MRS. TIFFANY M. JESSEE (NPI# 1205830692) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205830692 |
| Entity Type | Individual |
| Full Name | MRS. TIFFANY M. JESSEE |
| Credential | D.O. |
| Practice Address |
1609 Pasasena Ave S Suite 3m South Pasadena FL 33707 |
| Mailing Address |
1609 Pasadena Ave S Ste 2e South Pasadena FL 33707-4560 |
| Practice Telephone | 7272897137 |
| Practice Fax Number | 7274986418 |
| Mailing Telephone | 7272897137 |
| Mailing Fax Number | 7274986418 |
| Enumeration Date | 2005-06-13 |
| Last Update Date | 2019-04-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | OS7737 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 267547100 | 05 |
| Street Address |
1609 PASASENA AVE S SUITE 3M |
| City | SOUTH PASADENA |
| State | FL |
| Zip Code | 33707 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013475466 | Baycare Urgent Care, LLC | Pharmacy | 900 Carillon Parkway Ste 106, St. Petersburg, FL 33707 | 2019-03-05 |
| 1245754449 | S Dunkelberger Do LLC | Family Medicine | 6801 Gulfport Blvd S., Suite 6, Sout Pasadena, FL 33707 | 2017-07-29 |
| 1497196828 | Montego Mckinnon Sr. | Pharmacy Technician | 1501 Pasadena Shores Dr, St. Petersburg, FL 33707 | 2013-07-15 |
| 1558551580 | Linda K Barchie | Massage Therapist | 7230 Central Avenue, St Petersburg, FL 33707 | 2007-07-26 |
| 1487790770 | Margaret Helen Young | Dentist | 509 Pasadena Avenue South, St Petersburg, FL 33707 | 2007-01-30 |
| 1063567279 | Jack M Hafer | Dentist | 2525 Pasadena Ave S, Ste E, Pasadena, FL 33707 | 2007-01-25 |
| 1740331305 | Suncoast O2 Systems Inc. | Durable Medical Equipment & Medical Supplies | 5213 1st Avenue S, St. Petersburg, FL 33707 | 2007-01-12 |
| 1902987902 | Demekisa Sidamo Davis | Acupuncturist | 5301 Gulfport Blvd, Gulfport, FL 33707 | 2006-10-17 |
| 1689767691 | Mark A. Roberts | Family Medicine | 1240 81st Street South, St. Petersburg, FL 33707 | 2006-10-02 |
| 1457443004 | Darla Marie Keyes | Physical Therapist | 2825 Seabreeze Dr, Gulfport, FL 33707 | 2006-09-29 |
| Find all providers in zip 33707 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154684538 | Katharine Schulz-costello | Surgery | 209 Fair Oaks Ave, South Pasadena, CA 91030-1814 | 2012-06-20 |
| 1053542100 | Aaron G Lewis | Surgery | 209 Fair Oaks Ave, South Pasadena, CA 91030-1814 | 2009-08-06 |
| 1073760815 | Amy Caton Polverini | Surgery | 209 Fair Oaks Ave, South Pasadena, CA 91030-1814 | 2008-08-22 |
| 1336307735 | Loretta Erhunmwunsee | Surgery | 209 Fair Oaks Ave, South Pasadena, CA 91030-1814 | 2008-06-02 |
| 1639346851 | Poornima B. Rao | Surgery | 209 Fair Oaks Ave, South Pasadena, CA 91030-1814 | 2008-05-15 |
| 1952420978 | John M Clarke Md Pa | Surgery | 1609 Pasadena Ave S, #4c, South Pasadena, FL 33707-4565 | 2007-03-29 |
| 1447379466 | Jill Tornyos Parker | Surgery | 1615 Pasadena Ave S, Suite 330, South Pasadena, FL 33707-4516 | 2007-03-29 |
| 1023117538 | Ernest C Rehnke Md Facs Pllc | Surgery | 1615 Pasadena Ave S, Suite 460, South Pasadena, FL 33707-4516 | 2006-09-21 |
| 1023110418 | John Mitchell Clarke | Surgery | 1615 Pasadena Ave S, Suite 330, South Pasadena, FL 33707-4516 | 2006-09-05 |
| 1245293760 | Stephen M Sentovich | Surgery | 209 Fair Oaks Ave, South Pasadena, CA 91030-1814 | 2006-04-07 |
| Find all providers in SOUTH PASADENA | ||||
| City | SOUTH PASADENA |
| Zip Code | 33707 |
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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.