PETER JANSEN (NPI# 1689634172) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689634172 |
| Entity Type | Individual |
| Full Name | PETER JANSEN |
| Credential | MD |
| Practice Address |
2349 Village Square Pkwy Ste 110 Fleming Island FL 32003-4319 |
| Mailing Address |
Po Box 45443 Salt Lake City UT 84145-0443 |
| Practice Telephone | 9042646404 |
| Practice Fax Number | 9042646884 |
| Mailing Telephone | 9042021032 |
| Mailing Fax Number | 9043764107 |
| Enumeration Date | 2006-03-27 |
| Last Update Date | 2018-12-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | ME69804 | FL | Allopathic & Osteopathic Physicians |
| Street Address |
2349 VILLAGE SQUARE PKWY STE 110 |
| City | FLEMING ISLAND |
| State | FL |
| Zip Code | 32003-4319 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972099844 | Justin Keeton | Nurse Practitioner | 2349 Village Square Pkwy Ste 110, Fleming Island, FL 32003-4319 | 2018-07-03 |
| 1649620261 | Danisha Laquise Stevenson | Family Medicine | 2349 Village Square Pkwy Ste 110, Fleming Island, FL 32003-4319 | 2016-06-14 |
| 1396041547 | Barbara Ann Austin | Nurse Practitioner | 2349 Village Square Pkwy Ste 110, Fleming Island, FL 32003-4319 | 2011-02-07 |
| 1801025424 | Takaya Linne Jones | Family Medicine | 2349 Village Square Pkwy Ste 110, Credentialing Department, Fleming Island, FL 32003-4319 | 2009-07-02 |
| 1871521906 | Stephen Boyd Gill | Family Medicine | 2349 Village Square Pkwy Ste 110, Credentialing Department, Fleming Island, FL 32003-4319 | 2006-06-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649758012 | Pruitthealth - Fleming Island, LLC | Skilled Nursing Facility | 2040 Town Center Boulevard, Fleming Island, FL 32003 | 2018-07-30 |
| 1841733904 | Linda Giacobbe | Community/Behavioral Health | 4609 Hwy 17, Suite 1, Fleming Island, FL 32003 | 2016-11-22 |
| 1538515796 | Kelly Standish | Dentist | 1700 Eagle Harbor Parkway East, Orange Park, FL 32003 | 2016-05-06 |
| 1396119301 | Emily Benn | Physical Therapist | 4689 Hwy 17, Suite 11, Fleming Island, FL 32003 | 2015-11-16 |
| 1467834929 | Sherrye Frady | Nurse Practitioner | 1915 East West Pkwy #2, Fleming Island, FL 32003 | 2015-06-22 |
| 1023497658 | Musa Medical Supplies | Durable Medical Equipment & Medical Supplies | 1915 Eastwest Parkway, Fleming Island, FL 32003 | 2015-05-28 |
| 1093125676 | Stephen Gibbs | Orthopaedic Surgery | 4689 Highway 17, Suite 11, Fleming Island, FL 32003 | 2014-05-05 |
| 1033555198 | Lillie Elaine Switanek | Social Worker | 1 743 Cr 220, Fleming Island, FL 32003 | 2013-05-16 |
| 1003188475 | Comfortable Care Dental Health Professionals | Dentist | 1647 Country Road 220, Suite 101, Fleming Island, FL 32003 | 2012-02-01 |
| 1285901488 | Lynzie Lane Cammilleri | Pharmacist | 1565 Doctor's Inlet, Orange Park, FL 32003 | 2011-11-17 |
| Find all providers in zip 32003 | ||||
| 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 |
|---|---|---|---|---|
| 1699107714 | Canh Tien Nguyen | Family Medicine | 2173 Salt Myrtle Ln, Fleming Island, FL 32003-7075 | 2013-07-31 |
| 1063611028 | Harold Dale Boyd | Family Medicine | 1747 Baptist Clay Rd Ste 340, Credentialing Department, Fleming Island, FL 32003-8503 | 2007-07-11 |
| 1639277502 | First Primary Care & Family Medicine Inc | Family Medicine | 2587 Woodgrove Rd, Fleming Island, FL 32003-4974 | 2006-09-21 |
| 1962466805 | Audrey M Wooten | Family Medicine | 1570 Island Ln, Fleming Island, FL 32003-7453 | 2006-04-17 |
| 1902880198 | Jim Thong Tran | Family Medicine | 1747 Baptist Clay Dr Ste 340, Fleming Island, FL 32003-8503 | 2005-12-01 |
| 1669471033 | William Herman Sessions | Family Medicine | 4565 Us Highway 17 Ste 106, Fleming Island, FL 32003-4822 | 2005-07-19 |
| 1649275488 | Hui Tang | Family Medicine | 4689 Us Highway 17, Suite 14, Fleming Island, FL 32003-4831 | 2005-06-17 |
| 1316552714 | Tara Lee Larkin | Family Medicine | 1570 Island Ln, Fleming Island, FL 32003-7453 | 2020-09-11 |
| 1649620261 | Danisha Laquise Stevenson | Family Medicine | 2349 Village Square Pkwy Ste 110, Fleming Island, FL 32003-4319 | 2016-06-14 |
| 1699138362 | Physicians Group Services Pa | Family Medicine | 1689 Eagle Harbor Pkwy, Suite A, Fleming Island, FL 32003-4817 | 2016-03-31 |
| Find all providers in FLEMING ISLAND | ||||
| City | FLEMING ISLAND |
| Zip Code | 32003 |
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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.