JONATHAN P JETER (NPI# 1689056228) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689056228 |
| Entity Type | Individual |
| Full Name | JONATHAN P JETER |
| Credential | M.D. |
| Practice Address |
5005 N Piedras St El Paso TX 79920 |
| Practice Telephone | 9157428687 |
| Enumeration Date | 2015-06-19 |
| Last Update Date | 2019-08-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | R1052 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | TEXAS MEDICAL LICENSE | R1052 | 01 |
| Street Address |
5005 N PIEDRAS ST |
| City | EL PASO |
| State | TX |
| Zip Code | 79920 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588663868 | Troy M Denunzio Sr. | Internal Medicine | 5005 N Piedras St, Attn: Credentials Office, El Paso, TX 79920-5001 | 2005-07-19 |
| 1255932331 | Kenneth A Paull | Social Worker | 5005 N Piedras St, El Paso, TX 79930-5097 | 2020-11-04 |
| 1326649757 | Ashley Monique Graham | Social Worker | 5005 N Piedras St, El Paso, TX 79920 | 2020-11-03 |
| 1710597695 | Alyssa Engel | Student in an Organized Health Care Education/Training Program | 5005 N Piedras St, El Paso, TX 79920 | 2020-08-05 |
| 1497372312 | Luke Sly | Student in an Organized Health Care Education/Training Program | 5005 N Piedras St, El Paso, TX 79920-5001 | 2020-06-26 |
| 1922620731 | Genevieve Weldon | Dietitian, Registered | 5005 N Piedras St, El Paso, TX 79920 | 2020-05-14 |
| 1518503499 | Raul Aldair Marquez | Dietitian, Registered | 5005 N Piedras St, El Paso, TX 79920 | 2019-11-26 |
| 1972146934 | Jaclyn Franz | Student in an Organized Health Care Education/Training Program | 5005 N Piedras St, El Paso, TX 79930-5097 | 2019-10-22 |
| 1720632284 | Kara Young | Midwife | 5005 N Piedras St, El Paso, TX 79920 | 2019-08-01 |
| 1992367270 | Katharine Long | Dietitian, Registered | 5005 N Piedras St, El Paso, TX 79920 | 2019-07-08 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518512607 | Haley Yaw | Student in an Organized Health Care Education/Training Program | 5005 North Piedras Ave, El Paso, TX 79920 | 2019-08-06 |
| 1225521636 | Kelsea Killin | Student in an Organized Health Care Education/Training Program | Wbamc/dom/gme, 5005 N Piedras Street, El Paso, TX 79920 | 2018-06-11 |
| 1891216594 | Timothy C Gilligan | Student in an Organized Health Care Education/Training Program | Attn: Mchm-dos-gsr, Wbamc, 5005 N. Piedras St, El Paso, TX 79920 | 2017-07-03 |
| 1285180893 | Adelina Ibanez | Dental Assistant | 5005 N. Piedras St. 2nd Floor Rm 2112, William Beaumont Army Medical Center, El Paso, TX 79920 | 2016-09-01 |
| 1740657907 | Sondra Reynolds | Social Worker | 505 N Piedras St, El Paso, TX 79920 | 2015-08-24 |
| 1407279557 | Therese Hadden | Social Worker | 2489 Ricker Road, El Paso, TX 79920 | 2014-01-27 |
| 1265710032 | Courtney Rose Usry | Internal Medicine | 5005 N Piedras St., El Paso, TX 79920 | 2011-07-28 |
| 1760789010 | Debra Dianca Ingle-munoz | Social Worker | Wbamc, 5005 N. Piedras, El Paso, TX 79920 | 2011-02-23 |
| 1467688325 | Silvia Ursula Green | Radiology | 5005 N. Piedras Strees, El Paso, TX 79920 | 2009-06-05 |
| 1184803058 | Nora Dougan Hussey | Family Medicine | 5505 North Piedras St, William Beaumont Army Medical Center, El Paso, TX 79920 | 2007-10-29 |
| Find all providers in zip 79920 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164743928 | Brett A Ozanich | Dermatology | 310 S Mesa Hills Dr, El Paso, TX 79912-5880 | 2010-06-16 |
| 1639239692 | Clinton Allen King | Dermatology | 10657 Vista Del Sol, Suite A, El Paso, TX 79935-4504 | 2006-12-11 |
| 1336244581 | Mark Franklin Peake | Dermatology | 8820 Gateway Blvd N, El Paso, TX 79904-1947 | 2006-09-13 |
| 1386645752 | Karen Leora Herman | Dermatology | 2100 N Mesa, Peter S Herman Md Pa, El Paso, TX 79902-3312 | 2005-08-09 |
| 1376540211 | Hector Lastra Franco | Dermatology | 10500 Vista Del Sol Dr, Suite C, El Paso, TX 79925-7949 | 2005-07-07 |
| 1336664044 | David Vainsencher | Dermatology | 3607 Rivera Ave, El Paso, TX 79905-2415 | 2017-08-03 |
| 1427257070 | Samuel Fehring Almquist | Dermatology | 5005 N Piedras St, El Paso, TX 79920-5001 | 2007-07-13 |
| 1821142779 | Jana Louise Simpson | Dermatology | 1700 Murchison Dr, Suite 215, El Paso, TX 79902-2931 | 2007-01-22 |
| 1104988377 | Sun City Dermatology, Pa | Dermatology | 4545 N Mesa St, El Paso, TX 79912-6121 | 2006-12-14 |
| 1255407441 | Mountain View Dermatology,p.a. | Dermatology | 8820 Gateway Blvd N, El Paso, TX 79904-1947 | 2006-11-28 |
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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.