MR. JAMES FALLON JEFFREY


Address: 201 Health Park Blvd, Suite 105, St Augustine, FL 32086-5796
Phone: 9048241776

MR. JAMES FALLON JEFFREY (NPI# 1013074004) 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) 1013074004
Entity Type Individual
Full Name MR. JAMES FALLON JEFFREY
Credential PA-C
Practice Address 201 Health Park Blvd
Suite 105
St Augustine
FL 32086-5796
Mailing Address 1507 San Rafael Way
St Augustine
FL 32080-5310
Practice Telephone 9048241776
Practice Fax Number 9048251270
Mailing Telephone 9042172497
Enumeration Date 2007-01-02
Last Update Date 2011-09-13
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant PA-9101291 FL Physician Assistants & Advanced Practice Nursing Providers
N 363AM0700X Physician Assistant
Specialization: Medical
PA- 9101291 FL Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
FL PA LICENSE # PA-9101291 01

Office Location

Street Address 201 HEALTH PARK BLVD
SUITE 105
City ST AUGUSTINE
State FL
Zip Code 32086-5796

Providers in the same location

NPI Name Taxonomy Address Enumeration
1952364713 John S Koppman Surgery 201 Health Park Blvd, Suite 103, St Augustine, FL 32086-5796 2006-04-11
1235505355 Flagler Hospital Inc. (behavioral Health) Clinic/Center 201 Health Park Blvd, Suite 211, St Augustine, FL 32086-5796 2015-08-12
1598192890 John S. Koppman Md Pl Surgery 201 Health Park Blvd, Ste 103, St Augustine, FL 32086-5796 2013-10-01
1144526708 Amnath Kirdnual, M.d., P.a. Obstetrics & Gynecology 201 Health Park Blvd, Suite 211, St Augustine, FL 32086-5796 2011-01-31
1528276185 Gregory E Oxford Dentist 201 Health Park Blvd, Suite 216, St Augustine, FL 32086-5797 2007-05-18
1285842831 Isabell G Oxford Dentist 201 Health Park Blvd, Suite 216, St Augustine, FL 32086-5797 2007-05-18
1083769749 Eyyunni Pa Otolaryngology 201 Health Park Blvd, Suite 107, St Augustine, FL 32086-5796 2007-01-24
1871640250 Billie J Russell Nurse Practitioner 201 Health Park Blvd, Suite 105, St Augustine, FL 32086-5796 2007-01-05
1982798740 Robert C Kelsey Md Pa Internal Medicine 201 Health Park Blvd, Suite 107, St Augustine, FL 32086-5796 2006-10-03
1558460667 Ramanujam S Eyyunni Surgery 201 Health Park Blvd, Suite 107, St Augustine, FL 32086-5796 2006-09-22
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1225670037 Ramonica Flagler Nurse Practitioner 3574 Us-1 South, St. Augustine, FL 32086 2019-10-14
1518522648 Marissa Marie Lynch Physician Assistant 100 Whetstone Pl Ste 102, St Augustine, FL 32086 2019-05-03
1346706991 Castillo Transportation Non-emergency Medical Transport (VAN) 295 North Hidden Tree Dr, Saint Augustine, FL 32086 2019-02-19
1790255842 Michelle Moore In Home Supportive Care 135 Jenkins St. Suite 105b #265, St.augustine, FL 32086 2018-12-03
1649740200 Paul James Lietz IIi Physical Therapist One Orthopedic Place, Saint Augustine, FL 32086 2018-11-27
1548764707 Oceanside Endodontics Od St. Augustine Dentist 2510 U.S. 1 South, Suite B, St. Augustine, FL 32086 2018-03-22
1023538329 Joseph R Edwards Physical Therapist 968 Espinado Avenue, St Augustine, FL 32086 2017-06-27
1235662032 Jennifer L Csenge Dentist 4327 Us Highway 1 S, St Augustine, FL 32086 2017-04-07
1336683663 Lisa Brice Social Worker 248 Southpark Circle East, Saint Augustine, FL 32086 2016-12-06
1558813303 Bio-medical Applications of Florida, Inc. Clinic/Center 65 Whitehall Drive, Saint Augustine, FL 32086 2016-10-27
Find all providers in zip 32086

Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1114323490 Neda Ruth Kadkhodaie Physician Assistant 2676 Us 1 S, St Augustine, FL 32086-6191 2014-11-13
1497021059 Ralph David Priddy Physician Assistant 2305 State Road 207, St Augustine, FL 32086-9329 2012-03-28
1053685354 Kristine Anderson Waters Physician Assistant 105 Southpark Blvd Ste A103, St Augustine, FL 32086-4162 2012-03-04
1437275880 Richard A Oldano Physician Assistant 1300 Barrington Cir, St Augustine, FL 32092-3612 2007-03-21
1104978287 Brent Davin Hopson Physician Assistant 3100 Us 1 S, St Augustine, FL 32086 2007-01-17
1538134721 Jarrod D Roussel Physician Assistant 1 Orthopaedic Pl, St Augustine, FL 32086-4202 2006-02-21
1316946866 Victoria O Miller Physician Assistant 493 Prosperity Lake Dr, St Augustine, FL 32092-5045 2005-07-18
1952912826 Megan Burke Physician Assistant 400 Health Park Blvd, St Augustine, FL 32086-5790 2020-08-13
1508416991 Ashley Jarriel Gucwa Physician Assistant 400 Health Park Blvd, St Augustine, FL 32086-5784 2019-09-17
1750804662 Gabrielle Du Sablon Physician Assistant 400 Health Park Blvd, St Augustine, FL 32086-5784 2017-07-23
Find all providers in ST AUGUSTINE

Competitor

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City ST AUGUSTINE
Zip Code 32086

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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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