JESSE LEBARON


Address: 8451 Shade Ave Ste 205, Sarasota, FL 34243
Phone: 9413602477

JESSE LEBARON (NPI# 1851879217) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1851879217
Entity Type Individual
Full Name JESSE LEBARON
Credential MPAS, PA-C
Practice Address 8451 Shade Ave Ste 205
Sarasota
FL 34243
Mailing Address 1003 Nw 10th Ave
Gainesville
FL 32601-4156
Practice Telephone 9413602477
Mailing Telephone 3522625873
Enumeration Date 2018-07-29
Last Update Date 2018-08-24
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207N00000X Dermatology PA9111415 FL Allopathic & Osteopathic Physicians
Y 363AM0700X Physician Assistant
Specialization: Medical
PA9111415 FL Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 8451 SHADE AVE STE 205
City SARASOTA
State FL
Zip Code 34243

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1851682462 Timothy Clifton Prichard Speech-Language Pathologist 5770 Timber Lake Dr, Sarasota, FL 34243 2011-04-29
1548568702 Eyeglass World Technician/Technologist 77 North Cattlemen Road, Sarasota, FL 34243 2011-03-11
1104051978 Hillstrom Facial Plastic Surgery Pa Otolaryngology 5911 N. Honore Ave., Suite 120, Sarasota, FL 34243 2009-05-22
1366684979 Tina A. Rigsby Prousalis Nurse Practitioner 701 Tallevast Rd., Sun Hydrolics, Sarasota, FL 34243 2009-03-27
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1649817552 Christopher Matthew Duffy Physician Assistant 2123 Grove St, Sarasota, FL 34239-4622 2019-12-10
1114402476 Chase Lambert Physician Assistant 5050 Sandy Cove Ave, Sarasota, FL 34242-1538 2018-10-02
1326444712 Brittany Eberly Physician Assistant 5911 N Honore Ave Ste 210, Sarasota, FL 34243-2657 2014-11-12
1821378571 Senior Xpress Care LLC Physician Assistant 5310 Clark Rd Ste 206, Sarasota, FL 34233-3229 2011-08-25
1215159215 Elizabeth Ashley Johnson Physician Assistant 2800 Hillview St., Sarasota, FL 34239 2007-05-02
1205951522 Alexander Nicholas Petreas Physician Assistant 3420 Fruitville Road, Sarasota, FL 34237 2007-03-20
1235262866 Shelli M Adam Physician Assistant 2401 University Pkwy Ste 202, Sarasota, FL 34243-2973 2007-03-13
1104837673 Mark Andrew Fritschle Physician Assistant 8383 S Tamiami Trl Unit 115, Sarasota, FL 34238-2901 2006-08-10
1760436232 Keith Sieracki Physician Assistant 1950 Arlington St Ste 400, Sarasota, FL 34239-3513 2006-05-20
1215988746 Gerald Douglas Testerman Jr. Physician Assistant 5824 Bee Ridge Rd, #446, Sarasota, FL 34233-5065 2006-05-12
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Competitor

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City SARASOTA
Zip Code 34243

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Dataset Information

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.

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