MS. JEAN DIETRICH MEGENITY


Address: 10026 Nw 12th Ln, Gainesville, FL 32606-8017
Phone: 3523315989

MS. JEAN DIETRICH MEGENITY (NPI# 1902853286) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1902853286
Entity Type Individual
Full Name MS. JEAN DIETRICH MEGENITY
Credential P.A.-C
Practice Address 10026 Nw 12th Ln
Gainesville
FL 32606-8017
Practice Telephone 3523315989
Mailing Telephone 3523315989
Enumeration Date 2006-05-30
Last Update Date 2008-10-29
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AS0400X Physician Assistant
Specialization: Surgical Technologist
002877 FL Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 10026 NW 12TH LN
City GAINESVILLE
State FL
Zip Code 32606-8017

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1467917864 Marquetta Lee Social Worker 2772 Nw 43rd St, Ste C, Gainesville, FL 32606 2019-02-10
1376025742 Jacob Sanow Student in an Organized Health Care Education/Training Program 5200 Nw 43rd St Unit 401, Gainesville, FL 32606 2018-09-03
1750878393 Taylor Brown Occupational Therapist 3850 Nw 83rd St # 201, Gainesville, FL 32606 2018-04-19
1568914471 Bernard Mitchll Behavior Technician 3515 Nw 60th Terrace, Gainesville, FL 32606 2016-10-26
1760839534 Nancy Christiana Collins Counselor 4907 Nw 43rd St C., Gainesville, FL 32606 2016-05-20
1730553140 Dawn Johnson O'byrne Counselor 4041 Nw 37th Place, Suite A, Gainesville, FL 32606 2015-11-23
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Taxonomy Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1659806248 Bluff Drive Medical Physician Assistant 954 Memorial Dr, Gainesville, GA 30501-2334 2017-04-21
1891085692 Brevard Surgical Solutions L.L.C. Physician Assistant 11302 Nw 31st Rd, Gainesville, FL 32606-6840 2011-04-13
1700180627 Julie Marie Haberski Physician Assistant 5630 Chestatee Landing Dr, Gainesville, GA 30506-6815 2011-01-06
1366417149 James William Becker Physician Assistant 200 S Enota Dr Ne Ste 360, Gainesville, GA 30501-3466 2006-02-23
1578547832 Dawn M Ferrer Physician Assistant 1296 Sims St Ste B, Gainesville, GA 30501-3873 2005-12-01
1962000950 Kelli O'shaughnessy Physician Assistant 1600 Sw Archer Rd, Gainesville, FL 32610-3003 2020-10-13
1346847944 Nicholas Scott Duarte Physician Assistant 1600 Sw Archer Rd, Gainesville, FL 32610-3003 2020-10-06
1023643251 Robert J Poole Physician Assistant 743 Spring St Ne, Gainesville, GA 30501-3899 2020-03-09
1912541533 Samantha Morgan Kleiber Physician Assistant 1240 Jesse Jewell Pkwy Se Ste 300, Gainesville, GA 30501-3861 2019-11-06
1366094724 Morgan Dollar Physician Assistant 200 S Enota Dr Ne Ste 360, Gainesville, GA 30501-3466 2019-07-15
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Competitor

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City GAINESVILLE
Zip Code 32606

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Dataset Information

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.

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