Active NPI
Jean Rodrigue Dossous, MD.
- Medical Physician Assistant
- Fort Pierce, FL
National Provider Identifier
1083931901
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 9100887
- Practice address
- 2212 Okeechobee Rd
Fort Pierce, FL 34950-6551 - Phone
- (772) 465-8433
- Fax
- (772) 465-7276
- NPI assigned
- May 2, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 9100887 | FL | Primary |
Addresses
Primary practice location
2212 Okeechobee Rd
Fort Pierce, FL 34950-6551
Mailing address
3600 Wilderness Dr W
Fort Pierce, FL 34982-6561
Phone (772) 466-4573
Other names 1
- Jean Marie Dossous
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9100887 | FL | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1272758400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1272758400000",
"number": "1083931901",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3600 WILDERNESS DR W",
"city": "FORT PIERCE",
"state": "FL",
"postal_code": "349826561",
"telephone_number": "772-466-4573",
"fax_number": "772-465-7276"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2212 OKEECHOBEE RD",
"city": "FORT PIERCE",
"state": "FL",
"postal_code": "349506551",
"telephone_number": "772-465-8433",
"fax_number": "772-465-7276"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOSSOUS",
"first_name": "JEAN",
"middle_name": "RODRIGUE",
"name_prefix": "Dr.",
"credential": "MD.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-05-02",
"last_updated": "2010-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "FL",
"license": "9100887",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JEAN",
"last_name": "DOSSOUS",
"middle_name": "MARIE",
"credential": "MD",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Fort Pierce, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.