PAUL BUSSE (NPI# 1740520741) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740520741 |
| Entity Type | Individual |
| Full Name | PAUL BUSSE |
| Credential | M.D. |
| Practice Address |
2001 County Road 210 W Ste 200 Saint Johns FL 32259 |
| Mailing Address |
4205 Belfort Rd Ste 4015 Jacksonville FL 32216-3623 |
| Practice Telephone | 9044508400 |
| Practice Fax Number | 9042301066 |
| Mailing Fax Number | 9044506401 |
| Enumeration Date | 2013-02-27 |
| Last Update Date | 2018-05-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | 14300-I | PR | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821004987 | Paul P Busse | Radiology | 11133 Dunn Road, St Louis, MO 63136 | 2006-07-31 |
| 1073587291 | Paul Martin Busse | Radiology | 100 Blossom St, Cox Ll, Boston, MA 02114-2617 | 2006-02-14 |
| Street Address |
2001 COUNTY ROAD 210 W STE 200 |
| City | SAINT JOHNS |
| State | FL |
| Zip Code | 32259 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306994736 | Kathleen Elizabeth Kafantaris | Social Worker | 2001 County Road 210 W Ste 200, Saint Johns, FL 32259 | 2007-01-08 |
| 1477058709 | Southeast Orthopedic Specialists, Inc. | Orthopaedic Surgery | 2001 County Road 210 W Ste 200, Saint Johns, FL 32259-2063 | 2018-03-28 |
| 1134458862 | Allison Michelle Wood | Nurse Practitioner | 2001 County Road 210 W Ste 200, Saint Johns, FL 32259-2063 | 2009-12-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659904571 | Ayla Rose Yarbrough | Chiropractor | 1620 County Road 210, St. Johns County, FL 32259 | 2020-02-19 |
| 1831731009 | Andrew Dacunha, Dmd, Pa | Dentist | 71 Doctors Village Drive, Suite 303, Saint Johns, FL 32259 | 2019-10-09 |
| 1801446257 | Mary Alice Taylor | Counselor | 213 Trapper Trace Ct., St. Johns, FL 32259 | 2019-09-18 |
| 1609425826 | Publix Super Markets, Inc. | Durable Medical Equipment & Medical Supplies | 155 Bartram Park Drive, Suite 100, St. Johns, FL 32259 | 2019-09-10 |
| 1518438936 | Yazji Pediatric Care | Pediatrics | 4125 Race Track Rd, Suite Number 104, Saint Johns, FL 32259 | 2018-12-11 |
| 1003328022 | Abundant Life Health Center LLC | Chiropractor | 254 Everest Lane, St. Johns, FL 32259 | 2017-10-31 |
| 1356863732 | Jennifer Eberhard | Nurse Practitioner | 335 Oxford Estates Way, Saint Johns, FL 32259 | 2017-07-07 |
| 1366986861 | Taylor Leard | Physician Assistant | 2001 County Rd 210, Suite 101, St. Johns, FL 32259 | 2016-12-19 |
| 1043760390 | Comfortable Care Dental Health Professionals, Pa | Dentist | 2532 Race Track Rd, Saint Johns, FL 32259 | 2016-10-11 |
| 1598114233 | Bright Smiles Pediatric Dentistry, Pllc | Dentist | 196 Everest Ln Unit 1, Saint Johns, FL 32259 | 2016-06-03 |
| Find all providers in zip 32259 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659845618 | Riley Anne Theis | Student in an Organized Health Care Education/Training Program | 1120 Natures Hammock Rd S, Saint Johns, FL 32259-2879 | 2019-01-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447851126 | Jonathan Patrick Noel | Student in an Organized Health Care Education/Training Program | 410 Celebration Pl Ste 304, Kissimmee, FL 34747-5436 | 2020-11-08 |
| 1982205928 | Christian Miguel Castilla | Student in an Organized Health Care Education/Training Program | 6800 Nw 39th Ave Lot 173, Coconut Creek, FL 33073-2159 | 2020-11-05 |
| 1326649682 | Margely Carrion | Student in an Organized Health Care Education/Training Program | 4931 Town N Country Blvd, Tampa, FL 33615-4640 | 2020-11-03 |
| 1477153286 | Bruce Jordan Billinger | Student in an Organized Health Care Education/Training Program | 8851 Us Highway 19 N Apt 2307, Pinellas Park, FL 33782-5842 | 2020-10-30 |
| 1548860711 | Lee Thomas Hagenbaumer | Student in an Organized Health Care Education/Training Program | 10100 Baymeadows Rd Apt 802, Jacksonville, FL 32256-7196 | 2020-10-27 |
| 1730788266 | Aarcha Mary Thomas | Student in an Organized Health Care Education/Training Program | 703 N Flamingo Rd Fl 33028, Pembroke Pines, FL 33028-1006 | 2020-10-26 |
| 1053910752 | Nicole Maria Cooke | Student in an Organized Health Care Education/Training Program | 211 Buck Run Way, Saint Augustine, FL 32092-1833 | 2020-10-22 |
| 1063011013 | Aldo Menendez Arcia | Student in an Organized Health Care Education/Training Program | 12250 Nw 8th St, Miami, FL 33182-2421 | 2020-10-21 |
| 1699374785 | Meghan Elizabeth Berry | Student in an Organized Health Care Education/Training Program | 6621 Canopy Lakes Ct Apt 402, Tampa, FL 33625-4174 | 2020-10-20 |
| 1285233403 | Angel Rose Picart | Student in an Organized Health Care Education/Training Program | 12741 Sw 108th St, Miami, FL 33186-3514 | 2020-10-19 |
| Find all providers with the same taxonomy | ||||
| City | SAINT JOHNS |
| Zip Code | 32259 |
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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.