Susan Jaamour

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN27604 Issued in FL

Practice address

201 4TH St S Unit 441
Saint Petersburg, FL 33701-4574

Phone

(248) 917-2301

NPI assigned

Jul 24, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Networks

• Freedom Health HMO Network

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

{
    "created_epoch": "1563926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708992000000",
    "number": "1144873522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 4TH ST S UNIT 441",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337014574",
            "telephone_number": "248-917-2301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 4TH ST S UNIT 441",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337014574",
            "telephone_number": "248-917-2301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAAMOUR",
        "first_name": "SUSAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-24",
        "last_updated": "2024-02-27",
        "certification_date": "2024-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901600233",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019032316",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN27604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• J Hibbert Enterprises LLC
• J Paonessa M.D., P.a.
• J Paonessa MD PA
• J. Paonessa M.D. P.a.
• J.E.T Cardinal LLC
• Nicholas Anthony Jabre, MD, MS
• Raymundo Gamboa Jacinto, PA-C
• Suzanne M Jackman, M.D.
• Lynn Stephanie Jackson Dorman, LMHC
• Greta Jackson-Mitchell

• General Practice Dentistry in Saint Petersburg, FL
• Providers in Saint Petersburg, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2024; 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.