JRJ PODIATRY INC (NPI# 1083610638) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083610638 |
| Entity Type | Organization |
| Organization Name | JRJ PODIATRY INC |
| Practice Address |
4000 N State Road 7 Ste 412 Lauderdale Lakes FL 33319-4882 |
| Practice Telephone | 9547310028 |
| Practice Fax Number | 9547310288 |
| Mailing Telephone | 9547310028 |
| Mailing Fax Number | 9547310288 |
| Enumeration Date | 2005-06-27 |
| Last Update Date | 2008-12-29 |
| Authorized Official Name | DR. JEANETTE R JOHNSON (OWNER/PRESIDENT) |
| Authorized Official Telephone | 9547310028 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | PO2654 | FL | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 390400801 | 05 |
| Street Address |
4000 N STATE ROAD 7 STE 412 |
| City | LAUDERDALE LAKES |
| State | FL |
| Zip Code | 33319-4882 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669866406 | Serenity Success Center, Inc | Case Management | 4000 N State Road 7, Suite 409-4, Lauderdale Lakes, FL 33319-4804 | 2015-03-18 |
| 1659780518 | Sunrise Pharmacy LLC | Pharmacy | 4000 N State Road 7, Suite 103, Lauderdale Lakes, FL 33319-4804 | 2014-08-05 |
| 1396018040 | Clarke Chiropractic and Rehabilitation | Chiropractor | 4000 N State Road 7, Suite 409, Lauderdale Lakes, FL 33319-4804 | 2012-02-10 |
| 1992097158 | Rohan Smith | Social Worker | 4000 N State Road 7, Suite 209-4, Lauderdale Lakes, FL 33319-4804 | 2011-05-06 |
| 1245308121 | Angel Care Home Health Agency Inc | Home Health | 4000 N State Road 7, Suite 410, Lauderdale Lakes, FL 33319-4804 | 2006-12-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548876733 | Amerktrans Inc | Non-emergency Medical Transport (VAN) | 7481 W Oakland Blvd, 204 C, Lauderhill, FL 33319 | 2020-09-22 |
| 1285264309 | Kevia Figueroa | Marriage & Family Therapist | 4699 N. State Road 7, Suite B1, Tamarac, FL 33319 | 2020-01-16 |
| 1922640283 | A- Plus Medical and Rehab Center Inc | Family Medicine | 4699 N.state Road 7, Suite B 2, Tamarac, FL 33319 | 2019-10-08 |
| 1538711296 | Center of Hope Healthcare, LLC | Family Medicine | 6879 W Commerical Blvd, Tamarac, FL 33319 | 2019-07-12 |
| 1518430362 | Trinity Urgent Care Corp | Clinic/Center | 5411 North State Road 7, Tamarac, FL 33319 | 2019-01-04 |
| 1073007282 | Monthia Allison Ricketts | Registered Nurse | 5841 Nw 56th Place, Tamarac, FL 33319 | 2018-06-20 |
| 1518454164 | Prudent Pharmacy | Pharmacy | 5575 N State Road 7 Ste B, Lauderdale Lakes, FL 33319 | 2018-04-19 |
| 1831603034 | Kristi Dawn Messer | Social Worker | 7491 West Oakland Park Blvd, Suite 308, Lauderhill, FL 33319 | 2017-11-27 |
| 1356855639 | Metamorphosis Psyche LLC | Clinic/Center | 7051 West Commercial Blvd, Suite 3b, Tamarac, FL 33319 | 2017-11-26 |
| 1730693151 | Patricia Turner | Marriage & Family Therapist | 4699 N. State Rd. 7, B-1, Tamarac, FL 33319 | 2017-11-21 |
| Find all providers in zip 33319 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881295079 | Pardee Foot Clinic | Podiatrist | 1808 W International Speedway Blvd Ste 304a, Daytona Beach, FL 32114-1227 | 2020-11-04 |
| 1699393546 | Michael C. Flatley, Dpm, Pa | Podiatrist | 674 Barrington Cir, Winter Springs, FL 32708-6115 | 2020-07-08 |
| 1649895822 | Fred E Gatiher II Dpm | Podiatrist | 2 Miracle Strip Loop Ste 3, Panama City Beach, FL 32407-8412 | 2020-06-12 |
| 1780204602 | Pinnacle Foot and Ankle Centers, LLC | Podiatrist | 1801 Se Hillmoor Dr Ste A-103, Port St Lucie, FL 34952-7545 | 2020-04-21 |
| 1265081632 | Family Podiatry of Central Florida Pa | Podiatrist | 450 W Central Pkwy Fl 2, Altamonte Springs, FL 32714-2436 | 2019-09-09 |
| 1184270183 | Stephen F Levin Dpm Pa | Podiatrist | 4202 W Waters Ave Ste 6, Tampa, FL 33614-1972 | 2019-08-15 |
| 1861045155 | Olupona Foot and Ankle, LLC | Podiatrist | 1600 Nw 17th Ave, Miami, FL 33125-2327 | 2019-07-17 |
| 1356993398 | Gary Barbosa | Podiatrist | 3182 Edgemoore Drive, Palm Harbor, FL 34685 | 2019-07-10 |
| 1982262358 | Foot and Ankle Network | Podiatrist | 8323 Nw 12th St Ste 204, Doral, FL 33126-1840 | 2019-05-31 |
| 1750845491 | Gentle Touch Podiatric Care Pa | Podiatrist | 100 Golden Isles Dr Apt 610, Hallandale Beach, FL 33009-5824 | 2019-01-28 |
| Find all providers with the same taxonomy | ||||
| City | LAUDERDALE LAKES |
| Zip Code | 33319 |
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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.