MRS. CYNTHIA MCKEON (NPI# 1942240924) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1942240924 |
Entity Type | Individual |
Full Name | MRS. CYNTHIA MCKEON |
Credential | PHYSICIAN ASSISTANT |
Practice Address |
2900 W Midway Rd Fort Pierce FL 34981-4955 |
Practice Telephone | 7724670961 |
Practice Fax Number | 7724676683 |
Mailing Telephone | 7724670961 |
Mailing Fax Number | 7724676683 |
Enumeration Date | 2006-06-07 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | X |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA9100890 | FL | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | STATE LICENSE NUMBER | PA9100890 | 01 |
Street Address |
2900 W MIDWAY RD |
City | FORT PIERCE |
State | FL |
Zip Code | 34981-4955 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831542851 | Carly Jones | Nurse Practitioner | 2900 W Midway Rd, Fort Pierce, FL 34981 | 2016-07-14 |
1518111012 | Julie Diane Clute | Nurse Practitioner | 2900 W Midway Rd, Fort Pierce, FL 34981-4955 | 2008-11-11 |
1124036819 | Kids Health Place | Pediatrics | 2900 W Midway Rd, Fort Pierce, FL 34981-4955 | 2006-08-04 |
1356381446 | David Garth Walters | Pediatrics | 2900 W Midway Rd, Fort Pierce, FL 34981-4955 | 2006-06-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477033173 | Florida Center for Recovery Inc. | Clinic/Center | 3463 W. Midway Rd., Ft Pierce, FL 34981 | 2018-08-21 |
1003225996 | Beth A Hutchinson | Occupational Therapy Assistant | 4715 Kirby Loop Road, Fort Pierce, FL 34981 | 2014-08-05 |
1538419106 | Jessica Lynn Brinkerhoff | Social Worker | 2920 S 25th St., Ft. Pierce, FL 34981 | 2012-09-11 |
1407105620 | Shanedelle Norford | Pathology | 2500 S 35th St, Fort Pierce, FL 34981 | 2012-09-04 |
1710271333 | Fort Pierce Family Care, Inc. | Clinic/Center | 3851 Virginia Avenue, Fort Pierce, FL 34981 | 2011-05-31 |
1194030155 | Grace Therapies, LLC. | Speech-Language Pathologist | 4715 Kirby Loop Rd, Fort Pierce, FL 34981 | 2010-08-15 |
1184817934 | John Anthony Schwerer | Dentist | 4634 S 25th St, Ft Pierce, FL 34981 | 2007-08-24 |
1134299753 | Associated Coastal Ear Nose & Throat Physicians Pa | Otolaryngology | 4632 S. 25th Street, Fort Pierce, FL 34981 | 2006-11-09 |
1720180912 | Mary E Thomas | Social Worker | 4500 West Midway Road, Fort Pierce, FL 34981 | 2006-09-01 |
1598876088 | Hospice of The Treasure Coast Inc | Hospice Care, Community Based | 5000-5090 Dunn Road, Fort Pierce, FL 34981 | 2006-08-31 |
Find all providers in zip 34981 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235567116 | Nathan Wade | Physician Assistant | 3851 Virginia Ave, Fort Pierce, FL 34981-5515 | 2013-10-31 |
1083931901 | Jean Rodrigue Dossous | Physician Assistant | 2212 Okeechobee Rd, Fort Pierce, FL 34950-6551 | 2010-05-02 |
1669565693 | Danielle Dean | Physician Assistant | 2401 Frist Blvd Ste 4, Fort Pierce, FL 34950-4800 | 2006-10-02 |
1780690891 | Heather Ann Howard | Physician Assistant | 1801 S 23rd St # 9, Fort Pierce, FL 34950-4830 | 2006-07-31 |
1477001717 | Michael Jared Hobbs | Physician Assistant | 4995 S Us Highway 1, Fort Pierce, FL 34982-7079 | 2016-09-15 |
1306393145 | Lauren Leeflang | Physician Assistant | 356 E Midway Rd, Fort Pierce, FL 34982-7148 | 2016-09-09 |
1760887210 | Michael Jareth Swanson | Physician Assistant | 2402 Frist Blvd, Suite 204, Fort Pierce, FL 34950-4838 | 2014-10-27 |
1568520088 | Renee Levy | Physician Assistant | 2011 S 25th St Ste 105, Fort Pierce, FL 34947-4795 | 2006-12-05 |
1689770182 | Robert J. Schaffer | Physician Assistant | 1505 Delaware Ave, Fort Pierce, FL 34950-3975 | 2006-09-15 |
1336152172 | Tracey Ann Miller Warren | Physician Assistant | 1505 Delaware Ave, Fort Pierce, FL 34950-3975 | 2006-08-14 |
Find all providers in FORT PIERCE |
City | FORT PIERCE |
Zip Code | 34981 |
Please comment or provide details below to improve the information on MRS. CYNTHIA MCKEON.
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.