MISS JASMINE KORDBACHEH (NPI# 1902355043) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902355043 |
| Entity Type | Individual |
| Full Name | MISS JASMINE KORDBACHEH |
| Practice Address |
6699 W Boynton Beach Blvd Ste B Boynton Beach FL 33437-3527 |
| Mailing Address |
6699 W Boynton Beach Blvd Ste 100 Boynton Beach FL 33437-3527 |
| Practice Telephone | 5612961188 |
| Mailing Telephone | 5612961188 |
| Enumeration Date | 2016-09-30 |
| Last Update Date | 2019-07-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA9109934 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 801 Se Osceola St, Stuart, FL 349942431 | 7722204050 |
| Street Address |
6699 W BOYNTON BEACH BLVD STE B |
| City | BOYNTON BEACH |
| State | FL |
| Zip Code | 33437-3527 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134168990 | Jeffrey L Kugler | Specialist | 6699 W Boynton Beach Blvd Ste B, Boynton Beach, FL 33437-3527 | 2006-06-06 |
| 1780013920 | Roger Walker | Orthopaedic Surgery | 6699 W Boynton Beach Blvd Ste B, Boynton Beach, FL 33437-3527 | 2013-11-07 |
| 1699897116 | Jeffrey L Kugler, M.d., P.a | Orthopaedic Surgery | 6699 W Boynton Beach Blvd Ste B, Boynton Beach, FL 33437-3527 | 2007-04-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548800808 | Ortho Florida, LLC | Anesthesiology | 11135 S Jog Road Ste 5, Boynton Beach, FL 33437 | 2020-01-14 |
| 1730725086 | Uttamkumar Sheladiya | Pharmacist | 12080 South Jog Rod, Boyton Beach, FL 33437 | 2019-11-21 |
| 1831601608 | Sheri Keehn | Nurse Practitioner | 6713 Conch Ct, Boynton Beach, FL 33437 | 2017-11-01 |
| 1265958037 | Kiersten Lutchi | Behavior Technician | 7862 Red Mahogany Road, Boynton Beach, FL 33437 | 2017-08-14 |
| 1740725084 | Marie Maxi | Behavior Technician | 6713 Heritage Grande, 1206, Boynton Beach, FL 33437 | 2016-12-22 |
| 1184071623 | Darronique Johnson | Technician, Other | 10779 Cambay Cr., Boynton Beach, FL 33437 | 2016-05-14 |
| 1033580709 | Brett R. Hutton, M.d., P.a. | Internal Medicine | 10301 Hagen Ranch Rd Ste B550, Boynton Beach, FL 33437 | 2015-10-07 |
| 1104258417 | Domenick Andrew Cerullo | Dentist | 10150 Hagen Ranch Road Suite 202, Dental Arts of Boynton Beach, P.a., Boynton Beach, FL 33437 | 2013-08-09 |
| 1275883399 | Kate A Vazquez | Physician Assistant | 7593 Boynton Beach Blvd Ste 190, Boynton Beach, FL 33437 | 2012-09-17 |
| 1912256009 | Kristi Joy Kline | Physical Therapist | 11135 South Jog Road, Suite 1, Boynton Beach, FL 33437 | 2012-09-05 |
| Find all providers in zip 33437 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154703163 | Jeanie Moran | Physician Assistant | 9394 Cobblestone Brooke Ct, Boynton Beach, FL 33472 | 2015-06-25 |
| 1578623070 | William X Fincke | Physician Assistant | 9904 Pavarotti Ter, #103, Boynton Beach, FL 33437-3372 | 2006-12-12 |
| 1740395748 | Specialtycare Surgical Assist, LLC | Physician Assistant | 2240 W Woolbright Rd Ste 210, Boynton Beach, FL 33426-6363 | 2006-08-20 |
| 1831171289 | James Manning | Physician Assistant | 6056 Boynton Beach Blvd. Suite 215, Boynton Beach, FL 33437 | 2005-11-18 |
| 1134584519 | Nissy Surgical 1st Assist LLC | Physician Assistant | 10752 Emilia Isles Ter, Boynton Beach, FL 33473-4965 | 2015-12-29 |
| 1922425420 | Saira Khan | Physician Assistant | 8645 W Boynton Beach Blvd, Boynton Beach, FL 33472-4415 | 2014-03-21 |
| 1477692986 | Erica Lynn Sahlgren | Physician Assistant | 2800 S Seacrest Blvd, Suite 200, Boynton Beach, FL 33435-7960 | 2007-02-05 |
| 1790854545 | Elke Ojeda Ulloa | Physician Assistant | 2800 S Seacrest Blvd, Ste 200, Boynton Beach, FL 33435-7960 | 2006-11-07 |
| 1235221490 | Arturo Silva | Physician Assistant | 2240 W Woolbright Rd Ste 210, Boynton Beach, FL 33426 | 2006-09-28 |
| 1366424764 | William Ulrich | Physician Assistant | 7593 Boynton Beach Blvd, Ste 280, Boynton Beach, FL 33437-6154 | 2005-11-19 |
| Find all providers in BOYNTON BEACH | ||||
| City | BOYNTON BEACH |
| Zip Code | 33437 |
Please comment or provide details below to improve the information on MISS JASMINE KORDBACHEH.
| 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.