DR. JAIME MARIE REALSEN HALL (NPI# 1023544012) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023544012 |
| Entity Type | Individual |
| Full Name | DR. JAIME MARIE REALSEN HALL |
| Other Name | JAIME MARIE REALSEN |
| Credential | MD |
| Practice Address |
13782 Plantation Rd Ste 201 Fort Myers FL 33912-4462 |
| Mailing Address |
Po Box 2147 Fort Myers FL 33902-2147 |
| Practice Telephone | 2393431100 |
| Practice Fax Number | 2393431101 |
| Mailing Telephone | 2393431100 |
| Mailing Fax Number | 2393431101 |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2020-09-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 104838200 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2780 Cleveland Ave, Suite 709, Fort Myers, FL 339015858 | 3039196183 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164761052 | Jaime Hall | Specialist/Technologist | 516 15th Ave Se, Minneapolis, MN 55455-0130 | 2013-02-12 |
| Street Address |
13782 PLANTATION RD STE 201 |
| City | FORT MYERS |
| State | FL |
| Zip Code | 33912-4462 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275536054 | Ravi Ramaswami | Family Medicine | 13782 Plantation Rd Ste 201, Fort Myers, FL 33912-4462 | 2005-05-24 |
| 1053883959 | Thomas Cappadona | Physician Assistant | 13782 Plantation Rd Ste 201, Fort Myers, FL 33912-4462 | 2018-12-18 |
| 1730668765 | Gregg Scott Macdonald | Clinical Nurse Specialist | 13782 Plantation Rd Ste 201, Fort Myers, FL 33912-4462 | 2018-08-10 |
| 1427430370 | Samuel Giles | Internal Medicine | 13782 Plantation Rd Ste 201, Fort Myers, FL 33912-4462 | 2015-06-26 |
| 1043606288 | Ryan Oliver Moorhouse | Psychiatry & Neurology | 13782 Plantation Rd Ste 201, Fort Myers, FL 33912-4462 | 2015-04-14 |
| 1003202805 | April Stewart Stowers | Nurse Practitioner | 13782 Plantation Rd Ste 201, Fort Myers, FL 33912-4462 | 2015-04-08 |
| 1558772061 | Wally Plante | Psychiatry & Neurology | 13782 Plantation Rd Ste 201, Fort Myers, FL 33912 | 2014-05-19 |
| 1114221546 | Julie Anne Taylor | Nurse Practitioner | 13782 Plantation Rd Ste 201, Fort Myers, FL 33912-4462 | 2010-12-28 |
| 1851328777 | Alexander M Pendino | Psychiatry & Neurology | 13782 Plantation Rd Ste 201, Fort Myers, FL 33912-4462 | 2006-06-27 |
| 1255385662 | Donald M Mccarren | Psychiatry & Neurology | 13782 Plantation Rd Ste 201, Fort Myers, FL 33912 | 2006-05-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134684814 | Performance Health Surgery Center | Clinic/Center | 9500 Gulf Research Lane, Fort Myers, FL 33912 | 2019-02-06 |
| 1609351899 | Voa Lee County Health Care Facility, Inc. | Skilled Nursing Facility | 14750 Hope Center Loop, Ft. Myers, FL 33912 | 2018-10-03 |
| 1245719954 | Lauren Grimes | Pharmacist | 13711 S Tamiami Trail, Fort Myers, FL 33912 | 2018-08-13 |
| 1972080828 | Solaris Rehab, LLC | Clinic/Center | 14001 Metro Parkway, Fort Myers, FL 33912 | 2018-07-24 |
| 1467943803 | Marie Veronica Scott | Nurse Practitioner | 14015 Danpak Loop, Fort Myers, FL 33912 | 2018-05-22 |
| 1952892291 | Daniels Modern Dentistry, Pa | Dentist | 6871 Daniels Parkway, Suite 100, Fort Myers, FL 33912 | 2018-05-22 |
| 1295258994 | Julie Ann Jakobi | Counselor | 18 Quanery Court, Fort Myers, FL 33912 | 2017-07-25 |
| 1205359908 | Maria Reyes | Developmental Therapist | 8961 Daniels Center Drive Suite 401, Fort Myers, FL 33912 | 2017-07-25 |
| 1669919288 | Darinka Ruiz | Social Worker | 961 Daniels Center Drive, Suite 401, Fort Myers, FL 33912 | 2017-01-20 |
| 1730622598 | Valerie Starnes | Nurse Practitioner | 13411 Parker Commons Blvd Ste 101, Fort Myers, FL 33912 | 2016-11-28 |
| Find all providers in zip 33912 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881213833 | Seemal Sanjana Kumar | Student in an Organized Health Care Education/Training Program | 3000 Oasis Grand Blvd Apt 903, Fort Myers, FL 33916-1599 | 2020-04-09 |
| 1548898703 | Alejandro Garcia | Student in an Organized Health Care Education/Training Program | 5553 Whispering Willow Way, Fort Myers, FL 33908-4511 | 2020-03-31 |
| 1134780646 | Ximena Hurtado | Student in an Organized Health Care Education/Training Program | 17391 Sterling Lake Dr, Fort Myers, FL 33967-7221 | 2019-06-25 |
| 1790341030 | Alaina Terez Todd | Student in an Organized Health Care Education/Training Program | 17007 Wrigley Cir, Fort Myers, FL 33908-3802 | 2019-05-13 |
| 1811450240 | Ana Carolina D Barbosa | Student in an Organized Health Care Education/Training Program | 8960 Dorchester St, Fort Myers, FL 33907-5911 | 2019-04-11 |
| 1811459399 | Kelly Christine Reynolds | Student in an Organized Health Care Education/Training Program | 11750 Rosemount Drive, Fort Myers, FL 33913 | 2019-04-03 |
| 1275068769 | Maia Dunn | Student in an Organized Health Care Education/Training Program | 9673 Bay Harbor Cir, Apt 204, Fort Myers, FL 33919-5721 | 2017-04-21 |
| 1770016636 | Alexandra Marie Menillo | Student in an Organized Health Care Education/Training Program | 9679 Bay Harbor Cir Apt 203, Fort Myers, FL 33919-5723 | 2017-04-07 |
| 1841676590 | Gary Pham | Student in an Organized Health Care Education/Training Program | 1741 Red Cedar Drive Apt 20, Fort Myers, FL 33907 | 2015-08-05 |
| 1477153229 | Evalenee Marie Feutz | Student in an Organized Health Care Education/Training Program | 9981 S Healthpark Dr, Fort Myers, FL 33908-3618 | 2020-10-30 |
| Find all providers in FORT MYERS | ||||
| City | FORT MYERS |
| Zip Code | 33912 |
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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.