NPIMap

Organization Active NPI

Jane E Bistline MD PA

  • Specialist
  • West Palm Beach, FL
National Provider Identifier
1003098088
Registry record updated Dec 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME64772 Issued in FL
Legal business name
JANE E BISTLINE MD PA
Practice address
2047 Palm Beach Lakes Blvd
Suite 300
West Palm Beach, FL 33401-6500
Phone
(561) 681-9808
Fax
(561) 681-9989
NPI assigned
Nov 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jane E BistlineNPI 1447355789
Title
President
Phone
(561) 681-9808

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X ME64772 FL Primary

Addresses

Primary practice location

2047 Palm Beach Lakes Blvd
Suite 300
West Palm Beach, FL 33401-6500

Mailing address

2047 Palm Beach Lakes Blvd
Suite 300
West Palm Beach, FL 33401-6500
Phone (561) 681-9808

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1196380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197504000000",
    "number": "1003098088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2047 PALM BEACH LAKES BLVD",
            "address_2": "SUITE 300",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334016500",
            "telephone_number": "561-681-9808",
            "fax_number": "561-681-9989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2047 PALM BEACH LAKES BLVD",
            "address_2": "SUITE 300",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334016500",
            "telephone_number": "561-681-9808",
            "fax_number": "561-681-9989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JANE E BISTLINE MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-30",
        "last_updated": "2007-12-13",
        "status": "A",
        "authorized_official_last_name": "BISTLINE",
        "authorized_official_first_name": "JANE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-681-9808"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME64772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.