DR. SANJAY KUMAR JAIN (NPI# 1114453842) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1114453842 |
Entity Type | Individual |
Full Name | DR. SANJAY KUMAR JAIN |
Credential | MD |
Practice Address |
17512 Dona Michelle Dr Ste 5 Tampa FL 33647-3265 |
Mailing Address |
2995 Drew St Fl 2 Clearwater FL 33759-3012 |
Practice Telephone | 8135867600 |
Practice Fax Number | 8136056062 |
Mailing Telephone | 7275321355 |
Mailing Fax Number | 8136352613 |
Enumeration Date | 2017-05-01 |
Last Update Date | 2020-07-30 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207Q00000X | Family Medicine | ME139042 | FL | Allopathic & Osteopathic Physicians |
N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | 107331400 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578504817 | Sanjay K. Jain | Internal Medicine | 4402 Churchman Ave Ste 408, Louisville, KY 40215-3102 | 2006-06-09 |
1447743109 | Sanjay Sureshchandra Jain | Pharmacist | 11801 N Saginaw St, Mount Morris, MI 48458-1503 | 2018-06-07 |
1790050052 | Sanjay Jain | Radiology | 6431 Fannin, Suite Msb 2.116, Houston, TX 77030-5389 | 2012-03-19 |
1306988290 | Sanjay K. Jain | Psychiatry & Neurology | 26619 Union Tpke, New Hyde Park, NY 11040-1426 | 2007-02-14 |
1003827213 | Sanjay Jain | Internal Medicine | 510 E Stoner Ave, Primary Care (110), Shreveport, LA 71101-4243 | 2006-08-11 |
1033145974 | Sanjay Jain | Internal Medicine | 660 S Euclid Ave, Campus Box 8015, Saint Louis, MO 63110-1010 | 2006-06-23 |
1063455780 | Sanjay K Jain | Family Medicine | Panther Valley Mall, Bldg B, Route 517, Hackettstown, NJ 07840 | 2006-06-13 |
1619919750 | Sanjay Raj Jain | Internal Medicine | 34 Upper Riverdale Rd Se, Suite 200, Riverdale, GA 30274-2635 | 2006-06-12 |
1417996190 | Sanjay Jain | Pediatrics | 600 N Wolfe St, Baltimore, MD 21287-0005 | 2006-06-06 |
1730130105 | Sanjay K Jain | Radiology | 1150 Varnum St Ne, Washington, DC 20017-2104 | 2006-05-12 |
Street Address |
17512 DONA MICHELLE DR STE 5 |
City | TAMPA |
State | FL |
Zip Code | 33647-3265 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811161581 | Kannya Parameshwari Asokan | Family Medicine | 17512 Dona Michelle Dr Ste 5, Tampa, FL 33647-3265 | 2008-04-14 |
1104324839 | Baycare Urgent Care, LLC | Pharmacy | 17512 Dona Michelle Dr Ste 5, Tampa, FL 33647-3265 | 2018-01-29 |
1821527474 | St Joseph's Diagnostic Center LLC | Radiology | 17512 Dona Michelle Dr Ste 5, Tampa, FL 33647-3265 | 2017-06-07 |
1194275271 | Danielle N Hebert | Nurse Practitioner | 17512 Dona Michelle Dr Ste 5, Tampa, FL 33647-3265 | 2016-10-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558972935 | Innovative Healthcare of Florida, Inc. | Home Health | 8903 Bruce B Downs Blvd, Tampa, FL 33647 | 2020-08-11 |
1093331498 | Envision In-home Companion Svcs | Home Health | 8903 Bruce B. Downs Blvd, Suite #140, Tampa, FL 33647 | 2020-06-22 |
1538788344 | Deanna Rene Shelpman | Massage Therapist | 15443 Plantation Oaks Dr, Apt 13, Tampa, FL 33647 | 2020-04-11 |
1316598998 | Paramount Health Group LLC | In Home Supportive Care | 17425 Bridge Hill Crt. Unit 200b, Tampa, FL 33647 | 2019-09-24 |
1174185656 | S&k Management Services | Clinical Nurse Specialist | 19046 Bruce B. Downs Blvd, Ste 177, Tampa, FL 33647 | 2019-07-03 |
1760040133 | Calisia Sapp | Clinic/Center | 19046 Bruce B Downs Blvd Ste B6-703, Tampa, FL 33647 | 2019-05-31 |
1306400106 | B2b Apps Solutions, LLC | Durable Medical Equipment & Medical Supplies | 17931 Cachet Isle Drive, Tampa, FL 33647 | 2019-04-26 |
1376000919 | Florida Homecare Specialists Minority Corp | Home Health | 5331 Primrose Lake Circle Unit 116, Tampa, FL 33647 | 2019-03-01 |
1982188157 | Dynamic Support Solutions, LLC | Home Health | 8606 Baneberry Ct, Tampa, FL 33647 | 2018-09-24 |
1982197430 | Erika Mendoza-hutto | Nurse Practitioner | 20713 Center Oak Dr, Tampa, FL 33647 | 2018-06-10 |
Find all providers in zip 33647 |
Taxonomy Code | 207Q00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851909212 | Stefanny Molina Mesa | Family Medicine | 3016 W Kirby St, Tampa, FL 33614-3303 | 2020-07-21 |
1245869015 | Zenlifemd Pa | Family Medicine | 18101 Highwoods Preserve Pkwy Ste 120, Tampa, FL 33647-1791 | 2020-04-03 |
1184250490 | Stetho Md LLC | Family Medicine | 1707 E Bearss Ave, Tampa, FL 33613 | 2020-03-18 |
1447898101 | Palms Clinical Services Inc | Family Medicine | 17008 Palm Pointe Dr Ste 101, Tampa, FL 33647-3504 | 2019-12-12 |
1396382545 | Advanced Medical Treatments, LLC | Family Medicine | 4401 W Kennedy Blvd Fl 3, Tampa, FL 33609-2058 | 2019-12-06 |
1528604204 | Amarillys Alvarado-sojo | Family Medicine | 10306 Manta Way, Tampa, FL 33615-4252 | 2019-11-18 |
1891345138 | Adeel Farooqi | Family Medicine | 3905 W Sevilla St, Tampa, FL 33629-8604 | 2019-09-18 |
1003464074 | Leslie Kapp-jones | Family Medicine | 3100 E Fletcher Ave Ste 126, Tampa, FL 33613-4613 | 2019-09-03 |
1053895375 | Barbara Pierre-louis | Family Medicine | 12552 Castle Hill Dr, Tampa, FL 33624-4183 | 2018-09-21 |
1700366010 | Marie A Brister Md LLC | Family Medicine | 508 W Dr Martin Luther King Jr Blvd Ste A, Tampa, FL 33603 | 2018-08-16 |
Find all providers in TAMPA |
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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.