Ahmed I Jakda, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

35086772 Issued in OH

Practice address

8931 Conference Dr Ste 5
Fort Myers, FL 33919-4893

Phone

(239) 278-0100

Fax

(740) 383-8517

NPI assigned

May 20, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Professional Sleep Analysis, LLC

  • Sleep Disorder Diagnostic Clinic/Center
  • Fort Myers, FL
  • NPI 1487612768
  NPD
• Marion General Hospital Foundation, Inc.

  • Emergency Medicine Physician
  • Marion, OH
  • NPI 1134114077
  NPD (past)
• Marion Physician Billing LLC

  • Emergency Medicine Physician
  • Marion, OH
  • NPI 1013247568
  NPD (past)

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692230400000",
    "number": "1275587453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8931 CONFERENCE DR STE 5",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339194893",
            "telephone_number": "239-278-0100",
            "fax_number": "937-619-4231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8931 CONFERENCE DR STE 5",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339194893",
            "telephone_number": "239-278-0100",
            "fax_number": "740-383-8517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAKDA",
        "first_name": "AHMED",
        "middle_name": "I",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-20",
        "last_updated": "2023-08-17",
        "certification_date": "2023-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35086772",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2611650",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jade Clinic Family and Wellness Center Corp
• Jaesen Petretta Inc
• Christine M Jaffe, CPNP, MS, RN
• Nicole Ann Jaffe, PH.D.
• Jeanne Ann Jagodzinski, PMHNP-BC
• Julie Ann Jakobi, RMHCI
• Lindsay L Jakovac, APRN, FNP-BC
• David Jalanivich, CCP
• Kristen Jalovecky, LCSW
• James J. O'Mailia, MD, PA

• Family Medicine Physician in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2023; 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.