa Anesthesiology 1355 37th St, Suite 304, Vero Beach, FL 32960-7321 2007-07-30
1700085735 William P Cooney IIi Md Pa Orthopaedic Surgery 1355 37th St, Suite 301, Vero Beach, FL 32960-7321 2007-07-11
1093929176 Bruce David Kirchner Specialist 1355 37th St, Suite 301, Vero Beach, FL 32960-7321 2007-05-09
1437374683 Marcus J Malone Physical Medicine & Rehabilitation 1355 37th St, Ste 301, Vero Beach, FL 32960-7321 2007-04-14
1770601866 Medical Specialty Procedures, Lc Clinic/Center 1355 37th St, Suite 304, Vero Beach, FL 32960-7321 2007-03-27
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1891208872 Fresenius Medical Care Vero Beach, LLC Clinic/Center 1515 Indian River Blvd Ste A101, Vero Beach, FL 32960 2017-11-13
1972016103 Rer Enterprises, Inc. Durable Medical Equipment & Medical Supplies 2436 Us 1, Vero Beach, FL 32960 2017-11-09
1225558141 Robby John Caballes Podiatrist 3735 11th Circle Ste 201, Vero Beach, FL 32960 2017-06-21
1407388978 Haley Elizabeth Stewart Counselor 1925 20th Street, Vero Beach, FL 32960 2017-04-03
1861932949 Daniel Martin Specialist/Technologist 4025 20th Street, Vero Beach, FL 32960 2017-03-08
1770957367 Gail Jaffe Satuloff Counselor Terry Mindfulness Center, 333 17th St., Suite 2t, Vero Beach, FL 32960 2015-11-19
1104213172 Kimberly Ann Aikey Massage Therapist 1715 37th Place #3, Vero Beach, FL 32960 2015-04-17
1992128482 Jean Luc Franck Internal Medicine 920 37th Pl Ste 105, Vero Beach, FL 32960 2014-02-04
1417386624 Ocean Addiction Recovery Services, LLC Anesthesiology 1705 19 Pl, Ste E-2, Vero Beach, FL 32960 2013-11-07
1609203835 Cynthia S. Crawford, M.d. Pa Physical Medicine & Rehabilitation 1986 35th Avenue, Vero Beach, FL 32960 2013-10-02
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Taxonomy Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1427657055 Alyson Ryall Physician Assistant 480 Ventura Pl, Vero Beach, FL 32963-4262 2020-10-24
1598250623 Marlee Knuth Physician Assistant 3450 11th Ct Ste 302, Vero Beach, FL 32960-5012 2018-07-01
1669464053 John A Lambert Physician Assistant 4196 79th St, Vero Beach, FL 32967-5634 2005-08-22
1598309403 Alexander Dees Physician Assistant 1155 35th Ln Ste 100, Vero Beach, FL 32960 2019-11-04
1093224669 Donatas Dudutis Physician Assistant 1260 37th St Ste 102, Vero Beach, FL 32960-6567 2017-09-26
1043475593 Physician Assistant Services of The Treasure Coast Physician Assistant 1000 36th St, Vero Beach, FL 32960-4862 2008-07-24
1093873226 Indian River Assisting Services Pa Physician Assistant 1000 36th St, Vero Beach, FL 32960-4862 2006-12-04
1467400291 Indian River Surgical Service Corp. Physician Assistant 4196 79th St, Vero Beach, FL 32967-5634 2006-05-04
1629043724 Margaret G Leddy Physician Assistant 1155 35th Ln, Suite 100, Vero Beach, FL 32960-6521 2006-02-22
1730154790 Mark Mathew Lucero Physician Assistant 1000 36th St, Vero Beach, FL 32960-4862 2006-02-22
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Competitor

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City VERO BEACH
Zip Code 32960

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Dataset Information

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.

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