JACKSON STREETER (NPI# 1154662658) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154662658 |
| Entity Type | Individual |
| Full Name | JACKSON STREETER |
| Credential | MD |
| Practice Address |
13424 Sw 4th Ln Newberry FL 32669-3050 |
| Practice Telephone | 6198136018 |
| Mailing Telephone | 6198136018 |
| Enumeration Date | 2013-03-07 |
| Last Update Date | 2013-03-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | AZ20619 | AZ | Allopathic & Osteopathic Physicians |
| Street Address |
13424 SW 4TH LN |
| City | NEWBERRY |
| State | FL |
| Zip Code | 32669-3050 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427695741 | Jonesville Family Dentistry Pa | Dentist | 175 Nw 138th Terrace, Suite 200, Jonesville, FL 32669 | 2019-12-05 |
| 1952889206 | Guan Physical Therapy and Acupuncture, LLC | Acupuncturist | 13577 Nw 2nd Ln, Suite 1, Newberry, FL 32669 | 2018-07-30 |
| 1538611462 | Avery Partners, Inc | Clinic/Center | 105 Sw 140th Terrace, Jonesville, FL 32669 | 2016-10-26 |
| 1760891758 | Fremont Peak Emergency Physicians LLC | Physician Assistant | 12311 W Newberry Road, Newberry, FL 32669 | 2014-08-05 |
| 1962816231 | Advanced Pain Medicine of North Florida LLC | Anesthesiology | 194 Nw 137th Drive, Suite 100, Newberry, FL 32669 | 2014-06-16 |
| 1336571611 | Martin Kids Dental Health Team | Dentist | 13820 W Newberry Rd Ste 100, Jonesville, FL 32669 | 2013-08-08 |
| 1760825699 | 1st Choice Urgent Care Center LLC | Clinic/Center | 128 Nw 137th Drive, Newberry, FL 32669 | 2013-04-10 |
| 1396088068 | Elsie Laguerre | Occupational Therapist | 105 S.w 140th Terrace, Jonesville, FL 32669 | 2013-04-01 |
| 1144530171 | Dana Smith Haase | Speech-Language Pathologist | 105 S.w. 140th Terrace, Jonesville, FL 32669 | 2010-10-08 |
| 1487853271 | Amanda H Mayberry | Massage Therapist | 25355 West Newberry Rd, Newberry, FL 32669 | 2007-07-12 |
| Find all providers in zip 32669 | ||||
| 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 |
|---|---|---|---|---|
| 1033718986 | Jason Wittlin | Family Medicine | 601 Sw 242nd Ter, Newberry, FL 32669-4495 | 2020-10-21 |
| 1598942963 | Marnie Vanstrum | Family Medicine | 1410 Wilson Rd, Newberry, SC 29108-3050 | 2008-01-28 |
| 1114082559 | John W. Green | Family Medicine | 2562 Kinard St, Newberry, SC 29108-2910 | 2006-12-26 |
| 1093812224 | Compass Family Medicine,pa | Family Medicine | 2605 Kinard Street, Suite 208, Newberry, SC 29108-2909 | 2006-09-20 |
| 1689681785 | Rikantas Petras Majauskas | Family Medicine | 13000 W Newberry Road, Cc-162, Newberry, FL 32669 | 2006-08-02 |
| 1205899382 | Mary Elizabeth Little | Family Medicine | 2605 Kinard St Ste 200, Newberry, SC 29108-2965 | 2006-04-10 |
| 1487630554 | Jorge O Garcia, M.d., LLC | Family Medicine | 2531 Evans St, Suite A, Newberry, SC 29108-2939 | 2005-12-20 |
| 1750367405 | Newberry Family Health Center Pa | Family Medicine | 1539 Harrington St, Newberry, SC 29108-2817 | 2005-12-15 |
| 1598764870 | Michael Jerome Bernardo | Family Medicine | 1109 Wilson St, Newberry, SC 29108-3443 | 2005-07-19 |
| 1235691437 | Ohio Valley Physicians Inc | Family Medicine | 800 Main St, Newberry, SC 29108-3351 | 2019-04-05 |
| Find all providers in NEWBERRY | ||||
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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.