MRS. AMY C HUBER (NPI# 1922037571) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922037571 |
| Entity Type | Individual |
| Full Name | MRS. AMY C HUBER |
| Other Name | AMY C PISCITELLI |
| Credential | PA |
| Practice Address |
11505 Rangeland Pkwy Bradenton FL 34211-4041 |
| Practice Telephone | 9419070199 |
| Practice Fax Number | 9419070199 |
| Mailing Telephone | 9419076016 |
| Mailing Fax Number | 9419070199 |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2020-05-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA9103707 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 292463300 | 05 | |
| FL | FLORIDA BLUE | Y00WX | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 943 S Beneva Rd, Suite 306, Sarasota, FL 342322476 | 9413628644 | 9419544440 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568859601 | Amy Huber | Family Medicine | 5409 Avenue O, Fort Madison, IA 52627 | 2015-04-15 |
| 1750510657 | Amy Chambers Huber | Social Worker | 5901 Long Dr, Houston, TX 77087-1003 | 2009-07-13 |
| 1437183563 | Amy J Huber | Dermatology | 9570 S Kingston Ct, Suite 100, Englewood, CO 80112 | 2006-07-11 |
| 1215904602 | Amy A Huber | Dermatology | 1455 Union Ave, Memphis, TN 38104-6727 | 2006-03-03 |
| 1548251283 | Amy M Huber | Pediatrics | 10320 W Mcdowell Rd, Avondale, AZ 85323-4863 | 2005-11-02 |
| Street Address |
11505 RANGELAND PKWY |
| City | BRADENTON |
| State | FL |
| Zip Code | 34211-4041 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992702799 | Anthony R Hemmer | Family Medicine | 11505 Rangeland Pkwy, Bradenton, FL 34211-9504 | 2005-07-07 |
| 1184271835 | Lindsey Ann Minick | Physical Therapist | 11505 Rangeland Pkwy, Bradenton, FL 34211-4041 | 2019-08-19 |
| 1710539416 | Justin Lee Russell | Physician Assistant | 11505 Rangeland Pkwy, Bradenton, FL 34211-4041 | 2019-07-12 |
| 1003310103 | Amber Swartz | Nurse Practitioner | 11505 Rangeland Pkwy, Bradenton, FL 34211-4041 | 2018-03-22 |
| 1649680562 | Ryan Asterita | Internal Medicine | 11505 Rangeland Pkwy, Bradenton, FL 34211-4041 | 2014-04-30 |
| 1952735219 | Mark A. Dreyer | Podiatrist | 11505 Rangeland Pkwy, Bradenton, FL 34211-4041 | 2013-08-22 |
| 1902152358 | Alexander L Thacker | Family Medicine | 11505 Rangeland Pkwy, Bradenton, FL 34211-4041 | 2012-08-02 |
| 1699082800 | Ian M Walsh | Physical Therapist | 11505 Rangeland Pkwy, Bradenton, FL 34211-4041 | 2010-09-09 |
| 1811123680 | Elizabeth Anne Kimsey | Nurse Practitioner | 11505 Rangeland Pkwy, Bradenton, FL 34211-9504 | 2009-06-06 |
| 1295998292 | Fariba M Donovan | Internal Medicine | 11505 Rangeland Pkwy, Bradenton, FL 34211-4041 | 2008-07-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265075261 | Lifestream Family Medicine P.a. | Family Medicine | 1957 Worth Court, Bradenton, FL 34211 | 2019-10-22 |
| 1457992414 | Center for Home Dialysis At Lakewood Ranch LLC | Clinic/Center | 1939 Worth Court, Lakewood Ranch, FL 34211 | 2019-10-01 |
| 1811468143 | Life Pharmacy Inc | Pharmacy | 4144 Lakewood Ranch Blvd, Bradenton, FL 34211 | 2018-12-16 |
| 1326557349 | Fabio Rodriguez | Student in an Organized Health Care Education/Training Program | 5000 Lakewood Ranch Blvd, Bradenton, Fl 34211, Bradenton, FL 34211 | 2017-09-21 |
| 1972906121 | Linda Michelle Sizler | Social Worker | 5460 Lena Road, Suite 103, Bradenton, FL 34211 | 2014-10-02 |
| 1972911147 | Cory Matthew Collier | Optometrist | 5489 Lena Rd, Bradenton, FL 34211 | 2014-07-31 |
| 1184069312 | Cassandra Lucia D'addeo | Marriage & Family Therapist | 5454 Lena Rd Unit 106, Bradenton, FL 34211 | 2013-05-01 |
| 1073764338 | Lyndsey K Nalu | Audiologist | 11041 Gatewood Dr, Lakewood Ranch, FL 34211 | 2008-10-06 |
| 1245412451 | Richard A Saladino | Clinic/Center | 11009 Gatewood Dr, #103, Bradenton, FL 34211 | 2007-11-29 |
| 1568528461 | Yusef Cornel Barnes | Chiropractor | 1859 Lakewood Ranch Blvd, Bradenton, FL 34211 | 2006-12-28 |
| Find all providers in zip 34211 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548588262 | Michael John Dale | Physician Assistant | 6110 S.r. 70 East (53rd Ave), Bradenton, FL 34203 | 2010-05-05 |
| 1548463516 | Wanda Rivera | Physician Assistant | 3600 Lake Bayshore Dr Unit 502, Bradenton, FL 34205-9050 | 2007-06-07 |
| 1750416582 | Dominic Louis Sorrentino Jr. | Physician Assistant | 8648 E State Road 70, Bradenton, FL 34202-3785 | 2007-02-22 |
| 1295770816 | John E Darovec Jr. | Physician Assistant | 3649 Cortez Rd W, Bradenton, FL 34210-3106 | 2006-06-18 |
| 1003883299 | Patricia Anne Keefe | Physician Assistant | 4647 Manatee Avenue W, Bradenton, FL 34209-3816 | 2006-03-07 |
| 1063402006 | Roger Cordial | Physician Assistant | 315 75th St West, Pinnacle Urgent Care, Bradenton, FL 34209 | 2005-10-21 |
| 1184257255 | Erika Burbano | Physician Assistant | 1886 59th St W, Bradenton, FL 34209-4630 | 2020-02-18 |
| 1811539042 | Joseph Burke | Physician Assistant | 6110 State Road 70 E, Bradenton, FL 34203-9712 | 2019-10-09 |
| 1619419314 | Jashira Ruperto-swalls | Physician Assistant | 2020 59th St W, Bradenton, FL 34209-4604 | 2016-11-11 |
| 1871943209 | Laura Yvonne Vanhandel | Physician Assistant | 315 75th St W, Bradenton, FL 34209 | 2016-06-16 |
| Find all providers in BRADENTON | ||||
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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.