JS HEALTHCARE, INC (NPI# 1598133993) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1598133993 |
Entity Type | Organization |
Organization Name | JS HEALTHCARE, INC |
Practice Address |
201 N Lakemont Ave Suite 2300 Winter Park FL 32792 |
Mailing Address |
Po Box 948237 Maitland FL 32794-8237 |
Practice Telephone | 3214446560 |
Practice Fax Number | 4079601902 |
Mailing Telephone | 3214446560 |
Mailing Fax Number | 4079601902 |
Enumeration Date | 2015-09-02 |
Last Update Date | 2018-06-06 |
Authorized Official Name | SHWETANSHU MAHESHKUMAR SHUKLA (PRESIDENT/CEO) |
Authorized Official Telephone | 4074159196 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities | ||
Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
Ambulatory Health Care Facilities |
Street Address |
201 N LAKEMONT AVE SUITE 2300 |
City | WINTER PARK |
State | FL |
Zip Code | 32792 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558360206 | Jared P. Reiss | Physician Assistant | 201 N Lakemont Ave, 700, Winter Park, FL 32792-3228 | 2005-07-15 |
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 |
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 |
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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 |
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Taxonomy Code | 261QM2500X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Medical Specialty |
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
Notes: [7/1/2003: new] |
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City | WINTER PARK |
Zip Code | 32792 |
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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.