JANE J PARK (NPI# 1790129898) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790129898 |
| Entity Type | Individual |
| Full Name | JANE J PARK |
| Credential | M.D. |
| Practice Address |
13279 N Cleveland Ave North Fort Myers FL 33903-4818 |
| Mailing Address |
Po Box 2147 Fort Myers FL 33902-2147 |
| Practice Telephone | 2396524111 |
| Mailing Telephone | 2396524111 |
| Mailing Fax Number | 2396524105 |
| Enumeration Date | 2013-04-19 |
| Last Update Date | 2020-10-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | ME132432 | FL | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | ME132432 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 102359500 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912974122 | Jane Gerke Park | Internal Medicine | 1002 Sushruta Dr, Martinsburg, WV 25401-8897 | 2006-03-07 |
| 1790267722 | Jane Chung Park | Marriage & Family Therapist | 3727 W 6th St Ste 320, Los Angeles, CA 90020-5108 | 2018-09-06 |
| 1447741368 | Jane Park | Student in an Organized Health Care Education/Training Program | 376 Seguine Ave, Staten Island, NY 10309-3942 | 2018-05-25 |
| 1104323047 | Jane Park | Student in an Organized Health Care Education/Training Program | 7600 River Rd, North Bergen, NJ 07047-6217 | 2018-04-08 |
| 1528448131 | Jane Park | Internal Medicine | 700 E Marshall Ave, Longview, TX 75601-5580 | 2015-06-09 |
| 1194125757 | Jane Park | Pharmacist | 1739 S Victoria Ave, Ventura, CA 93003-6503 | 2014-09-01 |
| 1700211893 | Jane S Park | Pharmacist | 35 Kensico Rd, Walgreens, Thornwood, NY 10594-1143 | 2013-09-07 |
| 1447699327 | Jane Haejin Park | Marriage & Family Therapist | 1500 Hughes Way Ste C100, Long Beach, CA 90810-1808 | 2013-06-24 |
| 1134461411 | Jane Park | Student in an Organized Health Care Education/Training Program | 2351 Clay St, Suite 380, San Francisco, CA 94115-1931 | 2013-03-25 |
| 1861622433 | Jane Park | Speech-Language Pathologist | 550 Glenwood Dr, Mooresville, NC 28115-2876 | 2009-07-17 |
| Street Address |
13279 N CLEVELAND AVE |
| City | NORTH FORT MYERS |
| State | FL |
| Zip Code | 33903-4818 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679548143 | Jacqueline Becker | Nurse Practitioner | 13279 N Cleveland Ave, North Fort Myers, FL 33903-4818 | 2006-02-20 |
| 1104351170 | Caitlin Leclair | Family Medicine | 13279 N Cleveland Ave, North Fort Myers, FL 33903-4818 | 2017-04-26 |
| 1417342163 | Lee Memorial Health System | Clinic/Center | 13279 N Cleveland Ave, North Fort Myers, FL 33903-4818 | 2015-03-31 |
| 1285997767 | German Eduardo Lafaurie | Family Medicine | 13279 N Cleveland Ave, North Fort Myers, FL 33903-4818 | 2012-06-20 |
| 1679868806 | Luzan Phillpotts | Family Medicine | 13279 N Cleveland Ave, North Fort Myers, FL 33903-4818 | 2011-06-15 |
| 1134329741 | Susan M Samerdyke | Nurse Practitioner | 13279 N Cleveland Ave, North Fort Myers, FL 33903-4818 | 2007-07-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194376590 | Tls Consulting, LLC | Community/Behavioral Health | 13971 N. Cleveland Avenue #9, North Fort Myers, FL 33903 | 2019-09-26 |
| 1710537857 | Mariel Hernandez | Nurse Practitioner | 16251 N Cleveland Ave Ste 12, North Fort Myers, FL 33903 | 2019-09-19 |
| 1003308644 | Brandon Paige | Behavior Technician | 4085 Hancock Bridge Pkwy Unit 101, North Fort Myers, FL 33903 | 2018-05-30 |
| 1386176253 | Annette Porter | Clinic/Center | 995 Pondella Rd., North Fort Myers, FL 33903 | 2017-03-30 |
| 1972873883 | Apinya Suppatkul | Pharmacist | 17050 N Tamiami Trl, Fort Myers, FL 33903 | 2012-01-09 |
| 1932340536 | Jessica Winter Poe | Dentist | 19001north Tamiami Trail, Suite #3171, North Fort Myers, FL 33903 | 2009-03-12 |
| 1710127055 | Northland Hearing Centers, Inc. | Hearing Aid Equipment | 13240 N. Cleveland Ave., Suite 12, North Ft. Myers, FL 33903 | 2009-02-26 |
| 1013031038 | Mark B. Gorby | Dentist | 14731 N. Cleveland Ave., Suite 1 Community Dental Care, N. Fort Myers, FL 33903 | 2007-03-16 |
| 1285704882 | Jon L. Rauch | Dentist | 19001 N. Tamiami Trail, N. Ft Myers, FL 33903 | 2006-11-09 |
| 1639254188 | Paradise Medical Center | Pediatrics | 1890 North Tamiami Trail, #d2, North Fort Myers, FL 33903 | 2006-10-25 |
| Find all providers in zip 33903 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063044188 | Transitional Medical Management, LLC | Internal Medicine | 12957 Turtle Cove Trl, North Fort Myers, FL 33903-6913 | 2020-02-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821699034 | Sia - Specialty Infusion LLC | Internal Medicine | 2200 Glades Rd Ste 304, Boca Raton, FL 33431-7348 | 2020-11-04 |
| 1255932703 | Cape Coral Integrated Medical | Internal Medicine | 643 Cape Coral Pkwy E Ste E, Cape Coral, FL 33904-8549 | 2020-11-02 |
| 1497355887 | Orange Care Physician Partners of Florida, LLC | Internal Medicine | 14750 Nw 77th Ct Ste 308, Miami Lakes, FL 33016-1537 | 2020-10-27 |
| 1811596562 | Shari Rosenbaum Md Pllc | Internal Medicine | 1905 Clint Moore Rd Ste 204, Boca Raton, FL 33496-2660 | 2020-10-23 |
| 1801495585 | United Teledoc Inc | Internal Medicine | 231 Del Prado Blvd S, Cape Coral, FL 33990-5707 | 2020-10-22 |
| 1467051896 | Jermaine Campbell Do, LLC | Internal Medicine | 2701 N Course Dr Apt 125, Pompano Beach, FL 33069-3030 | 2020-10-16 |
| 1245838150 | Neighbormd of Tamarac LLC | Internal Medicine | 7646 N Nob Hill Rd, Tamarac, FL 33321-1869 | 2020-10-13 |
| 1841898756 | Neighbormd of Miami Beach LLC | Internal Medicine | 4302 Alton Rd Ste 320, Miami Beach, FL 33140-2818 | 2020-10-13 |
| 1437757358 | Neighbormd of Palm Beach Gardens | Internal Medicine | 3345 Burns Rd Ste 204&205, Palm Beach Gardens, FL 33410-4324 | 2020-10-13 |
| 1306444211 | Neighbormd of Aventura LLC | Internal Medicine | 2845 Aventura Blvd Ste 240, Aventura, FL 33180-3120 | 2020-10-13 |
| Find all providers with the same taxonomy | ||||
| City | NORTH FORT MYERS |
| Zip Code | 33903 |
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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.