Active NPI
Chris Lee Jijon, PA-C
- Physician Assistant
- Fort Myers, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA9109591
- Practice address
- 6360 Techster Blvd
Suite 1
Fort Myers, FL 33966-4805 - Phone
- (239) 223-2751
- Fax
- (239) 561-2933
- NPI assigned
- Jun 20, 2016
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA9109591 | FL | Primary |
Addresses
Primary practice location
6360 Techster Blvd
Suite 1
Fort Myers, FL 33966-4805
Mailing address
6360 Techster Blvd
Suite 1
Fort Myers, FL 33966-4805
Phone (239) 223-2751
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
12731 New Brittany Blvd
Fort Myers, FL 33907-3632
Phone (239) 418-0999
2500 Goodlette Frank Rd
Naples, FL 34103-4608
Phone (239) 430-3939
3515 Del Prado S Blvd
Suite 104
Cape Coral, FL 33904-7289
Phone (239) 542-4123
9617 Gulf Research Lane
Fort Myers, FL 33912-4555
9617 Gulf Research LN
Fort Myers, FL 33912-4555
Phone (239) 418-0262
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jonathan M Frantz, MD PA | Past | Accepting new patients | |
| Jonathan M Frantz, MD PA | Past | Accepting new patients | |
| Jonathan M Frantz, MD PA | Past | Accepting new patients |
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.
-
- Ophthalmology Physician
- Fort Myers, FL
- NPI 1033199609
-
- Ophthalmology Physician
- Punta Gorda, FL
- NPI 1316096506
-
- Ophthalmology Physician
- Cape Coral, FL
- NPI 1457400640
-
- Ophthalmology Physician
- Lehigh Acres, FL
- NPI 1720284730
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1466380800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1466380800000",
"number": "1245680495",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6360 TECHSTER BLVD",
"address_2": "SUITE 1",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339664805",
"telephone_number": "239-223-2751",
"fax_number": "239-561-2933"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6360 TECHSTER BLVD",
"address_2": "SUITE 1",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339664805",
"telephone_number": "239-223-2751",
"fax_number": "239-561-2933"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JIJON",
"first_name": "CHRIS",
"middle_name": "LEE",
"name_prefix": "Mr.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-06-20",
"last_updated": "2016-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA9109591",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Myers, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.