Jan S Bender MD, PLLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

55667 Issued in FL

Legal business name

JAN S BENDER MD, PLLC

Practice address

6449 38TH Ave N Ste G4
St Petersburg, FL 33710-1643

Phone

(727) 347-2557

NPI assigned

Jul 1, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Jan Stewart Bender, MD

Title

Physician-Owner

Phone

(727) 347-2557

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1435708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435708800000",
    "number": "1104209758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6449 38TH AVE N STE G4",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337101643",
            "telephone_number": "727-347-2557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6449 38TH AVE N STE G4",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337101643",
            "telephone_number": "727-347-2557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAN S BENDER MD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-01",
        "last_updated": "2015-07-01",
        "status": "A",
        "authorized_official_last_name": "BENDER",
        "authorized_official_first_name": "JAN",
        "authorized_official_middle_name": "STEWART",
        "authorized_official_title_or_position": "PHYSICIAN-OWNER",
        "authorized_official_telephone_number": "727-347-2557",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "55667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Krysti James, MS CCC-SLP
• Leah Marie James, C.N.A.
• Michelle Donna-Marie James, APRN
• Bhavana Jami, D.O.
• Carey Jamrogowicz, CGC
• Maria D Jane
• Holly Janicki
• Brittany Jankauskas
• Shirley Jankelevich, M.D.
• Roseanna Marie Jannuzzio, PA-C

• All providers in St Petersburg, FL
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2015; 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.