JAY ROBERT JETT (NPI# 1760007272) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760007272 |
| Entity Type | Individual |
| Full Name | JAY ROBERT JETT |
| Practice Address |
25807 Nw 122nd Ave High Springs FL 32643-5025 |
| Mailing Address |
1600 Sw Archer Rd Box 100286 Gainesville FL 32610-0286 |
| Practice Telephone | 3523165492 |
| Mailing Telephone | 3522650761 |
| Mailing Fax Number | 3522651060 |
| Enumeration Date | 2020-06-10 |
| Last Update Date | 2020-10-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA9113440 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
25807 NW 122ND AVE |
| City | HIGH SPRINGS |
| State | FL |
| Zip Code | 32643-5025 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003375726 | Bahman Sahranavard Sr. | Counselor | Rania Main St., Rania, SOLAYMAIA 32643 | 2019-03-13 |
| 1396224036 | Roszina Williams | Nurse's Aide | 18998 Nw 253 Street, High Springs, FL 32643 | 2018-08-13 |
| 1760700637 | High Springs Pediatrics LLC | Pediatrics | 210 Nw 1st Avenue, High Springs, FL 32643 | 2010-05-17 |
| 1306094800 | Cox & Hanley Dmd Plc | Dentist | 23321 N. W. Cr 236, High Springs, FL 32643 | 2008-09-09 |
| 1013119940 | Gene H. Petteway | Pharmacist | 1080 N W Santa Fe Blvd, High Sprngs, FL 32643 | 2007-06-04 |
| 1538381363 | Ian C Dennis | Dentist | 60 South Main Street, High Springs, FL 32643 | 2007-05-02 |
| 1831231000 | Craig Gardner | Massage Therapist | 220 Nw 4th St, High Springs, FL 32643 | 2007-02-13 |
| 1689722779 | Nancy L Linkous | Massage Therapist | 425 Ne Santa Fe Blvd., High Springs, FL 32643 | 2007-01-08 |
| 1356362651 | Winn Dixie Stores Inc | Durable Medical Equipment & Medical Supplies | 20303 N Us Hwy 441, High Springs, FL 32643 | 2006-07-21 |
| 1417901125 | Sheryl Marie Heath | Nurse Practitioner | 9513 Nw Sr 45, High Springs, FL 32643 | 2006-05-19 |
| Find all providers in zip 32643 | ||||
| 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 |
|---|---|---|---|---|
| 1225083082 | Mary Jean Gossman | Physician Assistant | 105 Nw Santa Fe Blvd, High Springs Medical Center, High Springs, FL 32655 | 2006-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881295525 | Asahel Romero | Physician Assistant | 13228 Canna Lily Dr, Orlando, FL 32824-5067 | 2020-11-07 |
| 1629679360 | Samantha Lee Zavada | Physician Assistant | 9459 Silver Pine Loop, Fort Myers, FL 33967-5152 | 2020-11-07 |
| 1235730177 | Emily Figueroa Vega | Physician Assistant | 1920 Nw 97th Ave, Coral Springs, FL 33071-5950 | 2020-11-06 |
| 1922609114 | Jeannine Castaneda Calderon | Physician Assistant | 816 Arbor Pointe Ave, Minneola, FL 34715-6052 | 2020-11-04 |
| 1962003178 | Mohammed Bilal Sheikh | Physician Assistant | 2920 Ne 207th St Ste 901, Miami, FL 33180-1444 | 2020-11-04 |
| 1891396131 | Whiplashmd, LLC | Physician Assistant | 940 Centre Cir Ste 1018, Altamonte Springs, FL 32714-7242 | 2020-11-03 |
| 1831799527 | Emily Vander Zee | Physician Assistant | 6680 Bennett Creek Dr Apt 213, Jacksonville, FL 32216-0018 | 2020-10-30 |
| 1245830314 | Jonathan V Korah | Physician Assistant | 6650 Corporate Center Pkwy Apt 1108, Jacksonville, FL 32216-8725 | 2020-10-28 |
| 1255931473 | Rachel Gavrielle Stahly | Physician Assistant | 11438 Emuness Rd, Jacksonville, FL 32218-4050 | 2020-10-27 |
| 1356941504 | Kelsey Alexandra Leon | Physician Assistant | 5033 W Laurel St, Tampa, FL 33607-3855 | 2020-10-27 |
| Find all providers with the same taxonomy | ||||
| City | HIGH SPRINGS |
| Zip Code | 32643 |
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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.