DR. PETRIJA JEN (NPI# 1124125471) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124125471 |
| Entity Type | Individual |
| Full Name | DR. PETRIJA JEN |
| Credential | DO |
| Practice Address |
11190 Health Park Blvd Naples FL 34110-5729 |
| Mailing Address |
2300 Sandy Pines Dr Punta Gorda FL 33982-9640 |
| Practice Telephone | 2395137000 |
| Mailing Telephone | 9415051462 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2020-04-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | OS7864 | FL | Allopathic & Osteopathic Physicians |
| Street Address |
11190 HEALTH PARK BLVD |
| City | NAPLES |
| State | FL |
| Zip Code | 34110-5729 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265439269 | Jeffrey John Mccartney | Psychiatry & Neurology | 11190 Health Park Blvd, Naples, FL 34110-5729 | 2005-07-05 |
| 1215565577 | Kristen Zieminski | Physician Assistant | 11190 Health Park Blvd, Naples, FL 34110-5729 | 2020-03-31 |
| 1295218048 | Lindsay M Alcantara | Registered Nurse | 11190 Health Park Blvd, Naples, FL 34110-5729 | 2018-09-07 |
| 1982153441 | Elizabeth Anne Charif | Physician Assistant | 11190 Health Park Blvd, Naples, FL 34110-5729 | 2016-09-26 |
| 1730555806 | Omar F Villarreal | Nurse Practitioner | 11190 Health Park Blvd, Naples, FL 34110-5729 | 2015-08-12 |
| 1164807582 | Colleen Ann Gross | Nurse Practitioner | 11190 Health Park Blvd, Naples, FL 34110-5729 | 2015-07-27 |
| 1477941680 | Veronica D Andis-high | Nurse Practitioner | 11190 Health Park Blvd, Naples, FL 34110-5729 | 2014-12-23 |
| 1104172030 | Preferred Inpatient Medical Program Specialists | Family Medicine | 11190 Health Park Blvd, Naples, FL 34110-5729 | 2012-07-30 |
| 1871848531 | Tareq Khader | Internal Medicine | 11190 Health Park Blvd, Naples, FL 34110-5729 | 2012-07-18 |
| 1467710004 | Matthew Ruggeri Novak | Internal Medicine | 11190 Health Park Blvd, Naples, FL 34110-5729 | 2012-05-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235633488 | Ana Laura Leyva | Nurse Practitioner | 16010 Old 41 N Unit 102, Naples, FL 34110 | 2018-03-22 |
| 1598295495 | At Home Services of Swfl | Home Health | 161 Crown Dr, Naples, FL 34110 | 2017-06-14 |
| 1497100101 | Zumedic LLC | Nurse Practitioner | 16010 Old 41 Rd. Suite 102, Naples, FL 34110 | 2016-05-01 |
| 1386043024 | Specialty Home Health Agency | Home Health | 11983 Us Tamiami Trail North, Suite 132, Naples, FL 34110 | 2014-08-19 |
| 1457762403 | Better At Home Health Services, LLC | Home Health | 5683 Strand Court, Suite 101, Naples, FL 34110 | 2014-05-13 |
| 1447500970 | Epiphany Salon & Spa | Durable Medical Equipment & Medical Supplies | 14700 Tamiami Trail N., Suite #13, Naples, FL 34110 | 2012-09-12 |
| 1902172828 | Omar M Saleh | Internal Medicine | 2338 Immokalee Road, Naples, FL 34110 | 2012-03-25 |
| 1962785337 | Shannon Kathleen Perry | Speech-Language Pathologist | 16165 Learning Ln, Naples, FL 34110 | 2011-09-22 |
| 1417238338 | Virtus Health, LLC | Community/Behavioral Health | 90 Cypress Way E Ste 60, Naples, FL 34110 | 2011-09-06 |
| 1902113202 | Laura L Jones | Nurse Practitioner | 15450 Tamiami Trl N, Naples, FL 34110 | 2010-09-08 |
| Find all providers in zip 34110 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396080875 | Thomas Ralph Layton | Emergency Medicine | 957 8th St S, Naples, FL 34102-8214 | 2012-12-10 |
| 1083891360 | Robert Boyd Tober Inc | Emergency Medicine | Bentley Village Care Center, 875 Retreat Drive, Naples, FL 34110 | 2008-01-29 |
| 1033218821 | Arles Perdomo | Emergency Medicine | 5240 Golden Gate Pkwy, Naples, FL 34116-7670 | 2006-09-21 |
| 1477651503 | Jeffrey J Herrberg | Emergency Medicine | 1009 Crosspointe Dr, Suite 2, Naples, FL 34110 | 2006-09-20 |
| 1093813669 | Jeffrey Michael Rosenfield | Emergency Medicine | 13030 Livingston Road, Suite 3, Naples, FL 34105 | 2006-09-20 |
| 1689786006 | Helen Thornburg | Emergency Medicine | 6017 Pine Ridge Rd Ste 148, Naples, FL 34119-3956 | 2006-08-31 |
| 1184669582 | Karl K Korri | Emergency Medicine | 801 Vanderbilt Beach Rd, Naples, FL 34108-8708 | 2006-06-19 |
| 1649213786 | Steven A West | Emergency Medicine | 2157 Pine Ridge Rd, Naples, FL 34109-2033 | 2006-06-14 |
| 1720021645 | Raoul George Farhat | Emergency Medicine | 1713 Sw Health Pkwy, Suite 1, Naples, FL 34109-0421 | 2006-06-14 |
| 1073567186 | Jack Derovanesian | Emergency Medicine | 6400 Davis Blvd Ste 103, Naples, FL 34104-5321 | 2006-05-22 |
| Find all providers in NAPLES | ||||
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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.