MS. JESSICA R POULIN (NPI# 1972896694) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972896694 |
| Entity Type | Individual |
| Full Name | MS. JESSICA R POULIN |
| Credential | M.D. |
| Practice Address |
2979 Pga Blvd Ste 100 Palm Beach Gardens FL 33410 |
| Mailing Address |
770 Northpoint Pkwy Ste 102 West Palm Beach FL 33407-1901 |
| Practice Telephone | 5616263800 |
| Practice Fax Number | 5616246364 |
| Mailing Telephone | 5612757604 |
| Mailing Fax Number | 5618025385 |
| Enumeration Date | 2011-05-27 |
| Last Update Date | 2018-08-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207V00000X | Obstetrics & Gynecology | TRN15983 | FL | Allopathic & Osteopathic Physicians |
| Y | 207VM0101X |
Obstetrics & Gynecology Specialization: Maternal & Fetal Medicine |
ME119737 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 015052200 | 05 |
| Street Address |
2979 PGA BLVD STE 100 |
| City | PALM BEACH GARDENS |
| State | FL |
| Zip Code | 33410 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811501026 | Vicky Pauline Salazar | Registered Nurse | 11501 N Military Trail, Palm Beach Gardens, FL 33410 | 2020-09-04 |
| 1417596388 | Chavon E Mayer | Doula | 149 Winter Park Lane, West Palm Beach, FL 33410 | 2019-12-24 |
| 1639711617 | Diamond Physical Therapy, LLC | Physical Therapist | 4025 Johnson Dairy Road, Palm Beach Gardens, FL 33410 | 2019-10-11 |
| 1689151714 | Caroline Devries Hesterman | Occupational Therapist | 9840 Alternate A1a Ste 402, Palm Beach Gardens, FL 33410 | 2018-07-21 |
| 1366937088 | Krystal Maya Khemkaran | Behavior Technician | 2979 Pga Blvd # 200, Palm Beach Gardens, FL 33410 | 2018-06-25 |
| 1548762552 | Arsenia Pomperada Sabusap | Nurse Practitioner | Grace Medical Center of Florida, 4212 Northlake Blvd., Palm Beach Gardens, FL 33410 | 2018-03-06 |
| 1538668199 | Alan Seidenfeld | Dentist | 7305 N Military Trl 3a-200, Riviera Beach, FL 33410 | 2018-02-08 |
| 1407361454 | Nuvista Living At Jupiter, LLC | Skilled Nursing Facility | 338 Pioneer Road, Jupiter, FL 33410 | 2017-12-12 |
| 1083125728 | Tom Long Biddle-xing | Nurse Practitioner | 3345 Burns Rd Ste 206, Palm Beach Gardens, FL 33410 | 2017-10-20 |
| 1801315189 | Kasie Sidman | Physical Therapist | 3929 Bluebell St, Palm Beach Gardens, FL 33410 | 2017-09-18 |
| Find all providers in zip 33410 | ||||
| Taxonomy Code | 207VM0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Maternal & Fetal Medicine |
| An obstetrician/gynecologist who cares for, or provides consultation on, patients with complications of pregnancy. This specialist has advanced knowledge of the obstetrical, medical and surgical complications of pregnancy and their effect on both the mother and the fetus. The specialist also possesses expertise in the most current diagnostic and treatment modalities used in the care of patients with complicated pregnancies. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831299767 | Ruel Tyrone Stoessel | Obstetrics & Gynecology | 8645 N Military Trail, Suite 508, Palm Beach Gardens, FL 33410-6296 | 2006-09-22 |
| 1952728131 | Ruel T Stoessel Md Pa | Obstetrics & Gynecology | 8645 N Military Trail, Suite 508, Palm Beach Gardens, FL 33410-6294 | 2014-03-25 |
| 1811134273 | University Perinatal Associates | Obstetrics & Gynecology | 11505 Fairchild Gardens Ave, Suite 101, Palm Beach Gardens, FL 33410-2847 | 2009-01-07 |
| 1295709756 | Denise Guidetti | Obstetrics & Gynecology | 2979 Pga Blvd, Suite 100, Palm Beach Gardens, FL 33410-2911 | 2006-02-13 |
| 1982603296 | Marie Morel | Obstetrics & Gynecology | 2979 Pga Blvd, Ste 100, Palm Beach Gardens, FL 33410-2911 | 2005-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568877538 | Sunshine Perinatology Specialists, M.d., P.a. | Obstetrics & Gynecology | 2310 North Blvd W, Davenport, FL 33837 | 2014-06-27 |
| 1780983114 | Maternal Fetal Medicine of Southwest Florida | Obstetrics & Gynecology | 210 Del Prado Blvd, Suite 1, Cape Coral, FL 33990-1763 | 2011-03-24 |
| 1427357854 | Maternal Fetal Medine of Sw Flordia | Obstetrics & Gynecology | 26800 S. Tamiami Tr, Suite 230, Bonita Springs, FL 34134-4390 | 2011-03-24 |
| 1336305614 | Christensen Maternal & Fetal Medicine | Obstetrics & Gynecology | 2100 Aloma Ave, Suite 100, Winter Park, FL 32792-3301 | 2008-08-06 |
| 1871782748 | Jose R Duncan Arosemena | Obstetrics & Gynecology | 2 Tampa General Cir Fl Circle6, Tampa, FL 33606-3603 | 2007-10-17 |
| 1336350446 | Amy Alicia Flick | Obstetrics & Gynecology | 15735 Pines Blvd, Pembroke Pines, FL 33027-1207 | 2007-05-24 |
| 1639214190 | Fausto Innamorati | Obstetrics & Gynecology | 780 Sw 28th Street, Fort Lauderdale, FL 33315-2643 | 2007-02-21 |
| 1891709630 | Jerry N Gilles | Obstetrics & Gynecology | 300 Se 17th Street, Suite 300, Fort Lauderdale, FL 33316 | 2006-07-28 |
| 1003837527 | Daniel George Kiefer | Obstetrics & Gynecology | 3438 Lawton Rd Ste 2a, Orlando, FL 32803 | 2006-07-21 |
| 1134144587 | Stephen S Crane | Obstetrics & Gynecology | 615 E Princeton St Ste 240, Orlando, FL 32803-1465 | 2006-07-13 |
| Find all providers with the same taxonomy | ||||
| City | PALM BEACH GARDENS |
| Zip Code | 33410 |
Please comment or provide details below to improve the information on MS. JESSICA R POULIN.
| 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.