SUZANNE M JACKMAN (NPI# 1316135437) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316135437 |
| Entity Type | Individual |
| Full Name | SUZANNE M JACKMAN |
| Credential | M.D. |
| Practice Address |
601 5th St S 5th Floor St Petersburg FL 33701-4804 |
| Practice Telephone | 7277673636 |
| Practice Fax Number | 7277673638 |
| Mailing Telephone | 7277673636 |
| Mailing Fax Number | 7277673638 |
| Enumeration Date | 2007-10-15 |
| Last Update Date | 2012-07-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0205X |
Pediatrics Specialization: Pediatric Endocrinology |
ME103970 | FL | Allopathic & Osteopathic Physicians |
| Street Address |
601 5TH ST S 5TH FLOOR |
| City | ST PETERSBURG |
| State | FL |
| Zip Code | 33701-4804 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760485890 | Gregory A Hale | Pediatrics | 601 5th St S, 3rd Floor, St Petersburg, FL 33701-4804 | 2005-05-23 |
| 1932733656 | Lauren Stark Gray | Nurse Practitioner | 601 5th St S, St Petersburg, FL 33701-4804 | 2020-03-03 |
| 1538651419 | Carrie Ann Gann | Nurse Practitioner | 601 5th St S, St Petersburg, FL 33701-4804 | 2018-06-05 |
| 1396249652 | Kelleen Boehlke | Student in an Organized Health Care Education/Training Program | 601 5th St S, St Petersburg, FL 33701-4804 | 2018-03-21 |
| 1639680614 | Lisa Jane Gillis | Medical Genetics | 601 5th St S, St Petersburg, FL 33701-4804 | 2017-10-18 |
| 1508387143 | Courtney B Hogan | Nurse Practitioner | 601 5th St S, 2nd Flr, St Petersburg, FL 33701-4804 | 2017-07-05 |
| 1962940593 | Alyssa George | Nurse Practitioner | 601 5th St S, 701, St Petersburg, FL 33701-4804 | 2017-02-02 |
| 1205379427 | Katie Leigh Mills | Nurse Practitioner | 601 5th St S, Ste 306, St Petersburg, FL 33701-4804 | 2016-11-19 |
| 1710339908 | Paul Herlan | Physician Assistant | 601 5th St S, Ste 202, St Petersburg, FL 33701-4804 | 2016-07-12 |
| 1093176190 | Samantha Rose Hunt | Nurse Practitioner | 601 5th St S, Suite 701, St Petersburg, FL 33701-4804 | 2016-03-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013514603 | Tien Thuy Hoang | Pharmacist | 875 Dr M.l.k. Jr St N, St. Petersburg, FL 33701 | 2020-10-06 |
| 1851920953 | Michelle Tedrowe | Student in an Organized Health Care Education/Training Program | Bayfront Health St Petersburg Family Care Center, 700 6th Street South, St. Petersburg, FL 33701 | 2020-04-02 |
| 1164070264 | Melissa Joy Fitzpatrick | Occupational Therapist | 239 14 Ave Ne, St Petersburg, FL 33701 | 2019-09-01 |
| 1841763091 | William Carpenter Scott | Dentist | 239 2nd Ave S # 100, St Petersburg, FL 33701 | 2019-01-09 |
| 1992289318 | Westminster Senior Services, Inc. | Registered Nurse | 830 North Shore Dr. Ne, St. Petersburg, FL 33701 | 2018-09-21 |
| 1265929780 | B&b Florida Eye Care Pllc | Optometrist | 1380 4th St N, St. Petersburg, FL 33701 | 2018-04-19 |
| 1730684895 | Loraine Marie Torres Garcia | Student in an Organized Health Care Education/Training Program | Bayfront Health St Petersburg, 700 6th Street South, St Petersburg, FL 33701 | 2018-03-29 |
| 1598267445 | Vincent Malik Dehili | Psychologist | 146 2nd Street North, Suite 305, St. Petersburg, FL 33701 | 2018-03-07 |
| 1770083073 | Megan Sanborn | Nurse Practitioner | 601 5th St S Ste 304, St Petersburg, FL 33701 | 2018-02-14 |
| 1174037089 | Julius Griffin | Licensed Practical Nurse | 1115 Highland St N, Apt B, Saint Petersburg, FL 33701 | 2017-11-30 |
| Find all providers in zip 33701 | ||||
| Taxonomy Code | 2080P0205X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Endocrinology |
| A pediatrician who provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual size for age, early or late pubertal development, birth defects, the genital region and disorders of the thyroid, the adrenal and pituitary glands. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831345180 | Mary Joyce Gan | Pediatrics | 601 5th St S Ste 502, St Petersburg, FL 33701-4804 | 2008-08-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891359998 | Kids and Families Medical Clinic LLC | Pediatrics | 12086 Fort Caroline Rd Ste 404, Jacksonville, FL 32225-7640 | 2019-04-24 |
| 1942438767 | Lisa Erin Kenigsberg Fechter | Pediatrics | 9600 W Sample Rd Ste 505, Coral Springs, FL 33065-4037 | 2009-07-01 |
| 1063671212 | Miladys Miriam Palau Collazo | Pediatrics | 9401 Sw Discovery Way Ste 102, Port Saint Lucie, FL 34987-2381 | 2008-06-03 |
| 1043417421 | Omar Dean Hudson | Pediatrics | 1223 Gateway Dr Ste 1g, Melbourne, FL 32901-2607 | 2007-06-29 |
| 1790987964 | Konda Mohan Reddy | Pediatrics | 1801 Lee Rd Ste 170, Winter Park, FL 32789 | 2007-06-01 |
| 1477764207 | Sissi Cossio | Pediatrics | 7605 N State Rd 7, Parkland, FL 33067 | 2007-05-24 |
| 1588701379 | Samuel M Freedman | Pediatrics | 601 N Flamingo Rd Ste 207, Pembroke Pines, FL 33028-1009 | 2007-01-31 |
| 1326116443 | Kelly J Seiler | Pediatrics | 10383 Hagen Ranch Rd Ste 200, Boynton Beach, FL 33437-3782 | 2006-11-30 |
| 1447324744 | Luis E Gonzalez-mendoza | Pediatrics | 3100 Sw 62nd Ave Ste 122, Miami, FL 33155-3009 | 2006-11-20 |
| 1538240320 | Amid Habib | Pediatrics | 789 Douglas Ave, Suite 137, Altamonte Springs, FL 32714 | 2006-10-18 |
| Find all providers with the same taxonomy | ||||
| City | ST PETERSBURG |
| Zip Code | 33701 |
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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.