JESS ITZIKOWITZ (NPI# 1255850673) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255850673 |
| Entity Type | Individual |
| Full Name | JESS ITZIKOWITZ |
| Credential | PA-C |
| Practice Address |
13340 Metro Parkway Suite 200 Fort Myers FL 33966-4703 |
| Mailing Address |
Po Box 2147 Fort Myers FL 33902-2147 |
| Practice Telephone | 2393430550 |
| Practice Fax Number | 2393430559 |
| Mailing Telephone | 2394241449 |
| Mailing Fax Number | 2394241423 |
| Enumeration Date | 2017-09-18 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA9110712 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 14051 Metropolis Ave, Fort Myers, FL 339124330 | 2393439270 | 2393439277 |
| Street Address |
13340 METRO PARKWAY SUITE 200 |
| City | FORT MYERS |
| State | FL |
| Zip Code | 33966-4703 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861495079 | William J Carracino | Psychiatry & Neurology | 13340 Metro Parkway, Suite 400, Fort Myers, FL 33966 | 2005-05-23 |
| 1760860126 | Ryan Ress | Nurse Practitioner | 13340 Metro Parkway, Suite 200, Fort Myers, FL 33966-4703 | 2015-05-18 |
| 1821350539 | Nemalan Selvaraj | Internal Medicine | 13340 Metro Parkway, Suite 200, Fort Myers, FL 33966-4703 | 2012-06-10 |
| 1386917789 | Jean Ernest Hage | Internal Medicine | 13340 Metro Parkway, Suite 310, Fort Myers, FL 33966-4703 | 2012-02-15 |
| 1053698266 | Bradley Klement | Physician Assistant | 13340 Metro Parkway, Suite 200, Fort Myers, FL 33966-4703 | 2011-11-16 |
| 1467635623 | Elena Gatskevich | Internal Medicine | 13340 Metro Parkway, Suite 310, Fort Myers, FL 33966 | 2007-12-11 |
| 1689782377 | Silvia Maria Velasquez | Internal Medicine | 13340 Metro Parkway, Suite 310, Fort Myers, FL 33966 | 2006-08-25 |
| 1932155512 | Murali Mohan Raju Muppala | Internal Medicine | 13340 Metro Parkway, Suite 200, Fort Myers, FL 33966-4703 | 2006-05-26 |
| 1083682538 | Brian K Arcement | Internal Medicine | 13340 Metro Parkway, Suite 200, Fort Myers, FL 33966 | 2006-03-10 |
| 1417925967 | Vladimir Ilic | Internal Medicine | 13340 Metro Parkway, Suite 200, Fort Myers, FL 33966-4703 | 2006-03-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962989566 | Samarah A Al-jamali | Dentist | 9330 Ben Pratt/6 Mi Cypress #4, Fort Myers, FL 33966 | 2018-07-26 |
| 1932646171 | Jose M Butron | Behavioral Analyst | 6430 Plantation Park Ct Ste 200, Fort Myers, FL 33966 | 2017-01-26 |
| 1003276833 | Katia Jasmin Robinson Lucero | Social Worker | 3820 Colonial Blvd Suite #102, Fort Myers, FL 33966 | 2016-03-07 |
| 1578947610 | Christian Milanes | Dentist | 9330 Ben C. Pratt Six Mile Cypress Pkwy, Fort Myers, FL 33966 | 2015-07-18 |
| 1003166273 | Reetane Singh | Dentist | 9330 Ben C Pratt Six Mile, Cypress Parkway, Fort Myers, FL 33966 | 2012-09-14 |
| 1518216159 | Lee Mental Health Center | Community Based Residential Treatment Facility, Mental Illness | 10140 Deer Run Farms Road, Fort Myers, FL 33966 | 2012-08-29 |
| 1033482724 | Planned Parenthood of Southwest and Central Florida Inc. | Obstetrics & Gynecology | 6418 Commerce Park Drive, Fort Myers, FL 33966 | 2012-02-11 |
| 1013292291 | J Kru Therapy LLC Dba Focus | Physical Therapist | 4997 Royal Gulf Cir, Fort Myers, FL 33966 | 2011-10-19 |
| 1528354651 | American In-home Care, LLC | Home Health | 3800 Colonial Blvd Unit 102, Fort Myers, FL 33966 | 2011-06-27 |
| 1811219256 | Vera Marie Rosado-odom | Internal Medicine | 13340 Metro Pkwy Ste 310, Fort Myers, FL 33966 | 2010-02-26 |
| Find all providers in zip 33966 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629679360 | Samantha Lee Zavada | Physician Assistant | 9459 Silver Pine Loop, Fort Myers, FL 33967-5152 | 2020-11-07 |
| 1811597198 | Alexis Thraen | Physician Assistant | 4536 Winkler Ave Apt 204, Fort Myers, FL 33966-7013 | 2020-10-27 |
| 1265065247 | Marathon Health LLC | Physician Assistant | 1660 Electric Ln, Fort Myers, FL 33917-3946 | 2020-02-18 |
| 1710510813 | Noshaba Khaliq | Physician Assistant | 17549 Cherry Ridge Ln, Fort Myers, FL 33967-5138 | 2020-02-17 |
| 1699307389 | Colleen Mcgonagle | Physician Assistant | 12700 Creekside Ln Ste 101, Fort Myers, FL 33919-3356 | 2020-02-10 |
| 1922643238 | Abigail Christine Reed | Physician Assistant | 16230 Summerlin Rd Ste 213-218, Fort Myers, FL 33908-5768 | 2019-11-11 |
| 1245899756 | Aileen Fiallo | Physician Assistant | 4571 Colonial Blvd Ste 210, Fort Myers, FL 33966-1156 | 2019-06-08 |
| 1316422199 | Angelia Lynette Sakyi-agyekum | Physician Assistant | 8291 Dani Dr Ste 101a, Fort Myers, FL 33966-8009 | 2018-09-27 |
| 1225547029 | Irene Julian | Physician Assistant | 14090 Metropolis Ave Ste 102, Fort Myers, FL 33912-4451 | 2017-09-25 |
| 1134653827 | Matthew Jeremy Blakemore | Physician Assistant | 6150 Diamond Centre Ct Ste 1300, Fort Myers, FL 33912-4367 | 2017-04-19 |
| Find all providers in FORT MYERS | ||||
| City | FORT MYERS |
| Zip Code | 33966 |
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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.