NPIMap

Individual provider Active NPI

Javan Jonathon Nation, M.D.

  • Pediatric Otolaryngology Physician
  • Orlando, FL
National Provider Identifier
1043478902
Registry record updated Aug 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Otolaryngology PhysicianTaxonomy code 207YP0228X
License
ME163134 Issued in FL
Practice address
401 N Mills Ave Ste C
Orlando, FL 32803-5735
Phone
(407) 821-3655
NPI assigned
May 28, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X A125279 CA
Pediatric Otolaryngology Physician 207YP0228X A125279 CA
Pediatric Otolaryngology Physician 207YP0228X ME163134 FL Primary

Addresses

Primary practice location

401 N Mills Ave Ste C
Orlando, FL 32803-5735

Mailing address

401 N Mills Ave Ste C
Orlando, FL 32803-5735
Phone (407) 821-3655

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, FL2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20140811002771 CA Practitioner - Otolaryngology 9638396872 Reassigns benefits to 1 organization
I20231002000026 FL Practitioner - Otolaryngology 9638396872 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sharp Rees-Stealy Medical Group IncGroup PAC ID 8628972759, 872 clinicians

Practice addresses (Care Compare)

10243 Genetic Ctr Dr
San Diego, CA 92121-6310
Phone (858) 499-2600

Hospital & facility affiliations

  • Sharp Memorial Hospital Hospital, San Diego, CA, CCN 050100

Merit-based Incentive Payment System (MIPS)

Final score
88.67 of 100Reported as group
Quality
81.04
Promoting interoperability
99
Improvement activities
40
Cost
82.04

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
125279CAMDMarriage & Family Therapist
A125279CAMDPediatric Otolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sharp Rees-Stealy Medical Group, Inc Otolaryngology CurrentSince Nov 19, 2023 Accepting new patients
Florida Hospital Medical Group Inc CurrentSince Jul 17, 2023 Accepting new patients
Florida Hospital Medical Group Inc CurrentSince Jul 17, 2023 Accepting new patients
Sharp Rees-Stealy Medical Group, Inc CurrentSince Nov 19, 2023 Accepting new patients
Marilyn Kaufhold, M.D., a Medical Corporation Past Accepting new patients
Adventist Health System-Sunbelt, Inc Past Accepting new patients
Sharp Memorial Hospital Past Accepting new patients
Sharp Rees-Stealy Medical Center Past Accepting new patients

Locations

2020 Genesee Ave
San Diego, CA 92123
Phone (619) 268-9500

10243 Genetic Center Dr
San Diego, CA 92121
Phone (858) 499-2704

2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700

401 N Mills Ave
Ste C
Orlando, FL 32803
Phone (407) 821-3655

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1211932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692835200000",
    "number": "1043478902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 N MILLS AVE STE C",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328035735",
            "telephone_number": "407-821-3655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 N MILLS AVE STE C",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328035735",
            "telephone_number": "407-821-3655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NATION",
        "first_name": "JAVAN",
        "middle_name": "JONATHON",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-28",
        "last_updated": "2023-08-24",
        "certification_date": "2023-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "CA",
            "license": "A125279",
            "primary": false
        },
        {
            "code": "207YP0228X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Pediatric Otolaryngology",
            "state": "CA",
            "license": "A125279",
            "primary": false
        },
        {
            "code": "207YP0228X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Pediatric Otolaryngology",
            "state": "FL",
            "license": "ME163134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.