MRS. JENET MAMMEN GEORGE (NPI# 1710398862) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710398862 |
| Entity Type | Individual |
| Full Name | MRS. JENET MAMMEN GEORGE |
| Credential | MD |
| Practice Address |
929 N Spring Garden Ave Ste 170 Deland FL 32720-0917 |
| Mailing Address |
6101 Blue Lagoon Dr Ste 400 Miami FL 33126-2051 |
| Practice Telephone | 3867389144 |
| Practice Fax Number | 8772451597 |
| Mailing Telephone | 3055002000 |
| Enumeration Date | 2014-05-12 |
| Last Update Date | 2020-09-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | ME131104 | FL | Allopathic & Osteopathic Physicians |
| Street Address |
929 N SPRING GARDEN AVE STE 170 |
| City | DELAND |
| State | FL |
| Zip Code | 32720-0917 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194839464 | Elizabeth Rivera | Family Medicine | 929 N Spring Garden Ave Ste 170, Deland, FL 32720-0917 | 2006-08-17 |
| 1528586310 | Samantha Torres | Nurse Practitioner | 929 N Spring Garden Ave Ste 170, Deland, FL 32720-0917 | 2017-09-01 |
| 1659755452 | Melodye Jones | Nurse Practitioner | 929 N Spring Garden Ave Ste 170, Deland, FL 32720-0917 | 2015-07-13 |
| 1245391986 | Rene S Vasquez | Family Medicine | 929 N Spring Garden Ave Ste 170, Deland, FL 32720-0917 | 2006-12-13 |
| 1053420182 | Dennis C Kee | Physician Assistant | 929 N Spring Garden Ave Ste 170, Deland, FL 32720-0917 | 2006-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679171532 | Kimberlee C Del Campo | Nurse Practitioner | 1590 S, State Highway 15a, Deland, FL 32720 | 2020-10-13 |
| 1699304840 | Grace Haven LLC | In Home Supportive Care | 805 S Stone St, Deland, FL 32720 | 2020-04-08 |
| 1609407766 | Michelle Rene' Tutt | Nurse Practitioner | 1590 South State Hwy 15a, Deland, FL 32720 | 2020-01-28 |
| 1902448715 | Volusia Medical Center LLC | Family Medicine | 850 N. Stone Street, Deland, FL 32720 | 2019-10-14 |
| 1548748957 | Christopher Lee Paik | Internal Medicine | 107 N Stone St, St A, Deland, FL 32720 | 2018-07-30 |
| 1164961041 | Melissa Sorensen | Counselor | 970 N Spring Ave, 523, Deland, FL 32720 | 2017-02-13 |
| 1669910329 | Stefanie Briann Yockey | Counselor | 804 N. Woodland Blvd., Deland, FL 32720 | 2017-02-02 |
| 1144648809 | Steven Shinn | Internal Medicine | 1590 S Sr 15a Ste 100, Deland, FL 32720 | 2014-03-31 |
| 1164843710 | Malgorzata Anna Szelwach | Occupational Therapist | 1590 State Rt 15a Suite B, Deland, FL 32720 | 2013-12-29 |
| 1730510926 | Adriana Marquez | Community/Behavioral Health | 33218 Tomahawk Trail, Deland, FL 32720 | 2013-12-12 |
| Find all providers in zip 32720 | ||||
| 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 |
|---|---|---|---|---|
| 1902448715 | Volusia Medical Center LLC | Family Medicine | 850 N. Stone Street, Deland, FL 32720 | 2019-10-14 |
| 1295275378 | Deland Medical Center LLC | Family Medicine | 320 S Spring Garden Ave, Ste D, Deland, FL 32720-5087 | 2017-03-08 |
| 1073960357 | Robert Solomon Jr. | Family Medicine | 1431 Orange Camp Rd Ste 118119, Deland, FL 32724 | 2016-05-17 |
| 1225483803 | Wesley Kramer | Family Medicine | 2293 S Woodland Blvd, Deland, FL 32720-8633 | 2016-05-02 |
| 1972948826 | Carehere LLC | Family Medicine | 151 Victoria Commons Blvd Ste 103, Deland, FL 32724-7722 | 2013-05-06 |
| 1639443260 | Angella M. Glidden-wood | Family Medicine | 909 N Stone St, Deland, FL 32720-2521 | 2012-02-29 |
| 1932376282 | Fabiola Dutes Fairgrieve | Family Medicine | 2836 Shenandoah Rd, Deland, FL 32720-1426 | 2008-05-14 |
| 1407026016 | Northeast Florida Health Services Inc | Family Medicine | 844 W Plymouth Ave, Deland, FL 32720-3284 | 2008-03-11 |
| 1821268079 | Selma C Delima Md Pa | Family Medicine | 923 N Spring Garden Ave, Deland, FL 32720-2560 | 2008-03-04 |
| 1225217474 | Brent D. Schlapper | Family Medicine | 1015 N Stone St, Suite A, Deland, FL 32720-0802 | 2007-10-24 |
| Find all providers in DELAND | ||||
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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.