JAG MEDICAL OF PALM BEACH PA (NPI# 1881910073) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881910073 |
| Entity Type | Organization |
| Organization Name | JAG MEDICAL OF PALM BEACH PA |
| Practice Address |
6169 S Jog Rd Ste 4b Lake Worth FL 33467-6514 |
| Practice Telephone | 5614325101 |
| Practice Fax Number | 5614321914 |
| Mailing Telephone | 5614325101 |
| Mailing Fax Number | 5614321914 |
| Enumeration Date | 2010-04-13 |
| Last Update Date | 2011-09-14 |
| Authorized Official Name | DR. PEDRO A SANCHEZ (MEDICAL DOCTOR) |
| Authorized Official Telephone | 5614325101 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | OS0005893 | FL | Allopathic & Osteopathic Physicians |
| Street Address |
6169 S JOG RD STE 4B |
| City | LAKE WORTH |
| State | FL |
| Zip Code | 33467-6514 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457379521 | Christopher J Heller | Anesthesiology | 6169 S Jog Rd, Suite B 3, Lake Worth, FL 33467-6579 | 2006-07-17 |
| 1538681804 | Alex West Mccormick | Specialist/Technologist | 6169 S Jog Rd, Lake Worth, FL 33467-6579 | 2017-07-08 |
| 1609311968 | Cristine Plaza | Physical Therapist | 6169 S Jog Rd, Suite A11, Lake Worth, FL 33467-6579 | 2016-12-22 |
| 1225480569 | Stephanie Brooke Fried | Physical Therapist | 6169 S Jog Rd, Lake Worth, FL 33467-6579 | 2016-07-11 |
| 1780057281 | Kellie Ann Palermo | Physical Therapist | 6169 S Jog Rd, Suite A11, Lake Worth, FL 33467-6579 | 2015-11-05 |
| 1295102010 | Robert Stanton | Physical Therapist | 6169 S Jog Rd, A-11, Lake Worth, FL 33467-6579 | 2015-08-27 |
| 1841688355 | Tetyana Parsons | Dentist | 6169 S Jog Rd, Ste A4, Lake Worth, FL 33467 | 2015-01-06 |
| 1861890675 | Margaret Ann Peller | Physical Therapist | 6169 S Jog Rd, Suite A11, Lake Worth, FL 33467-6579 | 2014-12-10 |
| 1336558758 | Devin Marie Pemberton | Physical Therapist | 6169 S Jog Rd, Suite A11, Lake Worth, FL 33467-6579 | 2014-08-11 |
| 1801219464 | Brenda Borton | Nurse Practitioner | 6169 S Jog Rd, Suite 4b, Lake Worth, FL 33467-6579 | 2014-01-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891259537 | Paulette Penning | Nurse Practitioner | Clinic 7891 8954 Lantana Rd, Lake Worth, FL 33467 | 2019-01-28 |
| 1700357183 | Dara Gill | Physical Therapist | 9897 Lake Worth Rd Ste 203, Lake Worth, FL 33467 | 2018-12-11 |
| 1609344977 | Farah Edwidge Johanne Sajous | Nurse Practitioner | 9351 Pinto Dr, Lake Worth, FL 33467 | 2018-11-05 |
| 1386110138 | Juliana Escamilla | Massage Therapist | 390 Bennington Lane, Apt B, Lake Worth, FL 33467 | 2018-10-19 |
| 1609369453 | Courtney Kehaulani Linke | Occupational Therapist | 4602 Sandy Cove Ter, Lake Worth, FL 33467 | 2018-06-07 |
| 1821589862 | Matthew James Dowda | Physical Therapy Assistant | 5342 Evening Star Way, Lake Worth, FL 33467 | 2018-05-25 |
| 1053828954 | Ailema Bayola Perez | Dentist | 3935 Jog Rd, Suite 16, Greenacres, FL 33467 | 2018-01-02 |
| 1922517424 | Metro Physical & Occupational Therapy Inc | Occupational Therapist | 9130 Hypoluxo Road, Lake Worth, FL 33467 | 2017-09-27 |
| 1659806826 | Advanced Placement Medical Products, LLC | Durable Medical Equipment & Medical Supplies | 9627 Bergamo Street, Lake Worth, FL 33467 | 2017-04-26 |
| 1700326378 | Doctor's Choice Medical Center, Inc | Clinic/Center | 2994 S Jog Rd Ste A, Greenacres, FL 33467 | 2017-03-02 |
| Find all providers in zip 33467 | ||||
| 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 |
|---|---|---|---|---|
| 1982218079 | Primary Total Care Corp | Family Medicine | 3015 S Congress Ave Ste 1, Lake Worth, FL 33461-2111 | 2020-09-04 |
| 1538781455 | Living Well Medical Group LLC | Family Medicine | 7136 S Military Trl Ste 10, Lake Worth, FL 33463-7812 | 2020-05-13 |
| 1851664536 | Pbnd Care Inc | Family Medicine | 4460 Carver St, Lake Worth, FL 33461-2713 | 2012-02-11 |
| 1972895456 | Ronald G Kludo Do Pa | Family Medicine | 7653 Lkake Worth, Lake Worth, FL 33467 | 2011-05-03 |
| 1215167168 | Ronald L. Bigman | Family Medicine | 7584 Lake Harbor Terrace, Lake Worth, FL 33467 | 2009-07-24 |
| 1508094988 | Jenny Aihong Liu | Family Medicine | 4073 Plumbago Pl, Lake Worth, FL 33462 | 2009-06-24 |
| 1285871665 | Johnson Medical Services Corporation | Family Medicine | 2531 N Dixie Hwy, Lake Worth, FL 33460-6250 | 2009-01-07 |
| 1417077801 | Pamela A Roach | Family Medicine | 6340 Lake Worth Blvd, #141, Lake Worth, TX 76135-3602 | 2007-03-30 |
| 1689725533 | Ronald G. Kludo | Family Medicine | 7653 Lake Worth Rd, Lake Worth, FL 33467-2534 | 2007-01-16 |
| 1104994227 | Bhagwandatt Rajcoomar | Family Medicine | 4765 S Congress Ave Ste B, Lake Worth, FL 33461-4700 | 2006-11-30 |
| Find all providers in LAKE WORTH | ||||
| City | LAKE WORTH |
| Zip Code | 33467 |
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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.