Organization Active NPI

Jean Geriatrics, PLLC

  • Geriatric Medicine (Family Medicine) Physician
  • Port Charlotte, FL
National Provider Identifier
1346801024
Registry record updated Jun 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
Legal business name
JEAN GERIATRICS, PLLC
Practice address
3450 Rowland Dr
Port Charlotte, FL 33980-2284
Phone
(941) 276-8036
NPI assigned
Jun 24, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2019

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

Authorized official

Name
Gerdie Jean-Smith, MDNPI 1346669025
Title
Physician
Phone
(941) 276-8036

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QG0300X Primary
Inpatient Hospice 315D00000X

Addresses

Primary practice location

3450 Rowland Dr
Port Charlotte, FL 33980-2284

Mailing address

3450 Rowland Dr
Port Charlotte, FL 33980-2284
Phone (941) 276-8036

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1561334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561334400000",
    "number": "1346801024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3450 ROWLAND DR",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339802284",
            "telephone_number": "941-276-8036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3450 ROWLAND DR",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339802284",
            "telephone_number": "941-276-8036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEAN GERIATRICS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-24",
        "last_updated": "2019-06-24",
        "status": "A",
        "authorized_official_last_name": "JEAN-SMITH",
        "authorized_official_first_name": "GERDIE",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "941-276-8036",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "315D00000X",
            "taxonomy_group": "",
            "desc": "Hospice, Inpatient",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Charlotte, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2019; 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.