MRS. LAURA STEWART GILMORE (NPI# 1912951922) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1912951922 |
Entity Type | Individual |
Full Name | MRS. LAURA STEWART GILMORE |
Credential | P.A. |
Practice Address |
2420 Jenks Ave Suite C-1 Panama City FL 32405-4909 |
Practice Telephone | 8502333376 |
Practice Fax Number | 8505228354 |
Mailing Telephone | 8502333376 |
Mailing Fax Number | 8505228354 |
Enumeration Date | 2006-05-22 |
Last Update Date | 2008-11-18 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA9100649 | FL | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | 307351300 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124257654 | Laura Christine Gilmore | Student in an Organized Health Care Education/Training Program | 1 Medical Center Blvd, Winston Salem, NC 27157-0001 | 2009-07-06 |
1295764108 | Laura Shannon Gilmore | Ophthalmology | 111 N Bailey St, Pryor, OK 74361-4201 | 2006-07-02 |
Street Address |
2420 JENKS AVE SUITE C-1 |
City | PANAMA CITY |
State | FL |
Zip Code | 32405-4909 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619932944 | Stephen H Armistead | Family Medicine | 2420 Jenks Ave, Unit 5, Panama City, FL 32405-4909 | 2006-04-19 |
1003838814 | Linda Jolene Gemsch | Nurse Practitioner | 2420 Jenks Ave, Suite 5, Panama City, FL 32405-4411 | 2006-07-24 |
1396766911 | Bay Family Medicine Pa | Family Medicine | 2420 Jenks Ave, Suite 5, Panama City, FL 32405-4909 | 2006-07-21 |
1962456723 | Michael A Stickler | Specialist | 2420 Jenks Ave, Suite C 1, Panama City, FL 32405-4909 | 2006-05-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457962136 | Kimberlea Fox | Behavioral Analyst | 4750 Collegiate Drive, Technology Building 157, Panama City, FL 32405 | 2020-08-14 |
1598325714 | Covenant Home Health Care, LLC | Home Health | 107 W. 19th Street, Panama City, FL 32405 | 2019-06-19 |
1467921403 | Amy Hancock | Counselor | 1212 W. 19th St., Panama City, FL 32405 | 2018-11-20 |
1063991917 | Patricia Kagendo Mutunga | Day Training, Developmentally Disabled Services | 2813 Fairmont Dr, Panama City, FL 32405 | 2018-08-11 |
1871087882 | Southeastern Dermatology Group Pa | Pharmacy | 2505 Harrison Ave Ste A, Panama City, FL 32405 | 2018-06-22 |
1346733615 | Jessica Nicole Graham | Nurse Practitioner | 2507 Harrison Ave Unit 101, Panama City, FL 32405 | 2018-06-12 |
1437658424 | Coastal Mobility Transportation, LLC | Non-emergency Medical Transport (VAN) | 203 Forest Park Circle, Panama City, FL 32405 | 2018-02-06 |
1003314915 | The Anti-aging Clinic of Northwest Florida | Obstetrics & Gynecology | 3019 Osprey Cir, Panama City, FL 32405 | 2018-01-25 |
1255848487 | Sarah Theriot | Social Worker | 700 W 23rd St Bldg H, Panama City, FL 32405 | 2018-01-09 |
1336686054 | Angela Leake | Registered Nurse | 449 W 23 St, Panama City, FL 32405 | 2017-01-20 |
Find all providers in zip 32405 |
Taxonomy Code | 363AS0400X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Surgical Technologist |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720528367 | Christopher Scarcelli | Physician Assistant | 2943 Highway 77, Panama City, FL 32405-4411 | 2017-03-01 |
1275866501 | Robin D Haussmann | Physician Assistant | 740 Harrison Ave, Panama City, FL 32401-2524 | 2009-09-18 |
1669504056 | Heather Lynn Preisser | Physician Assistant | 2505 Harrison Ave, Panama City, FL 32405-4423 | 2007-03-12 |
1760555270 | Robert E Schmidt | Physician Assistant | 1827 Harrison Ave, Panama City, FL 32405-7605 | 2006-11-15 |
1124134093 | Kevin Edward Rohan | Physician Assistant | 408 W 19th St, Panama City, FL 32405-4602 | 2006-08-22 |
1619918919 | Jeffrey A Hamm | Physician Assistant | 801 E 6th St, Ste 302, Panama City, FL 32401-3699 | 2006-06-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811598691 | Monica Nancy Ginocchio | Physician Assistant | 1020 Crosspointe Dr Ste 110, Naples, FL 34110-0918 | 2020-11-06 |
1427657055 | Alyson Ryall | Physician Assistant | 480 Ventura Pl, Vero Beach, FL 32963-4262 | 2020-10-24 |
1104436476 | Forrest Joseph Steslow | Physician Assistant | 1971 Brandywine Rd Apt 305, West Palm Beach, FL 33409-6800 | 2020-08-03 |
1063039576 | Joshua Bras Prewitt | Physician Assistant | 4800 Linton Blvd Ste 201, Delray Beach, FL 33445-6584 | 2020-06-30 |
1003443904 | Sheila Rhinehart | Physician Assistant | 981 Tarpon Ave, Sebastian, FL 32958-5147 | 2020-03-23 |
1952932493 | Lisel Spieler | Physician Assistant | 1173 Fins Up Ct, Daytona Beach, FL 32124-3719 | 2020-02-03 |
1326685991 | Nikolai X Lincavage | Physician Assistant | 29277 Us Highway 19 N # 29277, Clearwater, FL 33761-2102 | 2019-12-03 |
1356984686 | Zane K Jude | Physician Assistant | 1775 Linton Lake Dr, Delray Beach, FL 33445-6927 | 2019-10-18 |
1720635998 | Jose R Munoz | Physician Assistant | 4801 Esedra Ct Apt 203, Lake Worth, FL 33467-5019 | 2019-08-22 |
1811559578 | Sydney Gillen | Physician Assistant | 1222 S Orange Ave Fl 2, Orlando, FL 32806-1215 | 2019-07-02 |
Find all providers with the same taxonomy |
City | PANAMA CITY |
Zip Code | 32405 |
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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.