MR. BRIAN WILLIAM JANSEN (NPI# 1922074293) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1922074293 |
Entity Type | Individual |
Full Name | MR. BRIAN WILLIAM JANSEN |
Credential | ATC, LAT |
Practice Address |
640 Dr Mary Mcleod Bethune Blvd Daytona Beach FL 32114-3012 |
Mailing Address |
1610 3rd St Daytona Beach FL 32117-4556 |
Practice Telephone | 3864812261 |
Practice Fax Number | 3864812265 |
Mailing Telephone | 3863413666 |
Enumeration Date | 2006-02-27 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | X |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 174400000X | Specialist | AL 571 | FL | Other Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740409077 | Brian Joseph Jansen | Anesthesiology | 9601 I-630, Exit 7, Little Rock, AR 72205-7202 | 2007-04-25 |
Street Address |
640 DR MARY MCLEOD BETHUNE BLVD |
City | DAYTONA BEACH |
State | FL |
Zip Code | 32114-3012 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467052399 | Kasiim Shakir Barr | Psychologist | 640 Dr Mary Mcleod Bethune Blvd, Daytona Beach, FL 32114-3012 | 2020-10-29 |
1770199416 | Nikkita Nozistel | Student in an Organized Health Care Education/Training Program | 640 Dr Mary Mcleod Bethune Blvd, Daytona Beach, FL 32114-3012 | 2020-09-18 |
1629691985 | Sydney Viar | Student in an Organized Health Care Education/Training Program | 640 Dr Mary Mcleod Bethune Blvd, Daytona Beach, FL 32114-3012 | 2020-05-21 |
1154978575 | Zumondrae Newsome | Specialist/Technologist | 640 Dr Mary Mcleod Bethune Blvd, Daytona Beach, FL 32114-3012 | 2019-08-20 |
1659859544 | Tamera Alexis Demps | Specialist/Technologist | 640 Dr Mary Mcleod Bethune Blvd, Daytona Beach, FL 32114-3012 | 2018-08-01 |
1033697479 | Bria Jones | Specialist/Technologist | 640 Dr Mary Mcleod Bethune Blvd, Daytona Beach, FL 32114-3012 | 2018-07-28 |
1295236057 | Stephone Delano Devante Baker | Kinesiotherapist | 640 Dr Mary Mcleod Bethune Blvd, Daytona Beach, FL 32114-3012 | 2018-02-26 |
1689128431 | Matthew Luers | Specialist/Technologist | 640 Dr Mary Mcleod Bethune Blvd, Daytona Beach, FL 32114-3012 | 2016-08-10 |
1639549272 | Neville Willibe Spurgeon Jr. | Specialist/Technologist | 640 Dr Mary Mcleod Bethune Blvd, Daytona Beach, FL 32114-3012 | 2015-09-25 |
1265823421 | Jae Hwan Song | Specialist/Technologist | 640 Dr Mary Mcleod Bethune Blvd, Handfiled Athletic Training Center, Daytona Beach, FL 32114-3012 | 2015-02-10 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376161380 | Evolution Health & Performance LLC | Physician Assistant | 244 S. Palmetto Ave, Daytona Beach, FL 32114 | 2020-07-07 |
1407480189 | Kierra Imani Kinsey | Behavior Technician | 1128-a Beville Rd, Daytona Beach, FL 32114 | 2020-03-02 |
1043776057 | Outreach Community Care Network Inc | Pharmacy | 240 N. Frederick Avenue, Daytona Beach, FL 32114 | 2019-02-14 |
1033681861 | Katherine Proppe | Specialist/Technologist | 1 Aerospace Blvd, Daytona Beach, FL 32114 | 2018-12-18 |
1841765047 | Anna L Smith | Nurse Practitioner | 339 Bill France Blvd Ste C, Daytona Beach, FL 32114 | 2018-10-04 |
1154806933 | Steve Anthony Lee | Family Medicine | 731 N. Clyde Morris Blvd, Daytona Beach, FL 32114 | 2018-09-27 |
1285116491 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1348 W International Speedway Blvd Ste 2, Daytona Beach, FL 32114 | 2018-09-04 |
1770085656 | Merina Lee | Occupational Therapist | 1159 Australia Ave., Daytona Beach, FL 32114 | 2018-03-06 |
1346752755 | Hand & Upper Extremity Surgery of Daytona Beach, LLC | Non-Pharmacy Dispensing Site | 1241 Ridgewood Ave, Daytona Beach, FL 32114 | 2017-10-26 |
1104347053 | Harry Herman Blanke IIi | Family Medicine | 201 N Clyde Morris Blvd, Suite 200, Halifax Health Family Medicine Residency Program, Daytona Beach, FL 32114 | 2017-06-30 |
Find all providers in zip 32114 |
Taxonomy Code | 174400000X |
Grouping | Other Service Providers |
Classification | Specialist |
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588014088 | Guerlyne Bellevue | Specialist | 317 Parkway St, Daytona Beach, FL 32114-3031 | 2016-06-15 |
1407286727 | Mja Healthcare of Florida, PC | Specialist | 912 S. Ridgewood Avenue, Suite D, Daytona Beach, FL 32114 | 2013-11-22 |
1487825428 | Atlantic Endocrine Associates P A | Specialist | 1360 Mason Ave, Suite C, Daytona Beach, FL 32117-5529 | 2008-03-18 |
1467633891 | Daniel A Dotson | Specialist | 2595 W International Speedway Blvd, Daytona Beach, FL 32114-1118 | 2007-11-14 |
1609097906 | Christopher Constantine Choporis | Specialist | 2430 S Peninsula Dr, Daytona Beach, FL 32118-5414 | 2007-05-02 |
1679664098 | All Family Clinic of Daytona Beach, Inc | Specialist | 1040 Mason Avenue, Daytona Beach, FL 32117 | 2006-09-28 |
1467466508 | Richard David Morris | Specialist | 1360 Mason Ave Ste C, Daytona Beach, FL 32117-5530 | 2006-07-27 |
1164461299 | James K Hitchman | Specialist | 149 Key Colony Ct, Daytona Beach, FL 32118-5654 | 2006-06-05 |
1538111513 | Cardiology Physicians Pa | Specialist | 305 Memorial Medical Parkway, Ste 301, Daytona Beach, FL 32117 | 2006-05-17 |
1053361733 | Kim B Csabi | Specialist | 1200 W International Speedway Blvd, Athletic Department, Daytona Beach, FL 32114-2817 | 2006-05-11 |
Find all providers in DAYTONA BEACH |
City | DAYTONA BEACH |
Zip Code | 32114 |
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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.