JESSICA SUSAN PACKWOOD (NPI# 1184931974) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1184931974 |
Entity Type | Individual |
Full Name | JESSICA SUSAN PACKWOOD |
Other Name | JESSICA SUSAN SLAVIN |
Credential | P.A. |
Practice Address |
1720 S Orange Ave Ste 500 Orlando FL 32806-2945 |
Practice Telephone | 4074269693 |
Practice Fax Number | 4074269694 |
Mailing Telephone | 4074269693 |
Mailing Fax Number | 4074269694 |
Enumeration Date | 2010-09-01 |
Last Update Date | 2011-10-07 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA9104743 | FL | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
1720 S ORANGE AVE STE 500 |
City | ORLANDO |
State | FL |
Zip Code | 32806-2945 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306817598 | Gretchen Joy Pohaski | Physician Assistant | 1720 S Orange Ave, Suite 500, Orlando, FL 32806-2945 | 2006-01-27 |
1871044800 | Pinero Preventive Medical Care Pa | Nurse Practitioner | 1720 S Orange Ave, Ste 200, Orlando, FL 32806-2945 | 2016-10-14 |
1376915058 | Claudia M Zuriarrain | Nurse Practitioner | 1720 S Orange Ave, Ste 200, Orlando, FL 32806-2945 | 2015-10-21 |
1962894378 | Dennis Carl Blanchette | Family Medicine | 1720 S Orange Ave, Suite 200, Orlando, FL 32806-2945 | 2015-02-22 |
1487090080 | Lori Smith, Lcsw, LLC | Social Worker | 1720 S Orange Ave, Suite 501, Orlando, FL 32806-2945 | 2013-05-22 |
1952600546 | George William Chisholm, M.d. | Specialist | 1720 S Orange Ave, Suite 102, Orlando, FL 32806-2945 | 2011-03-22 |
1588974869 | Jesica Cleveland Archie | Nurse Practitioner | 1720 S Orange Ave, Orlando, FL 32806-2945 | 2010-10-20 |
1427238369 | Norman Glebe Becker Jr. | Dentist | 1720 S Orange Ave, Suite 550, Orlando, FL 32806-2945 | 2007-11-08 |
1750469284 | George William Chisholm | Obstetrics & Gynecology | 1720 S Orange Ave, Suite 102, Orlando, FL 32806-2945 | 2006-11-01 |
1740234012 | Marc Levy | Surgery | 1720 S Orange Ave, Orlando, FL 32806-2945 | 2006-05-20 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710585674 | Erika Williams | Pharmacist | 2715 South Orlando Ave, Orlando, FL 32806 | 2020-10-13 |
1013545664 | Johanna Yadira Cook | Registered Nurse | Orlando Health Orlando Regional Medical Center, 52 W. Underwood St, Orlando, FL 32806 | 2020-03-30 |
1396372306 | Warren Andrew Williams | Student in an Organized Health Care Education/Training Program | 1222 S. Orange Ave., 5th Fl, Mp# 43, Orlando, FL 32806 | 2020-03-27 |
1225665433 | Astrid Helen Casin | Student in an Organized Health Care Education/Training Program | 1222 S. Orange Avenue, 5th Fl., Mp#43, Orland, FL 32806 | 2020-03-26 |
1508404211 | Hidden Potential Florida LLC | Assistant Behavior Analyst | 2857 South Bumby Avenue, Orlando, FL 32806 | 2019-12-12 |
1720639883 | Cynthia Lee Kling | Clinical Nurse Specialist | Arnold Palmer Hospital, 92 W. Miller St., Orlando, FL 32806 | 2019-09-20 |
1033769930 | Darleen Ann Williams | Clinical Nurse Specialist | 52 W. Underwood, Orlando, FL 32806 | 2019-09-13 |
1508412644 | Trischaday Kimberley Demetrius | Nurse Practitioner | Orlando Epilepsy Center, 226 W Michigan Street, Orlando, FL 32806 | 2019-08-14 |
1962964809 | Ajc Software Inc | Prosthetic/Orthotic Supplier | 1405 South Orange Avenue Suite 308, Orlando, FL 32806 | 2019-04-01 |
1598232852 | Sodo Smiles Dentistry, Pa | Dentist | 3123 S. Orange Ave., Suite 107, Orlando, FL 32806 | 2018-10-25 |
Find all providers in zip 32806 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770054843 | Cynthia Marie Mills | Physician Assistant | 7806 Lake Underhill Rd Ste 104, Orlando, FL 32822-8232 | 2018-12-16 |
1447751029 | Brittney Marie Osterhoudt | Physician Assistant | 2014 S Orange Ave Ste 101, Orlando, FL 32806-3069 | 2018-02-28 |
1164934006 | Stephanie Carmen Oberweger | Physician Assistant | 8124 Chianti Dr, Orlando, FL 32836-5311 | 2017-11-01 |
1881046407 | Chrystal Danielle Fravel | Physician Assistant | 2609 S Orange Ave, Orlando, FL 32806-4547 | 2016-07-07 |
1922498740 | Taylor Stetson | Physician Assistant | 7403 Sugar Bend Dr, Orlando, FL 32819-7215 | 2015-02-01 |
1619370103 | Emily R Avgeropoulos | Physician Assistant | 7512 Dr Phillips Blvd Ste 50-209, Orlando, FL 32819-5420 | 2014-09-29 |
1417357567 | Allyson Lee | Physician Assistant | 3090 Caruso Ct, Orlando, FL 32806-8510 | 2014-08-26 |
1386052371 | Nancy Callaham | Physician Assistant | 6953 Cadiz Blvd, Orlando, FL 32819-4713 | 2014-07-23 |
1922367010 | Quality Care Providers | Physician Assistant | 5565 Cinderlane Pkwy, 291, Orlando, FL 32808-4705 | 2012-05-09 |
1013212067 | Rheumatology Associates of Central Fl. | Physician Assistant | 3160 Southgate Commerce Blvd Bldg Suite30, Orlando, FL 32806-8549 | 2011-01-24 |
Find all providers in ORLANDO |
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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.