JASON STEFAN CHAN (NPI# 1023206216) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023206216 |
| Entity Type | Individual |
| Full Name | JASON STEFAN CHAN |
| Credential | PA-C |
| Practice Address |
2141 S Alternate A1a Suite 420 Jupiter FL 33477-4072 |
| Practice Telephone | 5617435580 |
| Practice Fax Number | 5617435595 |
| Mailing Telephone | 5617435580 |
| Mailing Fax Number | 5617435595 |
| Enumeration Date | 2007-10-12 |
| Last Update Date | 2008-10-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 1080343 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
1080343 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
1080343 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063767614 | Jason Chan | Dentist | 4140 Factoria Blvd Se Ste 2b, Bellevue, WA 98006-5261 | 2012-07-19 |
| 1023377108 | Jason J. Chan | Counselor | 3252 14th Ave W, Seattle, WA 98119-1727 | 2012-05-10 |
| 1144505942 | Jason Chan | Pharmacist | 261 S Moss Hill Dr, Bountiful, UT 84010-1361 | 2011-10-13 |
| 1376500439 | Jason J Chan | Pediatrics | 2720 Plaza Dr Ste 2200, Wausau, WI 54401-4158 | 2006-05-01 |
| 1790337145 | Jason Thomas Chan | Emergency Medicine | 465 W Putnam Ave, Porterville, CA 93257-3320 | 2019-07-15 |
| 1891229050 | Jason Chan | Student in an Organized Health Care Education/Training Program | 90 Bergen St, Department of Orthopaedics, Doctor's Office Center, Newark, NJ 07103-2425 | 2017-04-14 |
| 1922485069 | Jason Chan | Student in an Organized Health Care Education/Training Program | 111 E 210th St, Bronx, NY 10467-2401 | 2015-04-28 |
| 1376932236 | Jason Chi Sing Chan | Physical Therapist | 7901 Broadway, Elmhurst, NY 11373-1329 | 2015-01-15 |
| 1346640083 | Jason Chan | Specialist/Technologist | 1435 Village Dr, Department 2801, Ogden, UT 84408-5150 | 2014-08-29 |
| 1154735660 | Jason Earl Chan | Internal Medicine | 1275 York Ave, New York, NY 10065-6007 | 2014-06-12 |
| Street Address |
2141 S ALTERNATE A1A SUITE 420 |
| City | JUPITER |
| State | FL |
| Zip Code | 33477-4072 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538167408 | Louis Joseph Raso | Specialist | 2141 S Alternate A1a, Suite 110, Jupiter, FL 33477-4072 | 2005-07-13 |
| 1932333911 | Evan G Rosen M D P A | Urology | 2141 S Alternate A1a, Suite 420, Jupiter, FL 33477-4072 | 2009-05-06 |
| 1497872881 | Falk Prosthetics & Orthotics, Inc. | Orthotist | 2141 S Alternate A1a, Suite 130, Jupiter, FL 33477-4072 | 2007-03-23 |
| 1265593024 | Jupiter Concierge Family Practice | Family Medicine | 2141 S Alternate A1a, 200, Jupiter, FL 33477-4072 | 2006-12-13 |
| 1104938026 | Eric Quick | Physical Therapist | 2141 S Alternate A1a, Suite 300, Jupiter, FL 33477 | 2006-08-31 |
| 1538114590 | David Charles Rosenberg | Family Medicine | 2141 S Alternate A1a, Jupiter, FL 33477-4072 | 2006-05-24 |
| 1891789723 | Andrew Lerner | Podiatrist | 2141 S Alternate A1a, Suite 120, Jupiter, FL 33477-5085 | 2005-09-07 |
| 1174517429 | Karen E Driscoll | Internal Medicine | 2141 S Alternate A1a, Suite 100, Jupiter, FL 33477-4063 | 2005-09-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417576513 | Sanctuary Healthcare LLC | Home Health | 100 Front Street, Suite 300, Jupiter, FL 33477 | 2020-04-09 |
| 1538503669 | Aimee Bunyea | Pharmacist | 1118 11th Court, Jupiter, FL 33477 | 2013-04-19 |
| 1447592571 | Blue Water Doctors of Jupiter, LLC | Family Medicine | 2151 South Alternate A1a, Unit 650, Jupiter, FL 33477 | 2013-03-27 |
| 1477806115 | Brad D. Simons, Md,phd, Pa | Ophthalmology | 2141 Alternate A1a S, Suite 210, Jupiter, FL 33477 | 2012-10-18 |
| 1952688392 | Matthew J Harris | Orthopaedic Surgery | 108 Intracoastal Pointe Drive, Suite 300, Jupiter, FL 33477 | 2011-11-14 |
| 1366720682 | Physical Therapy Institute and Aquatic Rehab, Inc. | Physical Therapist | 17380 N Highway A1a Alternate, Suite 305, Jupiter, FL 33477 | 2011-08-03 |
| 1770714578 | Payal P Chokshi | Dentist | 759 Parkway Street, Suite# 103, Jupiter, FL 33477 | 2009-07-29 |
| 1205089174 | Priscilla J Zuckerberg | Speech-Language Pathologist | 110 Front St Ste 300, Jupiter, FL 33477 | 2008-10-23 |
| 1083866727 | Deanna Talmud | Social Worker | 2044 Staysail Lane, Jupiter, FL 33477 | 2008-10-14 |
| 1417123290 | Gayle Gerardi Pulice | Massage Therapist | 927 North A1a, Suite A105, Jupiter, FL 33477 | 2008-05-01 |
| Find all providers in zip 33477 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306329693 | William A Tison IIi | Physician Assistant | 2055 Military Trail Suite 204, Jupiter, FL 33458 | 2018-09-12 |
| 1205293560 | Kallee Sullivan | Physician Assistant | 330 Center St, Jupiter, FL 33458-4317 | 2016-01-18 |
| 1538580451 | Kathryn Marie Goggins | Physician Assistant | 4601 Military Trl Ste 203, Jupiter, FL 33458-4835 | 2013-12-18 |
| 1215363023 | Sofia Noohani Kohn | Physician Assistant | 5430 Military Trl Ste 64, Jupiter, FL 33458-2873 | 2013-09-25 |
| 1336477579 | Kathryn Leigh Hofheinz | Physician Assistant | 500 University Blvd Ste 208, Jupiter, FL 33458 | 2009-11-30 |
| 1891915518 | Denise Marie Seely | Physician Assistant | 2141 Alternate A1asouth, Suite 130, Jupiter, FL 33477 | 2007-04-26 |
| 1770565152 | Adrienne Cay Parlette Guinan | Physician Assistant | 2141 S. Highway A1a Atl, Suite 420, Jupiter, FL 33477-4063 | 2005-11-18 |
| 1538703491 | Briana Beth Minich | Physician Assistant | 1335 W Indiantown Rd, Jupiter, FL 33458-4631 | 2019-11-04 |
| 1003450016 | Kevin Tyler Shope | Physician Assistant | 5430 Military Trl Ste 64, Jupiter, FL 33458-2873 | 2019-11-01 |
| 1780235648 | Kristen Elizabeth Stilley | Physician Assistant | 2141 S Alternate A1a Ste 420, Jupiter, FL 33477-4063 | 2019-09-23 |
| Find all providers in JUPITER | ||||
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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.