Peter C. Jansen MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME0069804 Issued in FL

Legal business name

PETER C. JANSEN MD

Practice address

159 N 3Rd St
Macclenny, FL 32063-2103

Phone

(904) 259-7815

Fax

(904) 259-4675

NPI assigned

Nov 14, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Peter C Jansen, M.D.

Title

Physician

Phone

(904) 259-7815

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1226620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226620800000",
    "number": "1346494556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8879",
            "city": "FLEMMING ISLAND",
            "state": "FL",
            "postal_code": "320060019",
            "telephone_number": "904-259-7815",
            "fax_number": "904-259-4675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "159 N 3RD ST",
            "city": "MACCLENNY",
            "state": "FL",
            "postal_code": "320632103",
            "telephone_number": "904-259-7815",
            "fax_number": "904-259-4675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER C. JANSEN MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-14",
        "last_updated": "2008-11-14",
        "status": "A",
        "authorized_official_last_name": "JANSEN",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "904-259-7815",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME0069804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Autumn H O'Neal, SLP
• Merredith Oakes
• Dwayne Maurice Oquendo
• Taylor Parker, APRN
• Linda Ann Parrish, LMFT
• Robert Lowell Phillips, O.D.
• Physical Therapy and Rehabiitation Clinic Inc
• Cheryl Ruth Pingel, LMHC
• Victoria Christine Pittman, DPT
• Jessica Putney, ARNP

• Family Medicine Physician in Macclenny, FL
• Providers in Macclenny, 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 Nov 14, 2008; 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.