JOHN R JUTTING JR. (NPI# 1265574800) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265574800 |
| Entity Type | Individual |
| Full Name | JOHN R JUTTING JR. |
| Credential | MD |
| Practice Address |
2777 Enterprise Rd Orange City FL 32763-8310 |
| Mailing Address |
Po Box 9671 Daytona Beach FL 32120-9671 |
| Practice Telephone | 3867742550 |
| Practice Fax Number | 3867750176 |
| Mailing Telephone | 3866767130 |
| Mailing Fax Number | 3866767125 |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2014-01-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | ME105020 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BCBS | 145QQ | 01 |
| FL | 001219300 | 05 | |
| FL | TRICARE | 1265574800 | 01 |
| Street Address |
2777 ENTERPRISE RD |
| City | ORANGE CITY |
| State | FL |
| Zip Code | 32763-8310 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225005259 | Vamsi Kallepalli | Dentist | 2777 Enterprise Rd, Orange City, FL 32763 | 2006-03-08 |
| 1659759827 | Florida Health Care Plan, Inc | Clinic/Center | 2777 Enterprise Rd, Orange City, FL 32763-8310 | 2015-05-08 |
| 1861788390 | Nikita P. Gosalia | Internal Medicine | 2777 Enterprise Rd, Orange City, FL 32763-8310 | 2011-06-23 |
| 1619288396 | Mili Varghese | Family Medicine | 2777 Enterprise Rd, Orange City, FL 32763-8310 | 2010-06-28 |
| 1528387743 | Rachel Love Quarberg | Family Medicine | 2777 Enterprise Rd, Orange City, FL 32763-8310 | 2010-05-27 |
| 1538293824 | Florida Health Care Plans Inc | Pharmacy | 2777 Enterprise Rd, Orange City, FL 32763-8310 | 2007-03-16 |
| 1235273285 | Gregory E Mccarthy | Internal Medicine | 2777 Enterprise Rd, Orange City, FL 32763-8310 | 2007-02-16 |
| 1497700223 | Kris M Bly | Emergency Medicine | 2777 Enterprise Rd, Orange City, FL 32763-8310 | 2006-05-23 |
| 1922068949 | David Dayton | Legal Medicine | 2777 Enterprise Rd, Orange City, FL 32763 | 2006-03-24 |
| 1396705570 | Gerald Miceli | Internal Medicine | 2777 Enterprise Rd, Orange City, FL 32763 | 2006-03-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043852783 | Khushboo Patel | Nurse Practitioner | 915 Harley Strickland Blvd, Orange City, FL 32763 | 2019-10-15 |
| 1598325466 | Steves Hearingllc | Hearing Aid Equipment | 742 N Volucia Ave., Orange City, FL 32763 | 2019-06-13 |
| 1740762194 | Jamie Elizabeth Price | Speech-Language Pathologist | 2705 Rebecca Lane Suite B, Orange City, FL 32763 | 2018-09-02 |
| 1841771821 | Ashley Katherine Taylor | Early Intervention Provider Agency | 358 W Wisconsin Ave, Orange City, FL 32763 | 2018-08-27 |
| 1033636048 | Kimberly Michelle Belk | Social Worker | 300 Treemonte Dr, Orange City, FL 32763 | 2017-08-30 |
| 1588198733 | Adventist Health System/sunbelt, Inc. | Clinic/Center | 1320 Saxon Blvd, Orange City, FL 32763 | 2017-04-14 |
| 1629515333 | Anewerface, Inc | Clinic/Center | Address: 123 N Industrial Dr Ste C, Orange City, FL 32763 | 2017-01-20 |
| 1184073322 | Carolyn Ann Damato | Specialist/Technologist, Other | 1350 13th Street, Orange City, FL 32763 | 2016-06-08 |
| 1225451784 | Shamika Spencer | Nurse Practitioner | 932 Saxon Blvd Ste A, Orange City, FL 32763 | 2014-02-03 |
| 1972882314 | Orange City Anesthesia Services LLC | Anesthesiology | 975 Town Center Dr Ste 100, Orange City, FL 32763 | 2011-08-16 |
| Find all providers in zip 32763 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497360481 | Lauren Anne Eggnatz | Family Medicine | 1725 Monastery Rd, Orange City, FL 32763-6313 | 2020-09-15 |
| 1366853202 | Courtney St James | Family Medicine | 1061 Medical Center Dr Ste 305, Orange City, FL 32763-8227 | 2014-05-14 |
| 1235416165 | Nermeen N Saleh | Family Medicine | 1061 Medical Center Dr Ste 212, Orange City, FL 32763-8226 | 2011-11-07 |
| 1548584600 | West Volusia Family and Sports Medicine Inc | Family Medicine | 742 N Volusia Ave, Orange City, FL 32763-4857 | 2010-03-18 |
| 1295891893 | Aimee Gonzalez M D P A | Family Medicine | 1027 Town Center Dr., Orange City, FL 32763 | 2006-12-28 |
| 1194822635 | Ralph J Chambers | Family Medicine | 2415 S. Volusia Ave. Suite A-2, Orange City, FL 32763 | 2006-09-19 |
| 1851408348 | Josette Romain | Family Medicine | 2725 Rebecca Ln, Suite 107, Orange City, FL 32763-8350 | 2006-08-23 |
| 1619081023 | Prachi Gandhi | Family Medicine | 1027 Town Center Drive, Orange City, FL 32763-8360 | 2006-08-19 |
| 1992818397 | Leslee Simonah Davis | Family Medicine | 2868 Stags Leap Dr, Orange City, FL 32763-8346 | 2006-08-17 |
| 1639105778 | Jose J Rosales Md Pa | Family Medicine | 1035 Town Center Dr, Orange City, FL 32763-8360 | 2006-06-23 |
| Find all providers in ORANGE CITY | ||||
| City | ORANGE CITY |
| Zip Code | 32763 |
Please comment or provide details below to improve the information on JOHN R JUTTING JR..
| 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.