DR. JASON ROBERT KONOPACK


Address: 1707 N Main St, Gainesville, FL 32609-3650
Phone: 3522659593

DR. JASON ROBERT KONOPACK (NPI# 1174961429) 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) 1174961429
Entity Type Individual
Full Name DR. JASON ROBERT KONOPACK
Credential M.D.
Practice Address 1707 N Main St
Gainesville
FL 32609-3650
Practice Telephone 3522659593
Enumeration Date 2013-06-10
Last Update Date 2016-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine ME126544 FL Allopathic & Osteopathic Physicians
N 207Q00000X Family Medicine TRN19165 FL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
FL 017454500 05

Office Location

Street Address 1707 N MAIN ST
City GAINESVILLE
State FL
Zip Code 32609-3650

Providers in the same location

NPI Name Taxonomy Address Enumeration
1629606124 Jack Italiano IIi Student in an Organized Health Care Education/Training Program 1707 N Main St, Gainesville, FL 32609-3650 2020-03-30
1730717356 Keith Hayden Shamrock Student in an Organized Health Care Education/Training Program 1707 N Main St, Gainesville, FL 32609-3650 2020-03-30
1346877578 Dildeep Sangha Student in an Organized Health Care Education/Training Program 1707 N Main St, Gainesville, FL 32609-3650 2020-03-26
1750918272 Austin Jeffrey Gillette Student in an Organized Health Care Education/Training Program 1707 N Main St, Gainesville, FL 32609-3650 2020-03-25
1033746342 Cindy Marie Barbosa Nunez Student in an Organized Health Care Education/Training Program 1707 N Main St, Gainesville, FL 32609-3650 2020-03-25
1881221364 Farah Leclercq Student in an Organized Health Care Education/Training Program 1707 N Main St, Gainesville, FL 32609-3650 2020-03-25
1932736246 Brandon Bradley Herndon Student in an Organized Health Care Education/Training Program 1707 N Main St, Gainesville, FL 32609-3650 2020-03-25
1548897135 Christian Geldi Aguado Student in an Organized Health Care Education/Training Program 1707 N Main St, Gainesville, FL 32609-3650 2020-03-24
1063076420 Vanessa Estela Billingsley Student in an Organized Health Care Education/Training Program 1707 N Main St, Gainesville, FL 32609-3650 2019-04-30
1861954000 Christopher Lee Student in an Organized Health Care Education/Training Program 1707 N Main St, Gainesville, FL 32609-3650 2019-04-05
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1285244707 Bright Dme LLC Durable Medical Equipment & Medical Supplies 4306 Nw 13th Street, Gainesville, FL 32609 2020-08-10
1144799537 Kimberly Laverna Peterson Home Health Aide 636 Nw 26th Ave Apt 119e, Gainesville, FL 32609 2018-11-15
1548712318 Rebecca Maligno Social Worker 825 Nw 23rd Ave Bldg 3 St A, Gainesville, FL 32609 2016-10-27
1023470960 Laura J Perry Counselor 1707 North Main St, Family Medicine At Main, Gainesville, FL 32609 2016-03-21
1336543131 Christine Brunetti Pharmacist 2500 N. Main St, Gainesville, FL 32609 2014-10-22
1114352713 Samuel Jones IIi Pharmacist 2500 N. Main St., Gainesville, FL 32609 2013-09-13
1912348228 Timothy Manning Rogers Pharmacist 2046 Ne Waldo Road, Room 2227, Gainesville, FL 32609 2013-07-15
1205277514 Arthur Emrie Wharton Pharmacist 2046 Waldo Road, Ne, Suite 2200, Gainesville, FL 32609 2013-07-15
1003102864 Rocky Mountain Holdings LLC Ambulance 4375 Ne 48th Ave, Gainesville, FL 32609 2011-06-21
1760774939 Kyle Edwin Jersey Registered Nurse 1128 Ne 20th Place, Gainesville, FL 32609 2011-05-06
Find all providers in zip 32609

Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1235756313 Divine Destiny Virtual Health Family Medicine 2631a Nw 41st St, Gainesville, FL 32606-6628 2020-07-06
1407479702 Heather Lynn Towne Family Medicine 4730 Nw 32nd Ave, Gainesville, FL 32606-6023 2020-05-20
1346883196 Carehere LLC Family Medicine 4340 Newberry Rd Ste 203, Gainesville, FL 32607-2557 2019-10-24
1609348978 Anderle and Lewis Pllc Family Medicine 1615 Hospital Blvd Ste A, Gainesville, TX 76240-2032 2018-12-26
1598111064 Janelle C Wilkinson Family Medicine 1600 Sw Archer Road- Suite N1-07, University of Florida Community Health & Family Medicin, Gainesville, FL 32610-3001 2016-05-13
1033581996 Florida Medical & Allergy Centers LLC Family Medicine 926 Nw 13th St, Gainesville, FL 32601-4140 2015-10-30
1255703419 Patient First Richmond Medical Group Pllc Family Medicine 14800 Lee Highway, Gainesville, VA 20155-1842 2015-10-28
1962884411 Margaret A Erwood Family Medicine 1439 Jesse Jewell Pkwy Ne Ste 102, Gainesville, GA 30501-3806 2015-06-22
1902286867 Mehak Gandhi Family Medicine 6400 W Newberry Rd Ste 101, Gainesville, FL 32605-4383 2015-06-05
1497135263 Peter Farag Family Medicine 6400 W Newberry Rd Ste 101b, Gainesville, FL 32605-6605 2015-06-05
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Competitor

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City GAINESVILLE
Zip Code 32609

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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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