JONATHAN THOMAS NUSBAUM (NPI# 1255931325) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255931325 |
| Entity Type | Individual |
| Full Name | JONATHAN THOMAS NUSBAUM |
| Credential | PA-C |
| Practice Address |
26160 Angelica Rd Punta Gorda FL 33955-1419 |
| Practice Telephone | 9419164637 |
| Mailing Telephone | 9419164637 |
| Enumeration Date | 2020-10-28 |
| Last Update Date | 2020-10-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA9113497 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
26160 ANGELICA RD |
| City | PUNTA GORDA |
| State | FL |
| Zip Code | 33955-1419 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447538699 | Dawn Raea Santiago | Occupational Therapist | 15360 Lemonade Dr, Punta Gorda, FL 33955 | 2011-07-21 |
| 1528408549 | Christina Frances Lipana | Speech-Language Pathologist | 612 Royal Poinciana, Punta Gorda, FL 33955-1027 | 2013-07-05 |
| 1104298439 | Joseph Bryan Lipana | Physical Therapist | 612 Royal Poinciana, Punta Gorda, FL 33955-1027 | 2015-10-26 |
| 1396088837 | Aileen Brandt | Counselor | 7444 S Seagrape Rd, Punta Gorda, FL 33955-1037 | 2013-04-03 |
| 1225561525 | Lorraine Ross | Specialist | 7529 Coco Plum, Punta Gorda, FL 33955-1051 | 2017-04-04 |
| 1376171496 | Andreea Nagy | Nurse Practitioner | 7400 S Blue Sage, Punta Gorda, FL 33955-1110 | 2020-04-01 |
| 1578952875 | Patrick Mathias Burke | Registered Nurse | 7196 N Plum Tree Unit 311, Punta Gorda, FL 33955-1119 | 2015-01-10 |
| 1427340116 | Adam Quinn | Counselor | 7560 Dracena, Punta Gorda, FL 33955-1171 | 2011-05-12 |
| 1790774719 | Janet E Clark | Anesthesiology | 3249 Sunset Key Cir, Punta Gorda, FL 33955-1969 | 2005-10-21 |
| 1447437314 | Sheryl Anne Kai | Dietitian, Registered | 27410 Green Gulf Blvd, Punta Gorda, FL 33955-2028 | 2008-01-23 |
| Find all providers in zip 33955 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619155009 | Rae Ann Antonucci | Physician Assistant | 2177 Aldworth St, Punta Gorda, FL 33980-5743 | 2008-02-07 |
| 1285736611 | Robert A Henning | Physician Assistant | 25097 Olympia Ave, Punta Gorda, FL 33950-3903 | 2006-09-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235738659 | Kevin Marcus Luks | Physician Assistant | 10701 Santa Fe Dr, Hollywood, FL 33026-4955 | 2020-10-19 |
| 1245839521 | Stephanie Clay | Physician Assistant | 3455 Rose Mallow Loop, Oviedo, FL 32766-6648 | 2020-10-19 |
| 1104423755 | Lou Joseph Schneggenburger | Physician Assistant | 10115 Forest Hill Blvd Ste 100, Wellington, FL 33414-6178 | 2020-10-07 |
| 1235744582 | Stephanie Graham | Physician Assistant | 1053 Bernice Rd, Rockledge, FL 32955-2201 | 2020-09-14 |
| 1790399483 | Shyla Imani Kissoon | Physician Assistant | 4830 Nw 7th St, Plantation, FL 33317-1410 | 2020-09-01 |
| 1770193500 | My Physician Online | Physician Assistant | 9540 Nw 23rd St, Coral Springs, FL 33065-4974 | 2020-08-06 |
| 1225647977 | Robert Drew Singleton | Physician Assistant | 17501 Biscayne Blvd Ste 460, Aventura, FL 33160-4806 | 2020-07-29 |
| 1750990974 | Andrea K Webber | Physician Assistant | 8119 Sw State Rd 200, Ocala, FL 34481-3448 | 2020-07-23 |
| 1851919526 | Kyra Panni | Physician Assistant | 3857 Hartwood Ln, Jacksonville, FL 32216-1486 | 2020-07-09 |
| 1417574450 | Carlos Humberto Jaen Sr. | Physician Assistant | 1685 Sw 17th Ter, Miami, FL 33145-2809 | 2020-06-25 |
| Find all providers with the same taxonomy | ||||
| City | PUNTA GORDA |
| Zip Code | 33955 |
Please comment or provide details below to improve the information on JONATHAN THOMAS NUSBAUM.
| 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.