NPIMap

Organization Active NPI

Petrija Jen DO PA

  • Personal Emergency Response Attendant
  • Punta Gorda, FL
National Provider Identifier
1194864009
Registry record updated Oct 22, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Personal Emergency Response AttendantTaxonomy code 146D00000X
License
OS7864 Issued in FL
Legal business name
PETRIJA JEN DO PA
Practice address
24451 Sandhill Blvd
Suite a
Punta Gorda, FL 33983
Phone
(941) 764-9560
Fax
(941) 764-1854
NPI assigned
Feb 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2007

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

Authorized official

Name
Dr. Petrija Jen, D.O., P.A.
Title
Physician
Phone
(941) 764-9560

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Emergency Response AttendantGroup: 193400000X SINGLE SPECIALTY GROUP 146D00000X OS7864 FL Primary

Addresses

Primary practice location

24451 Sandhill Blvd
Suite a
Punta Gorda, FL 33983

Mailing address

24451 Sandhill Blvd
Suite a
Punta Gorda, FL 33983
Phone (941) 764-9560

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193011200000",
    "number": "1194864009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24451 SANDHILL BLVD",
            "address_2": "SUITE A",
            "city": "PUNTA GORDA",
            "state": "FL",
            "postal_code": "33983",
            "telephone_number": "941-764-9560",
            "fax_number": "941-764-1854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24451 SANDHILL BLVD",
            "address_2": "SUITE A",
            "city": "PUNTA GORDA",
            "state": "FL",
            "postal_code": "33983",
            "telephone_number": "941-764-9560",
            "fax_number": "941-764-1854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETRIJA JEN DO PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-06",
        "last_updated": "2007-10-22",
        "status": "A",
        "authorized_official_last_name": "JEN",
        "authorized_official_first_name": "PETRIJA",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "941-764-9560",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O., P.A."
    },
    "taxonomies": [
        {
            "code": "146D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Personal Emergency Response Attendant",
            "state": "FL",
            "license": "OS7864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Punta Gorda, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2007; 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.