Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1114323490 Individual Practitioner Female Practitioner

Neda Ruth Watanabe , PA-C

Physician Assistant • Fleming Island, FL

Professional Overview & Biography Verified Profile Summary

Neda Watanabe, PA-C is a registered healthcare professional specializing in Physician Assistant in Fleming Island, FL. Practice services are available at 1679 EAGLE HARBOR PKWY STE B under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1679 Eagle Harbor Pkwy Ste B

Fleming Island, FL 320034816

Telephone 9042641958
Fax 9042641677

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Fleming Island, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 7.1 Yrs
State Avg: 11.1 Yrs
Regional Practice Density
24 Specialists

Practicing in Fleming Island, FL (10376 Statewide)

Telehealth Adoption Rate
16.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-08-07
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License FL PA9108361

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Secondary Practice Locations

2800 N 6th St # 5133

Saint Augustine, FL 320841920

Phone: 9044788021

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
NPI 1083791172

Doctor of Medicine (M.D.)

Maria Meek , APRN

Nurse Practitioner - Pediatrics

NPI 1225805708

Advanced Practice Registered Nurse

Kenneth Lown , ARNP

Nurse Practitioner - Pediatrics

NPI 1336182039

Advanced Registered Nurse Practitioner

Meagan Behrman

Nurse Practitioner - Pediatrics

NPI 1407591100
NPI 1538265277

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location August 07, 2023

Registered at 1679 EAGLE HARBOR PKWY STE B, FLEMING ISLAND, FL 320034816 (Tel: 9042641958)

📍
Updated Business Mailing Address August 07, 2023

Registered at 1347 ARDMORE ST, SAINT AUGUSTINE, FL 320923440 (Tel: 9048600332)

👤
Provider Name / Credentials Updated August 07, 2023

Recorded as NEDA WATANABE, PA-C

NPI Profile Active November 13, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location November 13, 2014

Registered at 2676 US 1 S, ST AUGUSTINE, FL 320866191 (Tel: 9047972121)

📍
Updated Business Mailing Address November 13, 2014

Registered at 2654 LANSDOWNE DR, JACKSONVILLE, FL 322114222 (Tel: 9048600332)

👤
Provider Name / Credentials Updated November 13, 2014

Recorded as NEDA KADKHODAIE, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 13, 2014

Physician Assistant (License #PA9108361 in FL)

🟢
Initial NPI Registration & Enumeration November 13, 2014

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1114323490
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 13, 2014
Last Update: August 07, 2023
Sole Proprietor: Yes

Mailing Address

1347 Ardmore St

Saint Augustine, FL 320923440

Phone: 9048600332

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.