ANTHONY JOHN JIMENEZ (NPI# 1568426906) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568426906 |
| Entity Type | Individual |
| Full Name | ANTHONY JOHN JIMENEZ |
| Credential | PA-C |
| Practice Address |
403 S Kings Ave Ste 201 Brandon FL 33511-5962 |
| Mailing Address |
403 S Kings Ave Ste 201 Brandon FL 33511-5962 |
| Practice Telephone | 8138724992 |
| Practice Fax Number | 8138644030 |
| Mailing Telephone | 8138724492 |
| Mailing Fax Number | 8134909635 |
| Enumeration Date | 2006-04-13 |
| Last Update Date | 2019-09-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA3216 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 290370901 | 05 | |
| RAILROAD MEDICARE | 970022306 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104360452 | Anthony Jimenez | Assisted Living Facility | 8401 Berry Patch Dr, Anchorage, AK 99502-7265 | 2016-12-06 |
| 1538519822 | Anthony Todd Jimenez | Dentist | 21 N 12th St, #300, Kansas City, KS 66102-5161 | 2016-06-16 |
| 1861688475 | Anthony Alfred Jimenez | Psychologist | 650 Pennsylvania Ave Se, Suite 240, Washington, DC 20003-4318 | 2007-09-18 |
| Street Address |
403 S KINGS AVE STE 201 |
| City | BRANDON |
| State | FL |
| Zip Code | 33511-5962 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902382898 | Pearl Fox | Nurse Practitioner | 403 S Kings Ave Ste 201, Brandon, FL 33511-5962 | 2018-07-14 |
| 1467553966 | Bruce A Piszel | Specialist | 403 S Kings Ave Ste 201, Brandon, FL 33511 | 2006-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295367555 | Ability Beyond Measures LLC. | Clinic/Center | 2705 Isabella Valley Court, Brandon, FL 33511 | 2020-02-05 |
| 1831744655 | Brandon Modern Dentistry, Pa | Dentist | 971 E. Bloomingdale Avenue, Brandon, FL 33511 | 2019-08-08 |
| 1487208922 | Heart and Vascular Center of Brandon, Pllc | Internal Medicine | 511 Medical Oaks Ave., Brandon, FL 33511 | 2019-08-01 |
| 1841842895 | Rebecca Harrelson | Counselor | 915 Oakfield Drive, Suite E, Brandon, FL 33511 | 2019-07-10 |
| 1043779713 | Cheryl Diane Hart | Nurse Practitioner | 888 S Parsons Ave., Brandon, FL 33511 | 2019-03-13 |
| 1306303177 | Paula J Buchwald | Nurse Practitioner | 888 S. Parsons Ave, Brandon, FL 33511 | 2019-02-27 |
| 1063993996 | Ashlee Marie Shevchenko | Speech-Language Pathologist | 602 Vondeburg Dr, Suite 201, Brandon, FL 33511 | 2018-08-28 |
| 1275023012 | Ava Cares, LLC | Assisted Living Facility | 3005 Bell Shoals Rd., Brandon, FL 33511 | 2018-05-17 |
| 1346738705 | Tampa Psychology Group | Psychologist | 1463 Oakfield Dr Ste 109, Brandon, FL 33511 | 2018-05-01 |
| 1760982987 | Suresh Lama Tamang | Counselor | 510 Vonderburg Dr, Suite# 301, Brandon, FL 33511 | 2018-02-14 |
| Find all providers in zip 33511 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467917450 | Chandler Diedrich | Physician Assistant | 560 S Lakewood Dr Ste 101, Brandon, FL 33511-5015 | 2019-02-05 |
| 1922549104 | Kelly Cornnell | Physician Assistant | 305 E Brandon Blvd, Brandon, FL 33511-5222 | 2017-03-20 |
| 1639616865 | Katie Jameson | Physician Assistant | 305 E Brandon Blvd, Brandon, FL 33511-5222 | 2017-01-26 |
| 1134590391 | Adam Suchecki | Physician Assistant | 1007 Professional Park Dr, Brandon, FL 33511-4886 | 2015-10-14 |
| 1871975623 | Aaron Alexander Sookhoo | Physician Assistant | 500 Vonderburg Dr Ste 115w, Brandon, FL 33511-5969 | 2015-06-28 |
| 1043641467 | Alana Nicole Bulla | Physician Assistant | 270 S Moon Ave, Brandon, FL 33511-5711 | 2013-12-11 |
| 1619309614 | Kevin B Osborne | Physician Assistant | 305 E Brandon Blvd, Brandon, FL 33511-5222 | 2013-08-01 |
| 1275846115 | Amber R Strazzulla | Physician Assistant | 515 S Kings Ave Ste 3100, Brandon, FL 33511-6060 | 2010-07-21 |
| 1033209754 | Thomas Scott Gennara | Physician Assistant | 270 S Moon Ave, Brandon, FL 33511-5711 | 2006-10-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811598691 | Monica Nancy Ginocchio | Physician Assistant | 1020 Crosspointe Dr Ste 110, Naples, FL 34110-0918 | 2020-11-06 |
| 1427657055 | Alyson Ryall | Physician Assistant | 480 Ventura Pl, Vero Beach, FL 32963-4262 | 2020-10-24 |
| 1104436476 | Forrest Joseph Steslow | Physician Assistant | 1971 Brandywine Rd Apt 305, West Palm Beach, FL 33409-6800 | 2020-08-03 |
| 1063039576 | Joshua Bras Prewitt | Physician Assistant | 4800 Linton Blvd Ste 201, Delray Beach, FL 33445-6584 | 2020-06-30 |
| 1003443904 | Sheila Rhinehart | Physician Assistant | 981 Tarpon Ave, Sebastian, FL 32958-5147 | 2020-03-23 |
| 1952932493 | Lisel Spieler | Physician Assistant | 1173 Fins Up Ct, Daytona Beach, FL 32124-3719 | 2020-02-03 |
| 1326685991 | Nikolai X Lincavage | Physician Assistant | 29277 Us Highway 19 N # 29277, Clearwater, FL 33761-2102 | 2019-12-03 |
| 1356984686 | Zane K Jude | Physician Assistant | 1775 Linton Lake Dr, Delray Beach, FL 33445-6927 | 2019-10-18 |
| 1720635998 | Jose R Munoz | Physician Assistant | 4801 Esedra Ct Apt 203, Lake Worth, FL 33467-5019 | 2019-08-22 |
| 1811559578 | Sydney Gillen | Physician Assistant | 1222 S Orange Ave Fl 2, Orlando, FL 32806-1215 | 2019-07-02 |
| Find all providers with the same taxonomy | ||||
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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.