JASMINE SISKA


Address: 6037 Winthrop Commerce Ave Ste 201, Riverview, FL 33578-4694
Phone: 8133151530

JASMINE SISKA (NPI# 1447665377) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1447665377
Entity Type Individual
Full Name JASMINE SISKA
Credential PA
Practice Address 6037 Winthrop Commerce Ave Ste 201
Riverview
FL 33578-4694
Mailing Address 38135 Market Sq
Zephyrhills
FL 33542-7505
Practice Telephone 8133151530
Practice Fax Number 8133555909
Mailing Telephone (352) 567-0188
Mailing Fax Number 8133555101
Enumeration Date 2014-06-30
Last Update Date 2017-11-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207Q00000X Family Medicine 0110004618 VA Allopathic & Osteopathic Physicians
Y 363AM0700X Physician Assistant
Specialization: Medical
PA9110151 FL Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
FL 022259200 05

Office Location

Street Address 6037 WINTHROP COMMERCE AVE STE 201
City RIVERVIEW
State FL
Zip Code 33578-4694

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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1275009631 Michelle Nicole Hinson Physician Assistant 13134 Early Run Ln, Riverview, FL 33578-3387 2018-10-23
1962569467 Kathleen Farquhar Physician Assistant 14700 King Rd Ste A, Riverview, MI 48193-7909 2007-01-03
1720608680 Jordan Derek Steels Physician Assistant 10730 Ketchum Valley Dr, Riverview, FL 33579-7185 2020-04-21
1184288722 Julia Sangiovanni Physician Assistant 7229 Us Highway 301 S, Riverview, FL 33578-4346 2019-04-29
1972989713 Riverview Medical, Inc Physician Assistant 10732 Ketchum Valley Dr, Riverview, FL 33579-7185 2015-08-04
1942520119 Amy Van Dusen Physician Assistant 18580 Fort St, Riverview, MI 48193-7442 2010-06-10
1861727695 Brianne Michelle Hauser Physician Assistant 19020 Fort St, Riverview, MI 48193-6701 2009-10-13
1164513362 Sandra K Aldridge Physician Assistant 19020 Fort St, Riverview, MI 48193-6701 2006-09-27
1447341060 Karen E Pfander Physician Assistant 19020 Fort St, Riverview, MI 48193-6701 2006-09-27

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City RIVERVIEW
Zip Code 33578

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Dataset Information

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.

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