Individual provider Active NPI

John Christopher Jusino, M.D.

  • Emergency Medicine Physician
  • Tallahassee, FL
National Provider Identifier
1073579793
Registry record updated Jan 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
ME65193 Issued in FL
Practice address
1300 Miccosukee Rd
Bixler Emergency Center
Tallahassee, FL 32308-5054
Phone
(850) 431-0756
Fax
(850) 431-0779
NPI assigned
Apr 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X ME65193 FL Primary

Addresses

Primary practice location

1300 Miccosukee Rd
Bixler Emergency Center
Tallahassee, FL 32308-5054

Mailing address

1300 Miccosukee Road
Tallahassee Mem Bixler Emg Ctr
Tallahassee, FL 32308-5095
Phone (850) 431-0911

Other identifiers 1

IdentifierTypeStateIssuer
374632100MedicaidFL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111230000330 FL Practitioner - Emergency Medicine 9931276102 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME65193FLMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
TMH Emergency Physician Group Emergency Medicine CurrentSince May 15, 2017 Accepting new patients
Tallahassee Memorial Healthcare Inc CurrentSince Oct 1, 1999 Accepting new patients
TMH Emergency Physician Group Emergency Medicine CurrentSince May 15, 2017 Accepting new patients
Tallahassee Memorial Healthcare Inc Current Accepting new patients

Locations

1607 Saint James Ct
Ste 1
Tallahassee, FL 32308
Phone (850) 431-7021

1300 Miccosukee Rd
Tallahassee, FL 32308
Phone (850) 431-1155

1260 Metropolitan Blvd
Tallahassee, FL 32312
Phone (850) 422-5413

Interoperability endpoints

  • Direct secure messaging: jjusino22273@tallahasseememorial.direct-ci.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1145577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484524800000",
    "number": "1073579793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 MICCOSUKEE ROAD",
            "address_2": "TALLAHASSEE MEM BIXLER EMG CTR",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323085095",
            "telephone_number": "850-431-0911",
            "fax_number": "850-431-0799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 MICCOSUKEE RD",
            "address_2": "BIXLER EMERGENCY CENTER",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323085054",
            "telephone_number": "850-431-0756",
            "fax_number": "850-431-0779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUSINO",
        "first_name": "JOHN",
        "middle_name": "CHRISTOPHER",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-21",
        "last_updated": "2017-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "ME65193",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "374632100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

Verify at the official NPI Registry.