MR. JARED P. REISS (NPI# 1558360206) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558360206 |
| Entity Type | Individual |
| Full Name | MR. JARED P. REISS |
| Credential | PA-C |
| Practice Address |
201 N Lakemont Ave 700 Winter Park FL 32792-3228 |
| Mailing Address |
951 Fairway Dr Winter Park FL 32792-5101 |
| Practice Telephone | 3212520327 |
| Practice Fax Number | 8632157085 |
| Mailing Telephone | 4073764976 |
| Mailing Fax Number | 8632157085 |
| Enumeration Date | 2005-07-15 |
| Last Update Date | 2016-07-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA3719 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
PA3719 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA3719 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
201 N LAKEMONT AVE 700 |
| City | WINTER PARK |
| State | FL |
| Zip Code | 32792-3228 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144752239 | Alex Orandi | Nurse Practitioner | 201 N Lakemont Ave, Winter Park, FL 32792-3228 | 2017-03-29 |
| 1982066783 | Brad Bourgeois | Nurse Practitioner | 201 N Lakemont Ave, Winter Park, FL 32792-3228 | 2016-03-22 |
| 1295106334 | Doc Pam, Pa | Clinic/Center | 201 N Lakemont Ave, Suite 200, Winter Park, FL 32792-3228 | 2015-10-15 |
| 1598133993 | Js Healthcare, Inc | Clinic/Center | 201 N Lakemont Ave, Suite 2300, Winter Park, FL 32792 | 2015-09-02 |
| 1487093316 | Comprehensive Dermatology and Dermatologic Surgery, Plc | Dermatology | 201 N Lakemont Ave, Suite 100, Winter Park, FL 32792-3228 | 2013-06-25 |
| 1467795286 | Florida Vein Care Specialists, LLC | Surgery | 201 N Lakemont Ave, Ste 700, Winter Park, FL 32792-3228 | 2013-03-29 |
| 1346423308 | Jenelle Hovde | Audiologist | 201 N Lakemont Ave, Suite 100, Winter Park, FL 32792-3228 | 2007-12-13 |
| 1225239072 | Christopher Savage | Otolaryngology | 201 N Lakemont Ave, Suite 100, Winter Park, FL 32792-3228 | 2007-05-30 |
| 1639388762 | Thomas Charles Lawton | Dentist | 201 N Lakemont Ave, Suite 400, Winter Park, FL 32792-3228 | 2007-05-22 |
| 1225159437 | Brett Thomas Lawton | Dentist | 201 N Lakemont Ave, Suite 400, Winter Park, FL 32792-3228 | 2007-04-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225647589 | Interim Personal Care Services, LLC | Home Health | 1890 State Road 436, Suite 355, Winter Park, FL 32792 | 2020-07-23 |
| 1710510649 | Chrisline Badio | Clinic/Center | 3040 Aloma Ave Apt J12, Winter Park, FL 32792 | 2020-02-19 |
| 1679112411 | The Local Health Council of East Central Florida, Inc. | Voluntary or Charitable | 5931 Brick Court, Suite 164, Winter Park, FL 32792 | 2019-12-26 |
| 1710534201 | Robert Scott Hughes | Occupational Therapy Assistant | 925 South Semoran Blvd, #110a, Winter Park, FL 32792 | 2019-08-20 |
| 1164077962 | Dentists of Winter Park, Pa | Dentist | 1973 Aloma Avenue, Winter Park, FL 32792 | 2019-08-08 |
| 1659938637 | Adventist Health System/sunbelt Inc Dba Adventhealth Orlando | Pharmacy | 2005 Mizell Avenue, Suite 900, Winter Park, FL 32792 | 2019-05-24 |
| 1104397801 | Jose M Martinez Rivera | Chiropractor | 471 N Semoran Blvd., Suite B, Orlando, FL 32792 | 2018-12-07 |
| 1750875720 | Andrea Nalborczyk | Student in an Organized Health Care Education/Training Program | 133 Benmore Dr #200, Winter Park, FL 32792 | 2018-06-21 |
| 1841787157 | Rd Health Diagnostic LLC | Clinical Medical Laboratory | 6904 Aloma Ave, Winter Park, FL 32792 | 2018-04-23 |
| 1548763006 | Daniel Remington Geer | Hearing Instrument Specialist | 7007 University Blvd, Winter Park, FL 32792 | 2018-03-12 |
| Find all providers in zip 32792 | ||||
| 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 |
|---|---|---|---|---|
| 1780129965 | Nolan Beerbower | Physician Assistant | 1071 Aragon Ave, Winter Park, FL 32789-4729 | 2016-12-27 |
| 1104237841 | Katherine Whited | Physician Assistant | 2200 Glenwood Dr Ste 201, Winter Park, FL 32792-3315 | 2014-05-15 |
| 1144579780 | Renee Weeden | Physician Assistant | 470 W. New England Ave #100, Winter Park, FL 32789 | 2012-08-29 |
| 1255450250 | Joan Eve Malcoun Swain | Physician Assistant | 807 S Orlando Ave Ste C, Winter Park, FL 32789-4870 | 2007-03-29 |
| 1396720389 | Robert W White | Physician Assistant | 801 S Orlando Ave, Suite A-k, Winter Park, FL 32789-4867 | 2005-12-13 |
| 1750370417 | Raquel F Pitt | Physician Assistant | 1925 Mizell Ave Ste 205, Winter Park, FL 32792-4155 | 2005-10-17 |
| 1780284489 | Katherine O'keefe | Physician Assistant | 1285 Orange Ave, Winter Park, FL 32789-4984 | 2020-10-30 |
| 1457993131 | Taylor Weiss | Physician Assistant | 133 Benmore Dr Ste 100, Winter Park, FL 32792-4111 | 2019-10-14 |
| 1801437132 | Matthew Aaron Foss | Physician Assistant | 1285 Orange Ave, Winter Park, FL 32789-4984 | 2019-10-08 |
| 1609348044 | Ailiz N Martin | Physician Assistant | 2005 Mizell Ave Ste 1600, Winter Park, FL 32792-4126 | 2018-12-26 |
| Find all providers in WINTER PARK | ||||
| City | WINTER PARK |
| Zip Code | 32792 |
Please comment or provide details below to improve the information on MR. JARED P. REISS.
| 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.